Lymphedema Therapy

A patient’s leg being treated with a vasopneumatic pump.

Pictured is therapist, Jane Couvillion, CHT, OTR/L, CLT. She is certified in whole body lymphedema therapy after training with the Academy of Lymphatic Studies.

Pictured is therapist, Jane Couvillion, CHT, OTR/L, CLT. She is certified in whole body lymphedema therapy after training with the Academy of Lymphatic Studies.

Lymphedema that is hereditary (type I) or acquired after a surgery or after cancer treatments can be evaluated, treated, and managed. During Our Lymphedema Evaluation we will spend one-on-one time assembling a thorough client history, detailed, anatomically- specific measurements of swelling, range of motion, strength, and function of the affected area.

Treatment May Include:

  • Repeat measurement of swollen areas

  • Manual Lymphatic Drainage and/or Vasopneumatic device treatment to reduce the size of the affected area

  • Compression bandaging or temporary compression garment until maximum reduction is achieved, then measurement for a compression garment

  • Therapeutic and breathing exercises that help decrease the swelling.

  • Activity modification recommendations to limit exacerbations of lymphedema

  • Client and family education for self-management of lymphedema, including home equipment recommendations so you are successful at discharge.

What may be involved with a Lymphedema Diagnosis?

Upper Extremities

  • Often affected after surgery related to breast cancer, especially if lymph nodes have been removed or if chemotherapy and/or radiation has been part of treatment.

  • Loss of range of motion in the shoulder, elbow, wrist or hand.

  • Concern related to appearance of arm, due to swelling and/or scars.

Head and Neck

  • Often involved after after surgery and/or treatment for cancer in face or neck.

  • Stiffness in the neck and shoulders, sometimes limiting overhead use of the arms

  • Difficulty chewing and/or swallowing.

  • Concern related to appearance of arm, due to swelling and/or scars.

 Lower Extremities

  • Swelling in one or both legs that often does not resolve with rest and elevation

  • Feeling of heaviness that can be uncomfortable or painful.

  • Limited joint flexibility & muscle weakness.

  • Skin that feels tight, and when pressed, may leave a fingerprint.

    • If swelling has been present for a long time, skin may feel thick and leathery and may no longer leave a fingerprint when pressed.