Lymphedema is an accumulation of lymphatic fluid which most commonly manifests in the soft tissue of the arm or leg, but can also affect other parts of the body. This disruption can be caused by a genetic flaw in the lymphatic system (primary lymphedema) or can be caused more commonly as a result of surgery, radiation, or chemotherapy (secondary lymphedema).

Today lymphedema is most commonly found in breast cancer patients but can be a result of other surgical treatments or procedures.

How is Lymphedema treated?

The most effective treatment for lymphedema is complete decongestive therapy, also known as CDT. CDT consists of a combination of hygiene/topical skin care, manual lymphatic drainage, bandaging/compression, and remedial exercises. During CDT, patients will undergo two phases of treatment.

Intensive phase: This will consist of daily treatments for 2-4 weeks to get the limb swelling back to its normal or closest to normal size. This will include skin and nail care, MLD, bandaging, and exercises.

Treatment phase: This will consist of compression garments during the day, meticulous skin and nail care, exercises, and MLD as needed.

What is MLD?

MLD stands for Manual Lymphatic Drainage. MLD is a gentle manual form of massage that manually moves lymph fluid out of the affected area, stimulates lymphatic vessels, and breaks down hardened or fibrotic tissue, creating a healthy tissue environment.

Because MLD eliminates wastes from body tissue, it is also an effective treatment for other illnesses such as fibromyalgia, tonsillitis, burns, allergies, or the common cold. Many plastic surgeons may also recommend MLD for patients recovering from surgery to help speed tissue recovery.

Will my health insurance cover this?

Most insurance companies will cover treatment, but benefits will need to be verified before treatment begins.