MANUAL LYMPHATIC DRAINAGE THERAPY
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
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