Lymphedema Laser Treatment - Sara's Experience
This
is Sara's experience with
laser treatment for
lymphedema.
I want to express my
deepest appreciation for her allowing us to post this and her
willingness to
share her experience. It is one of the best on laser
treatments I have seen.
--------------------------
PART I
Breast
cancer and
lymphedema. Have you exchanged a death sentence for a life
sentence?
History
In 1993, following the discovery of a lump, I had a right
mastectomy
in 1993.
The treatment I received was prompt, efficient and compassionate. In
fact
between finding the lump and having the operation, only ten days
elapsed. Eight
lymph nodes were taken and all were clear. I was given a
mysterious instruction
to ‘look after my arm’ – but that was it. What ‘looking after’
entailed was never made clear (and why look after it any more than
usual anyway?
After all, my arm wasn’t the problem). There was plenty of head stuff –
counseling - on offer but not for me. What could it do? Take away the
cancer
and bring back my breast? Bad things happen in life and you get through
them -
somehow. Three years later I had a successful tram flap breast
reconstruction. A
year after that procedure, after an
MRI
scan, lymphoedema was diagnosed in my
right arm. (I have no way of knowing whether I would have developed
lymphoedema
had I not had the second operation.). Witness the contrast. Issued with
a single
sleeve and a photocopy of some ancient exercises, I was assured my arm
‘wasn’t too bad’.
Ironical isn’t it, that when you have a condition that is a direct
result of
the treatment you’ve received, no-one wants to know. I’d met and talked
to
plenty of people either with breast cancer or involved in the breast
cancer
‘industry’ but I didn’t know a soul either with lymphoedema or treating
it. A lonely and depressing experience.
Research
Eighteen months later, after the original had practically fallen to
bits, I
discovered that I was entitled to two sleeves every six months. I’d
followed
the limited advice I had available and discovered I’d managed to reduce
the
size of arm a little. It was still pretty Popeye-ish, though.
By chance I came across
MLD in a magazine and subsequently tracked down the
Karen Cooper, who practises the Vodder method about half a mile away
from where
I live. She had plenty of wide ranging and useful information and
through her
massage and a course of bandaging my arm reduced a little more and long
lost
contours reappeared. She also lent me some copies of Lymphline
publiushed by the
National Lymphedema
Network, I soon became a
member.
What next? The improvement in my arm brought about by Karen’s treatment
was
being maintained, but I wanted more than that. In particular, I wanted
rid of
that hated mud coloured boa constrictor of a sleeve.
Three years ago and connected to the Internet I went looking for
information on
lymphoedema. There is plenty out there! Searching using both the
British and
American spellings for the ‘l’ word threw up lots of little gems.
Australian
websites are particularly comprehensive and informative.
It was whilst looking on the Australian Lymphoedema Association website
that I
discovered a reference to Low Level Laser Therapy as a treatment for
lymphoedema.
I gathered as much relevant information as I could and, also through
the
internet, contacted Carol Habrovitsky who lives in Glasgow. Carol was
ahead of
me. She’d suffered with secondary lymphoedema in one arm for some time
and had
already decided to make a trip to Adelaide in South Australia at the
end of
2001. She had an appointment booked at the Flinders Medical Centre with
Professor Neil Piller who is one of the foremost clinical research
scientists in
the field of lymphoedema.. If Professor Piller thought it was
appropriate, LLLT
(low
level
laser) would follow.
Speaking to Carol a few days after she returned to Scotland, I
discovered that
she was thrilled with the difference the laser treatment had made to
her arm….
I decided to start making my own plans to journey to Australia….
Preparations
It was arranged that I could be seen by Prof Piller at the Flinders
Medical
Centre at the beginning of July, some six months hence. Prof Piller
does all of
the lymphoedema assessment work voluntarily over and above his normal
load and
so there is no charge for the assessments or his time, but the medical
centre
does welcome donations towards the maintenance of the clinic and
lymphoedema
research.
