We have a lymphedema specialist in the Outpatient Ortho Occupational Therapy area, who is certified in the use of manual decongestive therapy. Since initiating the program, many patients have been managed successfully with this potentially debilitating and difficult to treat condition using the Vodder Technique. There is sufficient evidence in the professional literature to show this technique effective for treating lymphedema.
The National Lymphedema Association defines lymphedema as an abnormal accumulation of fluid in the interstitial tissue causing swelling of one or more extremities and or trunk and face. When uncontrolled, the swelling leads to tissue fibrosis, leaking of fluid through small openings in the skin, skin infections, and eventually open wounds involving the skin and superficial layers of tissue below it. Swollen extremities can lead to limitations in joint mobility and ranges of difficulty performing self care and activities of daily living.
Prolonged lymphedema can be frustrating and embarrassing and lead to reluctance to participate and or withdrawal from social situations. Lymphedema can be present at birth or may occur due to an insult to the lymphatic system such as from lymph node removal, radiation to the lymphatic channels or nodes, or from a lymphatic infection.
The management of lymphedema is quite different from the management of traumatic, post surgical, and or dependent edema. This is due to the nature and derivation of the swelling. More difficult to manage, the preferred techniques consist of the following:
Visits with the lymphedema specialist are daily for 1-2 hours over 4-6 weeks, then tapered to 2-3 visits a week for 2-3 weeks. Many insurance companies cover the cost of lymphedema management, but usually do not pay for the special gradient wraps. Our specialist is available to consult with physicians and therapists concerning the management of their in or outpatients with lymphedema or difficult to manage swelling OR accept direct referrals to outpatient Occupational Therapy for lymphedema management
We have easy access to the building, with curbside drop-off, extra wheelchairs and scooters available for use at the front entrance. Please note that we require a physician’s referral and insurance authorization for this program. For further information or to arrange an appointment, please call 410-448-6718.
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