Part 2: Phlebolymphedema
Phlebolymphedema begins primarily as venous edema (low protein edema) related to conditions such as Chronic Venous Insufficiency (CVI). If the venous edema goes untreated and continues to accumulate, the already taxed Lymphatic System will fail, causing Lymphedema to occur at the same time as the venous edema (i.e. Phlebolymphedema).
Lymphedema has the following characteristics:
1. Swelling from the Ankle to the Calf (Gaiter Distribution)
2. Non-pitting Edema
3. Skin feels leathery and hardened (lipodermatosclerosis)
4. Skin stains a dark blue, purple, or brown color (Hemosiderin staining)
5. Ulceration (Wounds) can be common
Gold Standard Tx (Complete Decongestive Therapy):
1. Wound care based on physician orders
2. Skin/Nail Care
3. Maunal Lymph Drainage
4. Compression Bandaging/Garments
6. Self-care Education
Frequency of treatment = M-F, 5 days a week, for typically 4 weeks. During the first 4 weeks patients will learn how to wrap themselves and will be fitted for compression garments so that they can transition to self maintenance.
If you, or anyone you know, is experiencing any of the signs above, go see your MD, and ask for a referral for Lymphedema Therapy.
We can perform treatment in your home!
Give us a call for more information today!
#VOAH #VirginiaOutpatientatHome #Lymphedema #LymphedemaPT #CLT #InHomeRehab #lynchburg #lynchburgva #andsurroundingareas