Physiological Principles of Physiotherapy
Lymphedema of the extremities is caused by insufficient transport of tissue fluid via the lymphatics. The inadequacy of the lymphatic conduits is most commonly caused: (a) by their obliteration after infectious inflammation and subsequent scarring, (b) by their interruption during lymphadenectomy, and (c) after local irradiation and trauma. Impairment of transport capacity is the consequence of anatomical lesions caused by destruction of valves, degeneration of muscle cells, and obstruction of lumen by clot and external fibrous scarring.
KeywordsTissue Fluid Manual Lymphatic Drainage Manual Massage Muscular Fascia Hard Skin
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