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Case Report

Complete Decongestive Physiotherapy (CDPT) Helps in Management of Post Mastectomy Lymphedema: Case Series Report Part 1

Dharam Pandey , Dharam Pandey , Ashima Naval , Vaishali Bhardwaj , Navdeep Kaur , Jaya Bisht

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Physiotherapy and Occupational Therapy Journal 6(1):p 39-46, January - March 2013. | DOI:

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Abstract

Lymphedema is defined as the abnormal accumulation of protein rich fluid dysfunction of the lymphatic system, which is a common sequel of cancer therapy. The incidence is highest among patients who have undergone lymph node resection and irradiation. Various studies had been undertaken to develop less invasive treatments of lymphedema management. Complete decongestive physiotherapy has evolved rapidly over the past decade. This article is aimed to describe very promising results of CDPT given to patients with diagnosis of post mastectomy lymphedema. The data represented in this article were retrospectively collected and reviewed. Patients received 15 sessions of CDPT 6 days a week, patients were given extensive patient education during the first consultation about general do’s and don’ts, skin care. Along with resolution of lymphedema, there was good improvement in other symptoms such as pain and paraesthesia. Patients also reported improvement in their psychological well being. Observation and conclusion drawn from this case series review suggest that inclusion of CDPT in management of post mastectomy lymphedema will not only be useful in resolution lymphedema but also helps in reducing pain, paraesthesia and improving overall quality of life of patients, perhaps more rigorous research and trials with efficient methodology required to establish CDPT as treatment of choice for post mastectomy lymphedema. 

Keywords: Lymphedema; CDPT; MLD; Remedial exercises; Pneumatic compression therapy; Compression bandaging; Multi-layer bandaging. 

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