Complete Decongestive Therapy
CDT is the gold standard for lymphedemaa chronic, abnormal swelling of a part of the body. It is an accumulation of protein-rich fluid in the superficial tissues that most commonly occurs in the arms or legs but can affect any part of the body. treatment. It has the best short-term and long-term results. It is a non-a chronic, abnormal swelling of a part of the body. It is an accumulation of protein-rich fluid in the superficial tissues that most commonly occurs in the arms or legs but can affect any part of the body.invasive, safe and reliable method that significantly reduces the swelling and risk of infection. Complete decongestive therapy consists of manual lymphatic drainage, compression therapy, exercise and skin care.
Manual Lymphatic Drainage
is a gentle manual technique that activates the lymphatic system to move the fluid from the congested area into non-congested areas.
Compression Therapy
consists of short-stretch bandages and compression garments to aid in the removal of lymph fluid.
Exercise
maximizes the removal of fluid by using the muscles to help remove the fluid.
Skin care
helps to maintain the health of the skin and decrease the risk of infection to the affected area.
CDT consists of two phases. Phase I is the intensive phase. This part is mostly performed in the clinic by a certified lymphedema therapist. It is designed to mobilize the stagnate protein-rich fluid and to reduce the fibrosclerotic or hardened tissues. During this phase the individual undergoing treatment and or their family is educated on how to perform Phase II. Phase II is continued at home and is designed to maintain and advance the gains achieved in Phase I.
Contraindications:
If someone is currently experiencing an active infection, cardiac swelling, renal dysfunction or a DVT, then they should have these issues addressed prior to beginning complete decongestive therapy.
Note:
Manual lymphatic drainage can also be used to treat traumatic or post-operative swelling, complex regional pain syndrome and acute arthritis.