After providing details of my condition by e-mail (normally a referral
from a GP
or consultant is required), I was informed that a course of two weeks
treatment
at the ‘Lymphoedema and Laser Therapy Clinic’ was anticipated and of
the
costs involved. Interestingly the most expensive part of the trip (by
some
considerable margin) would be getting there, followed by the
accommodation.. The
treatment came last. The Adelaide Tourist authorities assisted me with
finding
somewhere suitable to stay that was within my budget.
The months passed….
PART II
Treatment
I arrived in Adelaide three days before my consultation with Prof
Piller and all
of them were needed to recover from the flight and get my bearings.
Adelaide is
a big city but public transport is cheap and reliable.
Lymphoedema assessment and some treatment is carried out in Ward 4A
–the
Lymphoedema ward. It contains a number of non-invasive instruments
(paid for by
fund raising and donations) for measuring the nature and extent of
lymphoedema
in a patient. In this respect a range of objective measures are used
including
tonometry to measure fibre buildup in the lymphatic
territories,
bio-impedance
to measure fluids in the limbs and
perometry to measure limb size and total
volumes very accurately. Asking about how the limb felt was also an
important
aspect of the assessment so as to try to build up a comprehensive
picture of the
problem so treatment could be better targeted.
After assessment by these methods and consultation with Prof Piller, I
was
deemed suitable for treatment with the laser, starting the following
day. The
treatment had been pre-booked with the Lymphoedema and Laser Therapy
Clinic by
the Medical Centre prior to my arrival with each session expected to
last
approximately two hours; an hour for the laser therapy followed by an
hour’s
massage. (For those coming from abroad and other parts of Australia for
treatment, the clinic makes every effort to provide appointments at the
beginning or the end of the working day. This gives patients the
opportunity to
enjoy Adelaide and the surrounding areas, such as the Barossa Valley
and Murray
River).
I duly presented myself the following morning and physiotherapist Ann
Thelander
began the laser treatment . It is totally painless. The laser beam
swept
backwards or forwards (or up or down – it makes no difference) over the
affected and adjacent areas of my body, starting with the scar tissue
on the
reconstruction site and moving along my arm to my wrist. The armpit and
shoulder
blade were also targeted – each site receiving about 10 mins of laser
activity. As I’ve stated, the treatment is painless but not without
sensation.
I experienced a gentle tingling sensation, considerably milder than
pins and
needles and not unpleasant. Ann explained that this was normal for
limbs with
lymphoedema and that unaffected parts of the body do not feel this
tingling. She
went on to say that it was a sign that the
lymphatic system had been stimulated
and that fluid was starting to move. Lying on the treatment table
resplendent in
protective glasses and listening to music, the hour was soon passed.
Robyn Heddle, also a physiotherapist at the clinic, follows up the
laser
treatment with massage. I’ve only experienced the Vodder method of MLD
and it
had to be said that Robyn’s method is nothing like it. It is very
robust -
devised to complement the effect of the laser. The combined aim of the
two
treatments is, to quote Robyn, ‘to give the lymphatic system a good
kick’.
Robyn teaches a version of this massage which can be carried out by the
patient
on their own (or with the help of a carer, spouse or partner) when
their course
of treatment at the clinic is finished. The final part of the massage
concentrated on breaking down the fibrosis
tissue on my forearm. ‘Try managing
without your sleeve’ she said at the end. After only one session? ‘Yes,
just
see how you get on’. Well, I did and it felt marvellous with just a
little
tiredness at the end of the day. It transpired later that Robyn and
Ann, with
their long experience of treating. lymphoedema patients have come
across several
instances of muscle wastage from excessive sleeve wearing. They
encourage
sufferers to manage without one whenever they feel comfortable about
doing so.
In total, I had nine laser treatments and nine massage sessions. Robyn
measures
the affected limb or limbs every day prior to treatment, but after just
one
session my arm felt and looked different and continued to do so. I went
about
sleeveless for most of the rest of my stay in Adelaide. I noticed other
healing
effects of the laser, too. My bright red raised reconstruction scar
flattened
and faded to white. Some sensation developed in my reconstructed breast
and a
little feeling to my armpit. My shoulder blade, totally numb since the
mastectomy in 1993 has, in my estimation, 85% of the feeling back. At
my last
treatment session Robyn measured my arm and told me that for all
intents and
purposes, I had a ‘matched pair’.
