http://www.westburytotalhealthcare.com/lymphedema_027.htm Westbury Total Health Care is a multidisciplinary rehabilitation practice specializing in Physical Medicine & Rehabilitation, Lymphedema Treatment , Physical Therapy, Chiropractic and much more. Under the Coordination of Dr. Kwan Jakobsen, Dr. Gabriela Jano and Dr. Ira Fisher there is over 30 years experience. Our facility specializes in Complex Lymphedema Therapy. The Lymphedema treatment which our office provides involves decongestive manual lymphatic drainage followed by multilayered short stretch compression strapping of either the upper or lower extremities that is worn 24/7. The patient remains in the bandages until the next treatment session. Total patient’s treatment time is in the vicinity of 90 to 120 minutes per day, treatment is optimal at five days per week. The patient will remain in compression bandages while active care of manual lymphatic drainage is being performed, once the extremity stabilizes and no further progression is anticipated then the patient is fitted for a compression garment, such as a sleeve/glove, stocking, thigh or knee high. Specialized Breast Cancer Program. Physical Therapy Programs for all kinds of vestibular disorders. Chiropractic services specializing in sports injuries. Wed, 14 Apr 2010 15:58:53 GMT Web Easy by Avanquest Software http://www.westburytotalhealthcare.com/lymphedema_027.htm http://www.westburytotalhealthcare.com/images/lymphedema027p00.gif Complex lymphedema therapy (CLT) or Complex decongestion physiotherapy (CDP), is a noninvasive treatment used as a rehabilitative intervention for upper and lower extremity lymphedema. Treatment is provided in our office and consists of the following: Meticulous skin and nail care – Cleansing, lubrication, debriding and administration of antimicrobial therapy. Manual lymphatic drainage – Lymphedema therapy reduces and controls the amount of swelling in the affected limb, as well as restoring its function. The objective of this method is to redirect and enhance the flow of lymph through unharmed cutaneous lymphatics. Initial gentle massage technique or the (Vodder Method) is intended to redirect lymph and edema fluid towards adjacent functioning lymph nodes. Compression therapy with bandaging and compression garments – For the prevention of any reaccumulation of excavated edema fluid and the ultrafiltration of additional fluid into the interstitial space. Lymphedema exercises - In order to enhance lymphatic flow from peripheral to central drainage components, exercises are aimed at augmenting muscular contraction, enhancing joint mobility, strengthening the limb and reducing the muscle atrophy that frequently occurs secondary to lymphedema. Patient instruction for continuous ongoing self management: - The patient maintains and optimizes the results by applying the techniques learned as well as by wearing a garment/sleeve during the day or bandaging the affected limb overnight and exercising for 15minutes per day while wearing the bandages. This is continued until swelling resolves. lymphedema_036.htm Wed, 14 Apr 2010 15:58:53 GMT Westbury Total Health Care lymphedema_036.htm#1