http://www.westburytotalhealthcare.com/lymphedema_041.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. Tue, 20 Apr 2010 17:50:37 GMT Web Easy by Avanquest Software http://www.westburytotalhealthcare.com/lymphedema_041.htm http://www.westburytotalhealthcare.com/images/lymphedema041p00.gif Therefore, to accurately and objectively document the patients present status and remove the possibility of sub maximum effort, the test is not only reasonable and medically necessary, but informative as well. The information gathered can change the course of treatment when clinically correlated to the patients condition. It can provide both a time frame for treatment, when the patient plateaus from care indicating the possibility of maximum improvement or further diagnostic testing if loss of strength and motion are detected. Testing is performed usually three times during the course of treatment. Initial examination to establish a baseline and set rehabilitative goals for treatment. Midway to determine progress or if any restrictions in ROM or deficits in strength have occurred, usually around the time of neuropraxia,(breakdown in nerve tissue). Lastly at time of discharge to determine permanency, impairment or maximum benefit . http://www.westburytotalhealthcare.com/lymphedema_041.htm Tue, 20 Apr 2010 17:50:37 GMT Westbury Total Health Care http://www.westburytotalhealthcare.com/lymphedema_041.htm#1