Lymphedema Flashcards
30-35 for UE less than 25 is too low
40-45 mmhg for LE more than 50 is too high
R drainage area
Has its own system while other limbs all under same system
Pumps
Muscle pump, diaphgram breathing allow for return
High protein
causes hardening
Time range
Slow chronic build over many months to years
Abnormal lymph node palpation
Mobile or non mobile but typically FIRM OR HARD
tender or non tender
With elevation
NOT relived (unlike venous insufficneicy)
2 cm rule
WHen does stemmer and non ptting begin
2nd stage + 3rd stage
Ptting edema sca;e
1+ indentation barely noticeable
2+ returns in 15 sec
3+ 30 sec
4+ Deep indentation, lasting more than 30 seconds
Lipidema difference
Thick thighs BL, feet not involved
Happens with women
Very painful
Negative stemmers
Treated similarly
DVT
more acute onset, wells criteria
Congestive HF and DVT edema
more pitting edema, unlike non pitting lymphedema in later stages
Axillary web syndrome
Cording in acillary region related to lymphatics in that area
Limits motion
Intervention = stretch GENTLY to make more pliable
Compression levels
No more than 45
ALways what bandages
Short Stretch bandages (does not stretch that much 50% length)
LOW RESTING 15-20
HIGH WORKING
WHY BECAUSE MORE FLUID WHEN WORKING SO NEED MORE COMPRESSION THEN
Manual therapy in decongestive therapy
Light GENTLE decompressive less than 20 mhg
PROXIMAL TO DISTAL
STROKES ARE DISTAL TO PROXIMAL TO BRING FLUID TO CENTRAL BUT STARTING PROXIMAL
Contraindications
Manual therapy on DVT OR INFECTION LIKE CELLUITIS NEVERRRR
NO COMPRESSION THERAPY FOR PAD W? ABI LESS THAN 0.8
