Review of the Efficacy of Complete Decongestive Therapy versus Low Level Laser Therapy for Lymphedema Treatment Introduction: Lymphedema is a common condition that causes the extremities become swollen due to fluid buildup in soft tissues. Lymphedema progresses in four stages: the dormant stage, stage 1, stage 2, and stage 3. Both the dormant stage and stage one are reversible because they cause no damage to the surrounding soft tissue; however, stages 2 and 3 cause permanent damage. Symptoms of lymphedema include limb heaviness, pain, weakness, and elevated skin temperature.1 No cure exists for lymphedema, therefor constant management of symptoms is needed. Lymphedema often occurs following breast cancer treatments such as radiation therapy or mastectomy, which is referred to as secondary lymphedema. According to Iuchi et al,2 lymphedema treatment success depends on reducing the progression and extent of swelling and improving the affected patients quality of life. Researchers use objective measurements such as water displacement, circumferential measurement, perometry, and bioelectrical impedance to quantify the volume of an affected limb due to swelling. Subjective measures used to assess quality of life (QOL) present challenges in determining the effectiveness of a certain treatment modality. Researchers incorporate standardized questionnaires to try and assess a treatments success subjectively. Complete decongestive therapy (CDT), which includes compression bandaging,
When used proficiently, it produces less bruising, bleeding and post operative discomfort. The results are not permanent but would last for a long term of up to 10 years. Laser resurfacing is highly effective in eliminating the wrinkles as compared to other skin resurfacing methods. The lasers not only exfoliate your skin, but also tighten the collagen fibers of the skin, thus restoring some of the elasticity of skin. Dramatic results have been obtained, as some older people appear 10-20 years younger after undergoing the treatment.
Non-ablative laser therapy can rejuvenate skin more quickly than red light therapy, as the lasers used are very powerful.
The question to be studies related to problems women experience on a regular basis with lymphedema. With this study there were many previously completed qualitative and quantitive studies that were used as the relevant information for the study. After the study was completed, there results conclude that there are many aspects of woman life that are effected by lymphedema, and those from a lower social economic status suffer more chronic symptoms, but with better education and support systems women are able to experience and feel a decrease in their lymphedema symptoms in their daily
Failure to circulate lymph back to the circulatory system results in swelling of the tissues, or oedema. Examples of this can be the result of infection through tropical disease where the lymph vessels are destroyed or blocked, or mild, temporary cases such as pregnancy where the weight of a foetus can press against the lymph vessels and prevent the return of lymph to the subclavian ducts.
To determine if Kinesio® Taping on the lower extremity affects limb circumference in patients with lower limb lymphedema secondary to gynecological cancer.
O: Patient participated in a 50-minute OT treatment session in the outpatient rehabilitation gym to increase functional ROM and strength in the L UE, bilateral use, decrease edema in the distal L UE and education on community involvement. Patient presented with subluxation brace, personal manufactured sling, and compression glove to therapy session. Also, presented with a decreased in edema in the distal L UE since previous session.
Edema is the abnormal accumulation of fluid under the skin, which most commonly effects the lower legs, ankles, and feet. Compression stockings are used to help improve blood flow that is affected by insufficient circulation caused by edema. There are numerous causes for edema, including, but not limited to, varicose veins, sports injuries, standing or sitting for prolonged time periods, pregnancy, or surgery.
The accumulation of fluid under the skin causes swelling, often in the lower legs and ankles (known as peripheral oedema).
I went to one place and walked right out. It was a physical rehabilitation center with the word lymphedema slapped on the window. Then we met a therapist named Robin. She was interesting. She showed us her extreme weight loss photos and told me about the importance of self care, however my foot didn’t improve so we left. Third time really is the charm as that’s when we met Tracey. She was very kind and educated. She told me that her goal was to make me feel as normal as possible. That’s when I was sold. So, we went through a week of bandaging to get my legs as normal as possible. Then she measured me for actual lymphedema stockings, not the grandma ones I was given. The new garments were amazing and my feet were as normal as I had seen them pre-diagnosis. I was
Complications of modified radical mastectomy include seroma formation, wound infection and wound dehiscence, skin flap necrosis, hemorrhage, hematoma formation, paresthesia ,muscle paralysis, stiffness, pain, restricted mobility and lymph edema (8) .
I was raised in what I consider a orthodox medical household. However, in 1987, I had an accident, which resulted in a total elbow reconstruction. I was left with residual joint pain, a lack of sensitivity and a terrible 6 inch scar. I can recall my mom applying warm oil soaked cloths and saran wrap over the scar at night. “Lymphatic congestion is a major factor leading to inflammation and disease. When castor oil is absorbed through your skin your lymphocyte count increases. Increased lymphocytes speed up the removal of toxins from your tissues, which promotes healing” (McGarey). I remember that it felt nice to have the warm oil and compression on my elbow. The scarred skin eventually became “looser” releasing from the underlying tissues and the pigmentation became more pink than purple. Most importantly, I obtained next to perfect range of motion and strength in my arm. I still incur some pain with changes in weather, have residual scar tissue and discoloration, however writing this has inspired me to try it again.
The symptoms of breast cancer vary in different woman, and men sometimes to. A few symptoms of breast cancer is lumps, swollen lymph nodes under arm, leaking, changing color, and many other symptoms. Three main ones are lumps, lymph nodes swollen underarm, and last is change in color. A first symptom a person might encounter is a lump in his or her breast. According to American Cancer Society (2017) “The most common symptom of breast cancer is a new lump or mass.” A second symptom is lymph nodes swollen. According to American Cancer Society (2017) “Sometimes a breast cancer can spread to lymph nodes under the arm or around the collar bone and cause a lump or swelling there, even before the original tumor in
I saw an unmet need, but I had no idea on how to meet this need. However, through the excellent direction of Dr. Priganc, it became imperative to raise awareness of this lymphedema intervention that exists to address a societal need by increasing the awareness of an effective intervention.
Acne can be a huge confidence-buster amongst people of all ages. Both fresh breakouts and scars from previous acne flares can make a person feel conscious about their appearance. While topical treatments, medicines and ointments can greatly reduce the number of fresh breakouts, one needs to deal with the scars left behind by acne as well.
Lymphatic massage was introduced in the 1930s by Danish physiotherapists Dr. Emil Vodder and his wife (Benjamin, 2010). His wife Astrid Vodder practiced naturopath. Emil Vodder studied at the University of Copenhagen for biology, botany, and mineralogy, later began showing interest in the physical medicine along with the lymphatic system. Vodder knew many scientists who had studied the mysterious “clear water” centuries ago, scientist such as Gaspare Aselli (1581–1626) who discovered the lacteal vessels in the lymphatic system, Jean Pecquet (1622-1674) described the cisterna chyli and the thoracic duct leading to the venous arch (Wittlinger, 2004). Olaus Rudbeck discovered the lymph vessels of the colon and rectum and confirmed that these vessels lead to the cisterna chyli as Aselli had described already. Rudbeck was the first who discovered that the lymph from the tissue runs into lymph vessels and to the thoracic duct back to the blood circulation. In the 18th century it was discovered that the whole body contained lymph vessels and that the task of the lymph vessel system is to absorb tissue liquid. Vodder and his wife moved to Paris, France in 1933 to practice the modality on his patients (Wittlinger, 2004). The concept of lymph drainage by massage therapy is similar to opening a valve of a tube filled with water and allowing the water to flow into another tube to release pressure and alleviate build up in the lymph nodes. The carefully circling pumping movements