Aftermath
On the long flight home from Adelaide, wearing the sleeve was a must
and I think
I must have discarded it too quickly after returning home as my arm
took a long
time to settle. Am I free of the hated sleeve now? Well….I am a fairly
active
person and this has determined how much dependency I still have upon
it. Were I
a lady of leisure (as in Australia), I would have very little need of
it again.
As things stand at the moment I do wear it to work (I am a part time
technical
author). However, I think this is partly psychological to stop me
worrying about
my arm when I am trying to concentrate on my job and I find that,
depending on
how I feel, I may very well remove it during the day. On a day to day
basis, I
no longer have to put it on immediately on waking and keep it there
until I go
to bed; I have a choice! But I am also very careful to listen to my arm
and do
whatever it tells me it needs. I can go out for the evening wearing
anything I
like for two reasons. One is that the sleeve can be left behind and the
other is
that my arm looks perfectly normal. It is not an exact match with the
other one
(but it is very close indeed), however it does look exactly like a
normal arm.
This is an arm that goes places. In fact, I have just returned from a
week’s
holiday in the Canary Islands and said arm performed very well assisted
by a
regime of minimal sleeve wearing, high factor suncream and common
sense. Heat is
definitely much less of an irritant than it was before.
It is now some months since I returned from Australia. I do the massage
every
day and can always feel it working, which is not something I’ve come
across
with other types of
self massage I’ve tried. My arm looks as good as the day I
left the clinic. Ann and Robyn recommend that their patients return,
ideally,
for a single laser and massage session every three months or so as part
of the
ongoing care of their limb. Unfortunately, a return trip to South
Australia is
out of the question so soon and there is so far no sign of any laser
therapy for
lymphoedema in the UK. With this in mind, Ann and Robyn suggested Karen
continue
to treat me using Vodder techniques every three months or so. Prof
Piller also
recommends swimming for lymphoedema sufferers because of the combined
effects of
compression , cooling, and
exercise and I have taken this up in earnest since
returning to the UK. About three early morning swims a week, of about
15-20 mins
duration are having beneficial results.
Discussion
As we all know only too well current treatments, as yet, offer no cure
for
lymphoedema. They concentrate on controlling the condition and
hopefully,
reducing the swelling, both of which require the whole hearted and
permanent
co-operation and participation of the affected party. Laser therapy is
no
miracle either, but it does seem to have some unique effects on the
lymphatic
system (some of which can be independent of patient compliance):
Firstly, it acts as a stimulant on the lymphatic system as a whole; not
just the
area subjected to the laser.
Secondly, with the penetration of tissue by the laser beam to a depth
of around
3 cm, healing and regrowth of damaged lymph vessels often occurs.
Thirdly, the laser softens and breaks down fibrotic tissue, making the
subsequent massage much more effective. (Much more cost effective than
traditional bandaging methods- and a lot more comfortable too).
Maintaining the massage routine improves and prolongs the non-permanent
effects
of the laser. The traditional standbys of good skin
care (particularly in the
heat), a sensible exercise regime and judicious sleeve wearing (air
travel,
housework, shopping) all still have their part to play. A much improved
limb
gave me renewed enthusiasm for the more tedious aspects of lymphoedema
management after my trip to Australia – I desperately want to keep my
arm
looking normal.
If you’ve read all this you’ll be asking yourself why there is no laser
therapy available for lymphoedema, on the NHS, in the UK. Well, a
free-standing
laser machine, such as Ann Thelander uses, costs around £10,000 –
12,000. Not
such a vast sum of money; a decent new car would cost about the same. A
low
level laser can also be used to treat other complaints such as leg
ulcers,
tennis elbow etc. Well, what’s the problem then? Buying a laser to
treat
lymphoedema means admitting that the problem actually exists. (How many
of us
have been told ‘it’s not that bad’? ‘Just get on with it’, etc, etc)
– and therefore making funds available to deal with it. Those of us
with
secondary lymphoedema are growing in number. We are a direct result of
improved
survival rates for cancer – years ago many of us would have died long
before
we developed lymphoedema!
