​​MLD  CLINIC

MANUAL LYMPHATIC DRAINAGE THERAPY

Lymphedema management


Etiology

The majority of secondary lymphedema (LE) cases in North America are the result of breast cancer treatments involving the damage/removal of lymph nodes. Many other cases result from disruption of the lymphatic system through surgery, radiation and trauma. It presents proximally at the site of disruption and progresses distally in advanced stages.


Primary LE is considered a congenital abnormality of the lymph conducting system. Rarely noticeable at birth (except concurrent with districhaisis as an indicator), LE presents in feet and ankles, progressing proximally with advanced staging. It is bilateral and asymmetrical.


MLD therapy protocol

  • Edema reduction phase, 2 to 6 weeks
  • Daily MLD therapy with multi-layer compression bandaging (CDT)
  • Compression bandaging worn 24/7 during intensive treatment phase
  • High density foam worn under bandaging to create micro-massage effect; breaking up fibrosis
  • Daily skin care, performed by patient and therapist, to prevent skin breakdown (typically Eucerin or similar products, zinc oxide, anti-fungal creams)
  • Specific daily exercises to create a pumping effect in affected limbs and improve muscle tone
  • Compression garments worn daily during maintenance phase of therapy​
  • Some exceptional cases treated only with MLD and compression garments

MLD CLINIC   237 PURCELLS COVE ROAD, HALIFAX, NS  (902) 448 0940