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Lymphatic Drainage FAQ
 
What is Lymph?
Lymph is a clear colorless fluid which originates in body tissue and travels in the lymph vessel system carrying away tissue fluid as well as metabolic waste. In passing from one region of the body to another, cellular debris and microorganisms are filtered by lymph nodes along its path.

What is Lymphedema?
Lymphedema is the abnormal collection of lymph fluid which causes swelling of an arm or a leg. It can reduce one's ability to function as well as impair quality of life. Most cases stem from cancer or its treatment. Surgery to remove cancer often removes regional lymph nodes and radiation to the chest of groin/pelvic areas can disrupt the body's ability to drain accumulated lymph from the distal limb. Modern cancer treatments lead to lymphedema in 20% of patients.

How is Lymphedema Treated?
Early intervention is key, In Europe, Lymphatic Drainage Therapy is frequently performed prior to radiation or surgery to prevent the complication of lymphedema. "Any doctor who tells you that nothing can be done for lymphedema is wrong" reported Jane Brody of the New York Times (April 7th 1998). Effective measures include manual Lymphatic Drainage Therapy, bandaging and specialized exercises.

What LDT Program does Meridian recommend for as part of Breast Cancer Treatment?
We recommend Lymphatic Drainage to be applied for one or two sessions prior to surgery and radiation. This process drains and stimulates the lymphatic system before it is inhibited by the ensuing trauma. (it is much more difficult to drain post-operatively or post-radiation). The drainage will make it easier for your surgeon to make incisions through clean tissue , particularly for reconstructive surgery. After surgery, Lymphatic Drainage can be used to prevent infection and may also alleviate pain and spasm. The therapy has also been shown to improve the scarring process. Post-op drainage can require several sessions which proceed as follows:
 
bullet skincare are including cleansing, lubrication and debriding.
 
bullet gentle massage to redirect lymph and edema to adjacent functioning lymphatic channels.
 
bullet multi-layered compression wrapping (bandages) may be used to treat or prevent any accumulation of edema.
 
bullet individual exercises and remedial breathing to enhance lymph flow and preserve mobility may be learnt.

What about if I wanted learn more about Lymphedema?
The National Lymphedema Network in San Francisco has a hotline: 800-541-3259 and the National Cancer Institute can fax several pages of info about lymphedema to you if you call 301-203-5847 (follow the recorded message, used code #500442 when you request info). You may also find relevant info in our
links and bibliography sections, or you may email Pee Santos directly.

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