Another part of the answer is that LLLT is neither a medicine nor a new
surgical
technique. Hence there is no money to tempt drugs companies and no
effect on
waiting lists from it. The benefit goes mainly to the patient, although
of
course anything that reduces the number and frequency of hospital
admissions of
lymphoedema sufferers ought to have been taken up enthusiastically by
the NHS
years ago.
Lasers have been used in Eastern Europe for some years and they are
also
spreading to much of the Far East, but there is little activity outside
these
areas. Ann Thelander and Robyn Heddle have been treating patients with
both
primary and secondary lymphoedema since the late 1980s. Both of them
remain
mystified as to why, well over 10 years later, much of the rest of the
world
lags so far behind. I found another part of the answer in my local NHS
physiotherapy department. They have a low level laser there, but ‘they
never
use it much’. There was no system and no funding in place for anyone to
try
and treat my arm with it (so next stop Adelaide). Lasers have been
growing in
number in Australia, though. Lymphoedema enjoys a much higher profile
than it
does here. This is partly due to the heat, which exacerbates the
condition, but
also due to spiders. The bite of a spider found in Australia (but
thought to
have originated in South Africa) can also cause lymphoedema. The
Australians are
also blessed (if that is the right word) with having a high profile
politician
with lymphoedema. LLLT as a treatment for lymphoedema has even featured
in a
television programme. Consequently public awareness is slowly but
surely being
raised. Even so, in order to obtain a laser some patient groups simply
have to
kick up a tremendous fuss until something is done. Others resort to
fundraising.
Ann did tell me of one woman who, in desperation, bought her own and
then leased
it back to her physiotherapist. (Many Australian physiotherapists are
self-employed- a combined state health service and private insurance
system
means that they receive referrals from state hospitals and GPs as well
patients
who have just walked in off the street).
How to reduce the incidence of secondary lymphoedema? Prof Piller and
his team
feel there is a real need for education and not just of those at risk
of
developing the condition. They want to see surgeons given the means and
encouragement to investigate the structure of a patient’s lymphatic
system
before lymph nodes are removed, so that damage to the remaining vessels
and
tissues is kept to an absolute minimum. This would, they hope, reduce
the
incidence and severity of secondary lymphoedema. These investigations
would take
the form of a
lymphoscintograph for every patient undergoing surgery
involving
lymph node removal.
Prof Piller, Ann Thelander and Robyn Heddle often travel abroad to
speak about
LLLT and lymphoedema.. Sadly, so far, they have not been invited to
Britain, but
hopefully that will change soon.
See also:
The Importance of Complete Decongestive Therapy in the Management of Arm Lymphedema.
Patient
self-massage for breast cancer-related lymphedema
Predictive
Factors of Response to Intensive Decongestive Physiotherapy in Upper
Limb
Lymphedema After Breast Cancer Treatment: a Cohort Study
Arm or Leg Swelling After Cancer
=======================================================
Index of articles for Lymphedema Treatment :
Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
........
