View source for LYMPHEDEMA-MANAGEMENT (COMPRESSION & EXERCISE)

===== [[Summary Article|'''SUMMARY''']] =====
<i style="color: var(--field-fg);">ELEVATION</i>
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<br/>1. Elevation of the affected limb: reduces exudation by reducing hydrostatic pressure gradient.
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<br/><i>COMPRESSION</i>
<br/>2. Compression therapy: by sequential graded pumps for 2-6 hours/day followed by placement of a compression garment to prevent reaccumulation of fluid. This must be done daily for life.
<br/>3. Graded pumps should proceed after manual lymph drainage has been performed.
<br/>4. Compression therapy can exacerbate cardiac failure. 
<br/>5. Pumping should be discontinued if edema increases above the pump's sleeve.
<br/>6. Contraindicated in cardiac failure, infection &amp; bilateral mastectomy. 
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<br/><i>FOLLOWING MASTECTOMY</i>
<br/>7. Hand pumping, hand and elbow ROM exercises, positioning techniques, postural exercises, shoulder ROM exercises to 40° of flexion &amp; abduction. 
<br/>8. Active assistive exercises can be initiated when the surgical drains have been removed.


==Reference(s)==
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. [https://amzn.to/3SaP42r Get it on Amazon.]
<br/>Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. [https://amzn.to/417imTk Get it on Amazon.]
<br/>O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. [https://amzn.to/3Kc2MA2 Get it on Amazon.]

[[Category:Lymphedema]]
[[Category:Rehabilitation]]