InStep Physical Therapy Centre specifically offers Vodder’s Manual Lymphatic Drainage (MLD) and Combined Decongestive Therapy (CDT) to treat both primary and secondary lymphedema. The treatment protocol involves completing a comprehensive client case history, a detailed assessment, including volumetric measures of the affected and non-affected region, followed by a detailed treatment plan. This may happen during the first session or may require a 30-minute consultation session prior to the determining the therapeutic treatment plan.
The treatment approach, length of session, and number of treatments required varies depending on the severity of the edema, and the underlying condition. Treatment can range from MLD sessions without compression to an intensive therapy protocol involving a series of daily appointments, from 75 – 90 minutes in length, for a period of 10 – 14 days. During these sessions the client will receive manual lymphatic drainage, compression bandaging, exercise instruction, and skin care advice.
This series of treatments conclude with the re-measuring of the affected area to determine volume reductions resulting from the intensive therapy series. Clients are then typically fitted for a compression garment and encouraged to attend regular repeat visits to ensure volume reductions are maintained. Clients are also advised about exercises and self-management techniques to manage their ongoing lymphedema at an optimum level.
Therapists are available to discuss the CDT protocol and any ongoing lymphedema management concerns with the client’s physician and other healthcare providers.
Absolute & Relative Contra-Indications
Contra-indications are conditions or factors that serve as a reason to withhold a certain medical treatment. Due to the effectiveness of Manual Lymphatic Drainage (MLD) in accelerating lymph flow there are a number of health concerns that do not allow individuals to receive MLD. If you are experiencing any of the following situations please discuss these with a therapist prior to receiving any treatment:
- Untreated Malignant Diseases
- Acute Inflammations
- Recent Thrombosis
- Cardiac Insufficiency
- Renal Failure