Acupuncture Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_acupuncture_treatment.htm
Aqua Therapy for Postsurgical Breast Cancer Arm Lymphedema
Aqua Therapy in Managing Lower Extremity Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=aqua_therapy_in_managing_lower_extremity_lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=artificial_lymph_nodes
http://www.lymphedemapeople.com/wiki/doku.php?id=artificial_lymphatic_system
http://www.lymphedemapeople.com/wiki/doku.php?id=auricular_therapy
Compression Bandages for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_bandages_for_lymphedema
Benzopyrones Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_benzopyrones_treatmen.htm
Chi Machine
http://www.lymphedemapeople.com/thesite/lymphedema_and_the_chi_machine.htm
Complex Decongestive Therapy
Compression Garments Stockings for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_garments_stockings_for_lymphedema
Compression Pumps for Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_pumps_for_lymphedema_treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=deep_oscillation_therapy
Diuretics are not for lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=diuretics_are_not_for_lymphedema
Endermologie Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_endermologie_therapy.htm
http://www.lymphedemapeople.com/wiki/doku.php?id=farrow_wrap
Flexitouch Device - Initial Observations
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=155
Flexitouch Device for Arm Lymphedema
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=273
Homeopathy
http://www.lymphedemapeople.com/thesite/lymphedema_and_homeopathy.htm
How to Choose a Lymphedema Therapist
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_choose_a_lymphedema_therapist
Kinesio Taping (R)
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesio_taping.htm
Kinesiology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesiology_therapy.htm
Laser Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_laser_treatment.htm
Light Beam Generator Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_light_beam_generator_therapy.htm
Liposuction Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_liposuction_treatment.htm
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=114
http://www.lymphedemapeople.com/wiki/doku.php?id=lymph_node_transplant
Lymphedema Treatment Programs Canada
http://www.lymphedemapeople.com/thesite/lymphedema_treatment_programs_canada.htm
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_sleeves
Lymphedema Surgeries
http://www.lymphedemapeople.com/thesite/lymphedema_surgeries.htm
Lymphedema Treatments are Poorly Utilized
http://www.lymphedemapeople.com/thesite/lymphedema_treatments_are_poorly_utilized.htm
Lymphobiology
http://www.lymphedemapeople.com/thesite/lymphedema_and_lymphobiology.htm
Magnetic Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_magnetic_therapy.htm
Mesotherapy
http://www.lymphedemapeople.com/wiki/doku.php?id=mesotherapy
Microsurgeries
http://www.lymphedemapeople.com/thesite/lymphedema_and_microsurgery.htm
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=202
Reflexology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_reflexology_therapy.htm
Short Stretch Bandages
http://www.lymphedemapeople.com/wiki/doku.php?id=short_stretch_bandages_for_lymphedema
Surgeries
http://www.lymphedemapeople.com/thesite/lymphedema_surgeries.htm
Wholistic Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_wholistic_treatment.htm
Treatment Information for Lymphedema Forum
http://www.lymphedemapeople.com/phpBB2/viewforum.php?f=8
Why Compression Pumps cause Complications with Lymphedema
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=327
===========================
Join us as we work for lymphedema patients everywehere:
Advocates for Lymphedema
Dedicated to be an advocacy group for lymphedema patients. Working towards education, legal reform, changing insurance practices, promoting research, reaching for a cure.
http://health.groups.yahoo.com/group/AdvocatesforLymphedema/
| Subscribe: | AdvocatesforLymphedema-subscribe@yahoogroups.com |
Pat O'Connor
Lymphedema People / Advocates for Lymphedema
===========================
For information about Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema\
For Information about Lymphedema Complications
http://www.lymphedemapeople.com/wiki/doku.php?id=complications_of_lymphedema
For Lymphedema Personal Stories
http://www.lymphedemapeople.com/phpBB2/viewforum.php?f=3
For information about How to Treat a Lymphedema Wound
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_treat_a_lymphedema_wound
For information about Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
For information about Exercises for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=exercises_for_lymphedema
For information on Infections Associated with Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=infections_associated_with_lymphedema
For information on Lymphedema in Children
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_in_children
Lymphedema Glossary
http://www.lymphedemapeople.com/wiki/doku.php?id=glossary:listing
===========================
Lymphedema People - Support Groups
-----------------------------------------------
Children
with Lymphedema
The time has come for families, parents, caregivers to have a support
group of
their own. Support group for parents, families and caregivers of
chilren with
lymphedema. Sharing information on coping, diagnosis, treatment and
prognosis.
Sponsored by Lymphedema People.
http://health.groups.yahoo.com/group/childrenwithlymphedema/
Subscribe: childrenwithlymphedema-subscribe@yahoogroups.com
......................
Lipedema
Lipodema Lipoedema
No matter how you spell it, this is another very little understood and
totally
frustrating conditions out there. This will be a support group for
those
suffering with lipedema/lipodema. A place for information, sharing
experiences,
exploring treatment options and coping.
Come join, be a part of the family!
http://health.groups.yahoo.com/group/lipedema_lipodema_lipoedema/?yguid=209645515
Subscribe: lipedema_lipodema_lipoedema-subscribe@yahoogroups.com
......................
