Edema & Lymphedema Flashcards
what are the types of edema?
peripheral
cerebral
eye
what is brawny edema?
thickening of edema due to lack of vascularization
what is the status of edema in the inflammatory phase?
lots of edema
shouldnt take all away
what is the status of edema in the fibroblastic phase?
viscous edema which is more difficult to push out
what is the status of edema in the maturation phase?
fibrosis/CT forming which can lead to brawny edema
what is pitting edema?
when external pressure leaves depression in the tissue
becoming gel-like
what are traditional techniques to reduce edema?
elevation
AROM
retrograde massage
where should pt be elevated for edema?
heart level or above
except with replanted digit/limb
how do you perform retrograde massage for fibroblastic edema?
hand to forearm then empty
fingers to forearm
how is coban wrap used?
used to maintain what was lost
distal to proximal
shrinks with time
how are isotoner gloves used?
gives light pressure all over
how are contrast baths used for edema?
should be used at tap temp warm/cold
NOT for circulation comorbidities
when is Manual edema mobilization used?
fibrotic stage edema
better than retrograde massage
too good for acute
what does MEM include?
exercises
light skin traction
massage techniques following lymph paths
low compression garments
what is the ideal pt for MEM?
healthy lymph system
active participant
performs some independently btwn sessions
