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Lymphedema What is Lymphedema? Lymphedema is the swelling of a body part, due to abnormal accumulation of protein rich edema fluid. This is a condition that occurs from deficient or damaged lymphatic system, which alters the transport of the lymph fluid. Lymphedema usually affects the arms or legs, but it can also affect the head and neck, genital and trunk regions. Some people develop lymphedema without an obvious cause, which is diagnosed as Primary Lymphedema. Primary Lymphedema can be categorized into three types:
The most common cause of lymphedema in the United States is cancer treatment. This is diagnosed as Secondary Lymphedema and it occurs when the lymph nodes or any part of the lymphatic system has been altered from surgeries, radiation, chronic infection or trauma. Surgical removal and/or radiation of the lymph nodes is commonly used to treat cancers, such as: breast, uterine, ovarian, bladder, prostate, testicular, malignant melanomas and lymphomas. Treatment of Lymphedema The most effective approach for lymphedema is Manual Lymphatic Drainage/Complete Decongestive Physiotherapy (MLD/CDP). MLD/CDP is not a cure for lymphedema, but it is an approach to manage the condition and allow for improved quality of life. Evaluation: The ProRehab Lymphedema Program staff will evaluate patients with the diagnosis of lymphedema. We work with physicians to determine the best treatment plan for lymphedema. The physician is kept up to date on each patient’s progress while receiving physical therapy treatment. Treatment: MLD/CDP is a comprehensive approach to treat patients with lymphedema and is the most effective form of treatment. MLD/CDP consists of four primary components: manual lymphatic drainage, compression bandaging, exercises, and education.
Our goal at ProRehab is to educate and teach each patient the skills to manage their lymphedema condition and to improve their quality of life. What to Expect All patients must have a physician’s referral for treatment of lymphedema at ProRehab. The first appointment will include an evaluation and the start of MLD/CDP treatment. The treatment session, frequency, and length of treatment will be determined by the severity of lymphedema and the specific needs of each patient. Typically patients are seen 5 days a week from Monday through Friday, with duration to be determined at the evaluation. The patient should wear loose clothing to accommodate the compression bandages during scheduled appointments. To schedule an appointment for lymphedema evaluation and treatment please call 812-476-0409. Consultation: ProRehab staff are available for patient and physician consultations and to answer any questions. Insurance: Most insurance companies cover physical therapy. However, each patient will need to check with his or her own insurance company to determine if coverage for treatment. Certified Lymphedema Therapists: Anne Basden, MSPT, CSCS, MLD/CDP Anne received her Master of Science in Physical Therapy from Boston University. She is certified by the Academy of Lymphatic Studies in Manual Lymphatic Drainage and Complete Decongestive Physiotherapy certifications and is also a certified garment fitter for Juzo, Jobst Elvarex, and CircAid.
Andrea Baumann, PT, ATC, CSCS, MLD/CDP Andrea received her Master’s Degree in Physical Therapy from Saint Louis University. She is certified by the Academy of Lymphatic Studies in Manual Lymphatic Drainage, Complete Decongestive Physiotherapy, and is a certified garment fitter for Juzo and Jobst Elvarex.
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