Abstract
Lymphoedema is a chronic condition affecting millions worldwide. Decongestive lymphatic therapy (DLT) is accepted as the treatment of choice for managing a patient’s symptoms and swelling. Successful treatment can also impact upon the patient’s functional status and quality of life (QoL). DLT consists of compression therapy, exercise, skin care and manual lymphatic drainage therapy. Of these treatment modalities, compression is the most important measure, which cannot be replaced by any other modality.
Highlighted References
Best practice for the management of lymphoedema. Compression therapy: a position document on compression bandaging. 2nd ed. International Lymphedema Framework; 2012.
Lee BB, Andrade M, Antignani PL, Boccardo F, Bunke N, Campisi C, Damstra R, Flour M, Forner-Cordero I, Gloviczki P, Laredo J, Partsch H, Piller N, Michelini S, Mortimer P, Rabe E, Rockson S, Scuderi A, Szolnoky G, Villavicencio JL, International Union of Phlebology. Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013. Int Angiol. 2013;32(6):541–74.
Badger CM, Peacock JL, Mortimer PS. A randomised, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphoedema of the limb. Cancer. 2000;88(12):2832–7.
Damstra RJ, Partsch H. Prospective, randomized, controlled trial comparing the effectiveness of adjustable compression Velcro wraps versus inelastic multicomponent compression bandages in the initial treatment of leg lymphedema. J Vasc Surg Venous Lymphat Disord. 2013;1(1):13–9.
The BLS 2016 Cellulitis guidelines: http://www.thebls.com/the-bls/professional-and-patients/cellulitis-in-lymphoedema.
References
Medical Education Partnership (MEP). Best practice for the management of lymphoedema: international consensus. London: MEP Ltd; 2006.
Foldi E, Foldi M, Weissleder H. Conservative treatment of lymphoedema of the limbs. Angiology. 1985;36:171–80.
Rockson S, Miller L, Senie R. Workshop III: diagnosis and management of lymphedema. Cancer. 1998;83(Suppl):282–5.
Pinell XA, Kirkpatrick SH, Hawkins K, Mondry TE, Johnstone PA. Manipulative therapy of secondary lymphedema in the presence of locoregional tumors. Cancer. 2008;112(4):950–4.
Ko DS, Lerner R, Klose G, Cosimi AB. Effective treatment of lymphoedema of the extremities. Arch Surg. 1998;133(4):452–8.
Mortimer P, Todd J. Lymphoedema: advice on self-management and treatment. 3rd ed. Beaconsfield: Beaconsfield Publishers; 2007.
Gradalski T, Ochalek K, Kurpiewska J. Complex decongestive lymphatic therapy with or without Vodder II manual lymph drainage in more severe chronicpPostmastectomy upper limb lymphedema: a randomized Noninferiority prospective study. J Pain Symptom Manag. 2015;50(6):750–7.
Hornsby R. The use of compression to treat lymphoedema. Prof Nurse. 1995;11(2):127–8.
Bertelli G, Venturini M, Forno G, Macchiavello F, Dini D. Conservative treatment of postmastectomy lymphoedema: a controlled, randomised trial. Ann Oncol. 1991;2(8):575–8.
Anonymous. Compression for lymphoedema. Lancet. 1986;i:896.
McKenzie DC, Kalda AL. Effect of upper extremity exercise on secondary lymphoedema in breast cancer patients: a pilot study. J Clin Oncol. 2003;21(3):463–6.
Courneya KS, Friedenreich CM, Quinney HA, et al. A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomised controlled trial. Ann Behav Med. 2005;29(2):147–53.
Ikomi F, Schmid-Schonbein GW. Lymph transport in skin. Clin Dermatol. 1995;13:419–27.
Mortimer PS, Simmonds R, Rezvani M, Robbins M, Hopewell JW, Ryan TJ. The measurement of skin lymph flow by isotope clearance – reliability, reproducibility, injection dynamics, and the effect of massage. J Invest Dermatol. 1990;95(6):677–82.
Werner RS, McCormick B, Petrek J, et al. Arm edema in conservatively managed breast cancer: obesity is a major predictive factor. Radiology. 1991;180(1):177–84.
Beaulac SM, McNair LA, Scott TE, LaMorte WW, Kavanah MT. Lymphoedema and quality of life in survivors of early-stage breast cancer. Arch Surg. 2002;137(11):1253–7.
Shaw C, Mortimer P, Judd PA. A randomised controlled trial of weight reduction as a treatment for breast cancer-related lymphedema. Cancer. 2007;110:1868–74.
Shaw C, Mortimer P, Judd PA. Randomised controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema. Cancer. 2007;109:1949–56.
Gothard L, Stanton A, MacLaren J, et al. Non-randomised phase II trial of hyperbaric oxygen therapy in patients with chronic arm lymphoedema and tissue fibrosis after radiotherapy for early breast cancer. Radiother Oncol. 2004;70:217–24.
Carati CJ, Anderson SN, Gannon BJ, Piller NB. Treatment of postmastectomy lymphedema with low-level laser therapy: a double blind, placebo-controlled trial. Cancer. 2003;98:1114–22. (Erratum in Cancer 2003;98:2742
Kozanoglu E, Basaran S, Paydas S, Sarpel T. Efficacy of pneumatic compression and low-level laser therapy in the treatment of postmastectomy lymphoedema: a randomized controlled trial. Clin Rehabil. 2009;23:117–24.
Gothard L, Haviland J, Bryson P, et al. Randomised phase II trial of hyperbaric oxygen therapy in patients with chronic arm lymphoedema after radiotherapy for cancer. Radiother Oncol. 2010;97(1):101–7.
Smoot B, Chiavola-Larson L, Lee J, Manibusan H, Allen DD. Effect of low-level laser therapy on pain and swelling in women with breast cancer-related lymphedema: a systematic review and meta-analysis. J Cancer Surviv. 2015;9(2):287–304.
Tsai HJ, Hung HC, Yang JL, et al. Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 2009;17:1353–60.
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Gordon, K., Mortimer, P.S. (2018). Decongestive Lymphatic Therapy. In: Lee, BB., Rockson, S., Bergan, J. (eds) Lymphedema. Springer, Cham. https://doi.org/10.1007/978-3-319-52423-8_32
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DOI: https://doi.org/10.1007/978-3-319-52423-8_32
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