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CDT: A Lymphedema Treatment Protocol
CDT, or Combined Decongestive Therapy, is the recommended treatment protocol for lymphedema. It consists of MLD, compression bandaging, exercise, skin care, and adherence to precautions. In most cases, for a successful lymphedema treatment plan, compression bandaging and garments must accompany MLD. When the lymphatic system is unable to keep up with the movement of fluid, MLD will stimulate an increased flow for a few hours, but in between therapy, the lymphatic system needs the compressive support of bandages and garments. The lymphatic system has no central pump and relies on the support of surrounding tissue to create a pumping action. If the lymphatic system is compromised, the natural pressure from surrounding tissues and muscles is not enough. With long standing edema, the tissue may have lost its natural elasticity. Bandages and supportive compression sleeves and stockings take up the slack, and give the lymphatic system the boost it needs.

Special exercises are another component of a thorough lymphedema protocol, including breathing exercises. Appropriate use of muscles in the affected areas helps increase the pumping action of the lymphatic system, especially against the resistance of compression bandaging.

It is important not to cause fatigue, or to become overheated when exercising, as this will cause further swelling, and detract from good results.

 
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CDT: A Lymphedema Treatment Protocol

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Because immune function is compromised with lymphedema, precautions to avoid any further injury and infection risk are critical. Meticulous skin care practices become essential for the lymphedema patient. Damage to the skin allows for entry of infection, and creates the need for tissue repair, which puts a greater load on the already burdened lymphatic system. A technique called dry skin brushing has been shown to be of great benefit to lymphedema patients to stimulate lymph flow in the skin. Healthy skin includes correct ph balance, which supports immune protection, so use of ph balanced skin care products is also important.
 
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