Patricia CabralDoes anyone have any information, research, or protocols for rehabilitation following VLNTx? We have a patient coming into our clinic in two weeks who is s/p this procedure. We are not sure on MLD sequence, do we stay away from the donor site? do we... moreDoes anyone have any information, research, or protocols for rehabilitation following VLNTx? We have a patient coming into our clinic in two weeks who is s/p this procedure. We are not sure on MLD sequence, do we stay away from the donor site? do we apply compression bandaging?
All information is appreciated.
Thank you,
Patricia Cabral, PT, MSPT, CLT-LANA
August 27, 2015
Staff Certified Lymphedema TherapistHI Patricia,
Unfortunately, there is not much out there yet on rehab protocols following VLNT surgery. In my experience, we have a discussion with the surgeon to help guide treatment. Most often, they just want the patient in a sleeve with monitoring... moreHI Patricia,
Unfortunately, there is not much out there yet on rehab protocols following VLNT surgery. In my experience, we have a discussion with the surgeon to help guide treatment. Most often, they just want the patient in a sleeve with monitoring of edema on a regular basis. You are still treating the extremity with lymphedema as such, but now there...
Patricia CabralAs a new CLT, I have my first patient with lymphedema of the breast. My plan is to use medium stretch bandages after MLD. I would appreciate some guidance in how to incorporate gray foam into the wrap. Thanks in advance.
October 1, 2012
Patricia CabralI am a recent CLT graduate and have just started seeing pts. One of my pts has lymphedema in her left breast (no signs/symptoms in her UE's). Is there a specific way to measure a breast or do you recommend a standard bust measurement? Thank you !
September 25, 2012
Staff Certified Lymphedema Therapist
I usually take 3 measurments: one below the breasts around the rib cage, one around the nipple line and one above the breasts. There is usually swelling around the breast also. Good luck!