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1) "Complete Decongestive Therapy (CDT)" PHASE ONE - INTENSIVE PHASE components: |
| 1.1) | Meticulous skin and nail care |
| 1.2) | Manual Lymph Drainage |
| 1.3) | Compression bandaging using short-stretch bandages and padding materials |
| 1.4) | Decongestive exercises wearing the compression bandage |
| 1.5) | Self care training (self-MLD "Manual Lymph Drainage", self bandaging, customized exercise program, skin care) |
| 1.6) | Application of an appropriate compression garment at the end of the intensive phase |
| 2)
"Complete Decongestive Therapy (CDT)" PHASE TWO - SELF-MANAGEMENT or
IMPROVEMENT PHASE components: |
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| 2.1) | Compression garments during the day |
| 2.2) | Bandaging at night (if necessary depending on severity of the symptoms) |
| 2.3) | Meticulous skin and nail care |
| 2.4) | Decongestive exercises wearing the compression garment or the bandage |
| 2.5) | MLD as needed |
| WHEN DOES "COMPLETE DECONGESTIVE THERAPY (CDT)" FAIL: | |
| Failure in Phase 1 | |
| 1.1) | Malignant lymphoedema - CDT may be indicated as a palliative measure, results are usually limited |
| 1.2) | Artificial lymphoedema (self induced) |
| 1.3) | Improper treatment (MLD as the only treatment, no MLD or improper bandaging) |
| 1.4) |
Associated conditions (Lymphoedema + Rheumatoid Arthritis, Lymphoedema + Obesity, Lymphoedema + Lipedema, Lymphoedema+ 8 Chronic Venous Insufficiency, any combinations of these. |
| 1.5) | Lack of compliance |
| 1.6) |
The severity
of the symptoms, especially lymphostatic fibrosis may have an impact on
the results. Treatment results may be noted over several months or years. |
| Failure in Phase 2 | |
| 2.1) | Lack of compliance |
| 2.2) | Lack of hygiene |
| 2.3) | Reoccurrence of cancer |
| 2.4) | Associated illnesses |
| 2.5) | Severe lymphostatic fibrosis may slow treatment progression to several months or years. |
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© Allison Dendy. All
unauthorized reproduction is forbidden. |
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