Some kinds of medical insurance may cover CDT. Does insurance or Medicare usually cover complete decongestive therapy? This 2021 study notes other treatments that may also help treat lymphedema, such as acupuncture, laser treatments, and deep oscillation. A 2018 study that compared these two types of therapies found that MCB is not only more accessible for people with lymphedema but is a more cost-effective alternative for elderly patients. There are alternatives to CDT, including multi-layer compression bandaging (MCB). Are there alternatives to complete decongestive therapy? Per the LANA, they complete 135 hours of training as part of their certification. LANA-certified therapists will have the letters CTL-LANA. You’ll want to ensure they have the letters CTL (“certified lymphatic therapist”) as part of their credentials. You can also find therapists in your area using tools provided by the Lymphatic Association of North America (LANA) and the National Lymphedema Network. Your doctor can refer you to a certified lymphatic therapist. How do I find a certified therapist to do lymphatic draining? If your doctor has cleared you, you can try lymphatic massage on yourself.
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You should not do manual draining if you have congestive heart failure or an active infection. Can I do lymphatic draining on my own?Ĭheck with your doctor or therapist before trying any lymphatic drainage methods on yourself. The National Health Service (NHS) says that you may also perform activities like cycling and swimming, which exercise the whole body. Initial exercises are designed to improve the lymphatic system. Remedial exercises used in CDT include light stretching and range of motion exercises. Many studies, such as this study from 2020, have found positive results if therapists correctly follow the steps. It depends on the extent of your lymphedema.Īccording to research from 2017, complete decongestive therapy is considered one of the best therapy programs for people with lymphedema. Maintenance treatment can last for a few months or years. Phase 2 should begin right after phase 1, as a delay can trigger swelling to return. The goal of the second phase of CDT is to build upon the success of the first phase. You can also perform lymphatic drainage techniques on yourself (or have a family member do them) by using simple hand techniques. In some cases, as detailed in this 2017 study, a compression machine might drain the lymphatic fluid. If your lymphedema is not severe, it may be okay to skip to the second phase, depending on what your doctor and therapist say.Īfter your doctor has approved a treatment plan, a certified physical or occupational therapist will perform MLD. You should remove them only to cleanse your skin. The same healthcare specialists recommend that you wear your compression garments for up to 23 hours a day during this phase. Typically, according to healthcare professionals at OncoLink, it can last 2 to 4 weeks. How long this phase takes depends on how severe your lymphedema is.
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Phase 1: Intensive therapyĪlso known as the decongestion phase, this first phase aims to bring down swelling and allow the skin to improve. In addition to multiple components, CDT also takes place in two phases. It’s important to clean your skin regularly and protect it from the sun by wearing sunscreen. Additionally, wearing compression garments may make your skin dry and itchy, increasing the risk of infections. Common side effects of lymphedema include skin infections and skin changes.
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Wearing compression sleeves or garments while exercising can help. Regular exercises can help improve the flow of lymph fluid in your body and help prevent swelling. Remedial exercises are an important part of both CDT phases. This can reduce swelling and allow fluid to be drained. This helps to move excess fluid and prevent it from returning. Bandages or compression sleeves wrapped around the affected area provide pressure. This helps to release and move trapped fluid so that the body can reabsorb it. Certified therapists use manual techniques to gently massage your affected limbs. The goal of CDT is to reduce the pain and swelling associated with lymphedema. If you want to find therapeutic massage in all modalities you can find it on RentMasseur.Medical professionals consider CDT an effective treatment for lymphedema because it includes many approaches. We offer Masseurs that offer you all Massage types. You can see the locations listed below too. You can find our male masseurs in all the locations listed in the United States, Europe, Asia, Mexico, Canada, South America and many other countries. Find Gay Massage & Male Masseurs by location