Certified Lymphatic Therapists (CLTs) use a variety of compression techniques to manage lymphedema, which is the swelling that results from lymphatic fluid buildup, often in the limbs.
Compression therapy is a critical component of Complete Decongestive Therapy (CDT), the gold standard for managing lymphedema. These techniques aim to improve lymph flow, reduce swelling, and prevent fluid from accumulating in affected tissues.
- Types of Compression Therapy in Physical Therapy
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Compression Garments
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Graduated compression stockings/sleeves:
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Lymphedema
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Swelling
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Circulation issues
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Custom-fitted garments:
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Recommended for long-term management.
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Compression Bandaging (Multilayer Bandaging):
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Used in early lymphedema treatment to control swelling
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Involves multiple layers of short-stretch bandages for sustained pressure
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Pneumatic Compression Devices (Intermittent Compression Pumps):
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Uses a pump with sleeves that inflate/deflate in cycles to move fluid out of affected areas
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Often used for Lymphedema Post-surgical swellingVenous insufficiency.
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- Compression Therapy & Physical Therapy Techniques
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Manual Lymphatic Drainage (MLD):
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Performed before applying compression to help move excess fluid
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Exercise with Compression:
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Movement (such as walking or stretching) while wearing compression enhances fluid return
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Skin Care & Education:
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Essential for preventing infections (e.g., cellulitis) and maintaining skin integrity
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- Benefits of Compression Therapy in Physical Therapy
- Reduces swelling and fluid buildup
- Improves circulation and prevents complications
- Enhances mobility and function
- Supports tissue healing after surgery or injury
- Prevents worsening of lymphedema or venous issues
Patients undergoing: Cancer Treatment Post-surgery recovery Dealing with swelling issues should consult a physical therapist or certified lymphedema therapist (CLT) to determine the best compression therapy plan.