How it works
Combined Decongestive Therapy is considered the gold standard of treatment for progressed lymphedema. Many studies have demonstrated the effectiveness of CDT for improving lymphedema symptoms such as swelling and pain. Lymphedema can be managed with effective treatment, but there is no cure! The therapy has two phases and four components. Intensive phase: the goal is to reduce swelling with compression bandaging, lymphatic drainage, good skin care and exercise. The Combined Decongestive Therapist is very involved during this phase. Maintenance phase: the goal is to keep your condition stable with a compression garment and ongoing skin care, regular exercise and self-massage for lymphatic drainage. During this phase you will take charge of your care and will learn which options work best for you. Your treatment plan will depend on your stage of lymphedema, degree of swelling and phase of treatment. |
Combined Decongestive Therapy has the following components:
Manual Lymphatic Drainage Manual lymphatic drainage gently moves the excess lymph out of a swollen area into healthy lymph vessels that drain into the blood stream. It also reroutes lymph into existing pathways to improve the lymphatic return to the blood stream. Compression garments The use of compression garments increases the tissue pressure and is effective in reducing and maintaining the swelling. It improves venous and lymphatic return, supports muscle pump during activity, and slows down progression. Education Includes basic information about the lymphatic system and the causes of lymphedema, as well as prevention and management skills, including self-massage techniques, skin care and risk reduction strategies, and the use and care of compression bandages/garments. Exercise Program A balanced exercise program includes Diaphragmatic breathing, stretches, strengthening, and aerobic exercises. They are all important aspects of maintaining a decrease in swelling. A specific exercise program to follow at home is provided. |