Combined Decongestive Therapy (CDT) involves the four therapies of
These therapies were developed during the early 1930's by Dr. Emil and Estrid Vodder. They carried out extensive investigations into the action of the lymph vessel system. Based on this work they created a unique range of movements designed to stimulate the flow of lymph. This technique has now received international recognition, and is used by our therapists.
MLD uses a range of specialised and gentle rhythmic pumping techniques to move the skin in the direction of lymph flow. This stimulates the contraction of the lymphatic vessels thereby increasing lymph flow and thus the rate of removal of waste products, toxins and excess fluid from the body’s tissues.
As part of Combined Decongestive Therapy (CDT) for lymphoedema it is superb. The gentle technique assists in the removal of fluid from the affected limb by opening other lymphatic pathways within the body that will carry the excess fluid away.
No oils or powders are used so it is completely safe for those with sensitive skins. For pregnant women this is one of the safest massages available as absolutely nothing can be introduced to upset the developing foetus.
As a pre and then post operative treatment it is unparalleled in its ability to ease most of the tissue swelling associated with surgery and so speed the healing rate of damaged structures.
It has spectacular results for congestion problems for example sinusitis, and has a pain relieving effect so can be used with recent trauma such as sports injuries. Patients find the techniques soothing and relaxing with no side effects.
This is an essential tool in the management of lymphoedema. It can maintain and enhance the results achieved by Manual Lymphatic Drainage (MLD) and keep the swelling down long term. Initially compression therapy may need to be used both day and night but once the limb stabilises a compression garment is usually only worn by day.
There are two types of compression therapy.
Unfortunately lymphoedema and venous insufficiency predisposes to various skin problems. Good skin care is important and helps to ensure that the skin continues to act as a barrier against organisms and reduce the risk of infection.
Hints to help the affected limb
Try to avoid,
Temperature extremes cause the lymphatic system an extra burden so beware of,
Exercise therapy is an important component in the management of lymphoedema. Movement at a natural pace with as full a range of muscular and joint action as possible is extremely beneficial.
Exercises can be adapted for each individual, even for those who are chair or bed bound. Our therapists can help to devise an exercise programme tailored specifically to your needs.
Aqua therapy has proven very useful in the management of lymphoedema. It also very helpful for oedema associated with pregnancy. A full range of movements to be used in the pool can be taught.
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