Multidisciplinary approach in a patient with lymphedema

Abstract

Introduction. Lymphedema has no cure, however, with a proper intervention from the multidisciplinary team, it might be prevented or improved. Complete decongestive therapy is one of the appropriate treatments, due to the combination of manual lymphatic drainage, lymphokinetic exercises, and compressive bandages.

Purpose. To present a case study of a woman with lymphedema after a quadrantectomy with radical ganglion dissection from a multidisciplinary approach of oncological medicine and physiotherapy.

Methodology. Case study, 71 years-old female patient who received a chemo-radiotherapy plus hormones for two years, presented bilateral neuropathy in the upper limbs, lymphedema type II was diagnosed, with no pain in the affected limb.  

Interventions. She was treated with manual lymphatic drainage and lymphokinetic exercises to help to improve the weakness and the pumping of the lymphatic valves.

Results. Reduction of the swelling of the right upper limb (from one centimeter and a half up to two centimeters in some parts of the arm), reddening, fibrosis, and thickening reduction.

Conclusions. The multidisciplinary team has an important role when addressing a patient suffering from lymphedema because side effects caused by radical mastectomy or lymphadenectomy can be prevented or improved.