Therapeutic Services
1) Meticulous skin
care to prevent infections
Any break in the
skin can be an avenue for bacteria to enter. Be aware of any break or
trauma to the skin. This can be in the form of a cut, needle stick,
burn, pet scratch, etc. Clean the area with soap and water or alcohol,
apply a bacterial ointment and a band aid. Watch the area closely for
increased swelling, heat, pain or redness. If the symptoms worsen, contact
you physician immediately as you might need an antibiotic.
2) Manual Lymph
Drainage/MLD
Manual lymph drainage
is a very gentle form of massage performed with a specific pressure
in a specific direction which stimulates the flow of the lymph. It is
through this specialized treatment technique that the lymph is re-routed
from a congested area, where the lymph system has been impaired, to
an area where the system is still intact. This in effect facilitates
the opening of alternative pathways of lymph flow.
3) Compression
Therapy
Manual lymph drainage
alone is not enough to achieve a reduction in edema. During the reduction
phase of treatment, it is necessary that the limb be bandaged. The bandages
utilized are not Ace (long stretch/elastic) bandages but
short stretch/non-elastic bandages. They have a low resting pressure
and a high working pressure. These bandages will not constrict the limb
and are safe to wear for long periods of time. The bandaging is necessary
to prevent fluid reaccumulation in the tissue spaces and to improve
the efficiency of the muscle/joint pumps. Foam or other padding materials
may be utilized under the bandages to soften fibrotic or hard tissue.
Training in bandaging is provided to the patient and/or family members.
4) Exercise
Each patient is
provided with an individualized exercise program designed to facilitate
lymph drainage, improve strength, flexibility and endurance. The exercises
are done with compression on the limb and are coordinated with breathing.