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Lymphedema is a malfunction of the lymphatic system that causes an increase in the amount of lymphatic fluid in the body which results in swelling. Breast cancer surgery patients whose lymph nodes have been removed are at increased risk for lymphedema, which most often results in swelling in the arm on the affected side and occasionally in the chest and back area. Treatment begins with extensive patient education about the condition, safety precautions and treatment options. Depending on the severity, treatment may include: Manual Lymph Drainage (MLD) –a gentle massage technique which improves the activity of the lymph vessels and re-routes the lymph flow around the blocked areas into more centrally located lymph vessels that drain into the venous system. Compression Therapy – the use of multi-layered bandages to increase tissue pressure. Compression therapy is used between treatments to prevent re-accumulation of lymph fluid. Treatment is provided in two phases: In Phase 1, compression is applied regularly between MLD treatments by a therapist with special, short-stretch bandages; in Phase 2, a patient wears a special compression garment every day. Exercises –decongestive exercises performed by the patient while wearing compression bandages or garments accompanied by special breathing techniques which help activate muscles and reduce swelling. Skin Care – education about proper skin and nail care to reduce the risk of infection, a very common and serious complication of lymphedema. For more information call 770-533-8200. |
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