Chronic Venous Insufficiency Treatment
CVI results from an overload of a normal-functioning lymphatic system. Most cases are related to venous hypertension caused by reflux or obstruction. Reflux occurs in superficial and deep venous systems (or both). Inflammation causes veins to decompensate and can disprupt adjacent lymphatic vessels. Valve damage may occur as a result of DVT, aging, extended sitting or standing, obesity, pregnancy, diabetes or reduced mobility.
MLD treatment protocol
- Edema reduction phase, typically 1 to 3 weeks
- CVI combined with ulcer care, or lymphedema overlay in later stages, typically takes longer
- Daily MLD therapy with combined decongestive therapy (CDT)
- Compression bandaging is worn through the day and removed before sleep during the intensive treatment phase
- Compression bandaging can be safely applied over wound care dressings
- Daily skin care, performed by patient and therapist, to prevent skin breakdown (typically Eucerin or similar products, zinc oxide, anti-fungal creams)
- Wound care performed by the patient or a qualified medical professional (but not the MLD therapist)
- Ulcers generally close after 2 to 4 weeks of MLD therapy. They do not re-open with regular maintenance MLD (once every 4 to 6 weeks) and daily wearing of compression garments (without exception).
MLD CLINIC 237 PURCELLS COVE ROAD, HALIFAX, NS (902) 448 0940
MANUAL LYMPHATIC DRAINAGE THERAPY