The choice of treatment was manual lymph drainage
(Godoy and Godoy method) [6,7] and mechanical lymph drainage (RAGodoy), a method developed for the treatment of edema due to impairment of the lymphatic system [8, 9].
Manual lymph drainage
is a specialized large-surface massage technique made up of a combination of round or oval, small or large, large area circular motions that move the skin without sliding over it which is designed to stimulate smooth lymphatic flow.
Moreover, as a combination of treatments were provided, it is unclear whether the benefit in reduced incidence of lymphoedema was due to the manual lymph drainage
, scar massage, the focused exercise, or the combination of treatments.
The most common physical therapy interventions for lymphedema include a combination of skin care, isotonic exercise, manual lymph drainage
, compression bandaging and intermittent compression therapy.
Early chapters cover the anatomy, physiology, and pathology of the lymphatic system, and later chapters explain manual lymph drainage
(the Vodder technique), complete decongestive therapy, and other treatment modalities.
"It's a long way to go every day for 45 minutes treatment." Luckily hospice at home team leader, Kay Hill, had just begun to offer manual lymph drainage
, at Mary Ann Evans, and so Miranda was able to get herself referred on to her patient list.
Interventions for Lymphedema Recommended for Practice * Complete decongestive therapy * Compression bandaging * Infection treatment Likely to Be Effective * Maintaining optimal body weight * Manual lymph drainage
Benefits Balanced With Harms * Exercise * Prophylactic antibiotics for recurrent infections * Surgical intervention Effectiveness Not Established * Compression garments * Hyperbaric oxygen * Low-level laser therapy * Nanocrystalline silver dressing on lymphatic ulcers * Pneumatic compression pump * Simple lymphatic drainage with aromatherapy Not Recommended for Practice * Diuretics * Benzopyrenes Note.
The addition of manual lymph drainage
to compression therapy for breast cancer related lymphedema: A randomized controlled trial.