The Milliken Hand Rehabilitation Center is now offering Lymphedema services for patients who are in need of these services. If you see patients or work in the community with those who may benefit from this service please don’t hesitate to call and schedule an appointment at (314) 286 – 1669.
What is Lymphedema?
Lymphedema presents as a chronic swelling of the limb due to the accumulation of protein-rich fluid. This can be due either to a genetic condition or as a result of trauma or cancer. It may cause a significant increase in limb size, an increase in susceptibility to infection, and may also impact healing ability. As lymphedema progresses, changes in your skin composition may occur. Lymphedema can be managed with therapy, compression garments, and when appropriate- surgical intervention.
The goal
The goal of therapy is to achieve maximum swelling reduction. This is accomplished with a combination of bandaging, MLD, and a possible exercise plan. Bandages will need to be worn for 22-24 hours a day over the course of therapy. Your therapist will discuss specific guidelines with you.
Treatment:
What to expect on your first day of therapy:
Following your evaluation, the first day of treatment will consist of preparing bandaging supplies and Manual Lymph Drainage (MLD). You will be asked to remove your clothing during treatment so massage is directly over your skin. Sheets will be used to ensure privacy. You are welcome to bring a family member or friend to therapy with you.
Your first set of bandages will be provided to you by your therapist. If a second set is required, it will be your responsibility to purchase these bandages.
Course of treatment
In general, therapy will begin with treatment sessions 4-5 days a week. This can vary based on diagnosis and presentation. After two weeks, your treatment will be reduced to 2-3 times a week as appropriate. When limb reduction is achieved, you will be measured for compression garments. These typically arrive 1-2 weeks after the order date. Your therapist will ensure proper fit upon arrival. These garments will be used long term.
We recommend a follow-up every 6 months.
Learn More about our Lymphedema Services at Milliken Hand Rehabilitation Center.