Exam #1: Geriatrics & OMM Flashcards
What are the primary causes of lymphedema?
1) Removal of lymph nodes in the US
2) Filariasis worldwide
How is lymphedema treated?
Typically, patients are sent to PT
How many stages of lymphedema are there?
Three (four if you can’t “0”)
What are the characteristics of stage 1 lymphedema?
Clinical swelling, pitting edema, & reduced swelling with limb elevation
What are the characteristics of stage 2 lymphedema?
Hard swelling that does NOT recede with elevation
What are the characteristics of stage 3 lymphedema?
Clinical symptoms of elephantiasis
What causes lymphedema?
- Genetically decreased number of lymph nodes
- Damaged nodes & channels
- Surgical reduction of the number of lymph nodes
- Tissue damage restricting lymph flow
- Lymphatic compartmentalization due to soft tissue strains
What are the treatment objectives when treating lymphedema?
- Promote terminal & regional lymphatic drainage
- Treatment of soft tissue stains that restrict lymph flow
What mechanism is the basis for treating soft tissue strains to increase lymph flow?
Respiratory-circulatory model
Generally, what is the approach to treating lymph edema?
- Treat from the thoracic inlet down
- Treat proximal to distal
What is Dr. Klock’s protocol for treating lymphedema?
1) Open thoracic inlet
2) Treat T-spine & ribs
3) Treat T-L Junction & redome the diaphragm
4) Drain upper extremities
5) Treat L-Spine
6) Balance pelvis
7) Treat Sacrum
8) Relieve fasical strains in LE
9) Fascial traction/ pump
10) Lymphatic pump
How do SDs effect CCP?
Exacerbate the strain on transitional areas to further restrict lymph flow