MEN WITH LYMPHEDEMA
If you are a man with
lymphedema; a man with a loved one with lymphedema who you are trying
to help
and understand come join us and discover what it is to be the master
instead of
the sufferer of lymphedema.
http://health.groups.yahoo.com/group/menwithlymphedema/
Subscribe: menwithlymphedema-subscribe@yahoogroups.com
......................
All
About Lymphangiectasia
Support group for parents, patients, children who suffer from all forms
of
lymphangiectasia. This condition is caused by dilation of the
lymphatics. It can
affect the intestinal tract, lungs and other critical body areas.
http://health.groups.yahoo.com/group/allaboutlymphangiectasia/
Subscribe: allaboutlymphangiectasia-subscribe@yahoogroups.com
......................
Lymphatic
Disorders Support Group @ Yahoo Groups
While we have a number of support groups for lymphedema... there is
nothing out
there for other lymphatic disorders. Because we have one of the most
comprehensive information sites on all lymphatic disorders, I thought
perhaps,
it is time that one be offered.
DISCRIPTION
Information and support for rare and unusual disorders affecting the
lymph
system. Includes lymphangiomas, lymphatic malformations,
telangiectasia,
hennekam's syndrome, distichiasis, Figueroa
syndrome, ptosis syndrome, plus many more. Extensive database of
information
available through sister site Lymphedema People.
http://health.groups.yahoo.com/group/lymphaticdisorders/
Subscribe: lymphaticdisorders-subscribe@yahoogroups.com
......................
All
About Lymphedema
For our Google fans, we have just created this online support group in
Google
Groups:
Homepage: http://groups-beta.google.com/group/All-About-Lymphedema
Group email: All-About-Lymphedema@googlegroups.com
......................
Lymphedema Friends
http://groups.aol.com/lymphedemafriend
If you an AOL fan and looking for a
support group in AOL
Groups, come and join us there.
===========================
Lymphedema People New Wiki Pages
Have
you seen our new
“Wiki” pages yet? Listed
below
are just a sample of the more than 140 pages now listed in our Wiki
section. We
are also working on hundred more.
Come
and take a stroll!
Lymphedema
Glossary
http://www.lymphedemapeople.com/wiki/doku.php?id=glossary:listing
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema
Arm
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=arm_lymphedema
Leg
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=leg_lymphedema
Acute
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=acute_lymphedema
The
Lymphedema Diet
http://www.lymphedemapeople.com/wiki/doku.php?id=the_lymphedema_diet
Exercises
for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=exercises_for_lymphedema
Diuretics
are not for
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=diuretics_are_not_for_lymphedema
Lymphedema
People Online
Support Groups
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_people_online_support_groups
Lipedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lipedema
Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
Lymphedema
and Pain
Management
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_and_pain_management
Manual
Lymphatic Drainage (MLD) and Complex Decongestive Therapy (CDT)
Infections
Associated with
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=infections_associated_with_lymphedema
How
to Treat a Lymphedema
Wound
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_treat_a_lymphedema_wound
Fungal
Infections Associated
with Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=fungal_infections_associated_with_lymphedema
Lymphedema
in Children
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_in_children
Lymphoscintigraphy
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphoscintigraphy
Magnetic
Resonance Imaging
http://www.lymphedemapeople.com/wiki/doku.php?id=magnetic_resonance_imaging
Extraperitoneal
para-aortic lymph node dissection (EPLND)
Axillary
node biopsy
http://www.lymphedemapeople.com/wiki/doku.php?id=axillary_node_biopsy
Sentinel
Node Biopsy
http://www.lymphedemapeople.com/wiki/doku.php?id=sentinel_node_biopsy
Small
Needle Biopsy - Fine Needle Aspiration
http://www.lymphedemapeople.com/wiki/doku.php?id=small_needle_biopsy
Magnetic
Resonance Imaging
http://www.lymphedemapeople.com/wiki/doku.php?id=magnetic_resonance_imaging
Lymphedema
Gene FOXC2
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_gene_foxc2
Lymphedema Gene VEGFC
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_gene_vegfc
Lymphedema Gene SOX18
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_gene_sox18
Lymphedema
and
Pregnancy
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_and_pregnancy
Home page: Lymphedema People
http://www.lymphedemapeople.com
Page Updated: April 30, 2008