eISSN: 2081-2833
ISSN: 2081-0016
Medycyna Paliatywna/Palliative Medicine
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1/2017
vol. 9
 
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abstract:

Physical therapy of far-advanced primary lower limb lymphedema: a case report and literature review

Joanna Kurpiewska
,
Tomasz Grądalski
,
Katarzyna Ochałek

Medycyna Paliatywna 2017; 9(1): 42-46
Online publish date: 2017/06/21
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Physical therapy with good compliance remains the key of success in lymphedema management. Tissue excisions should be reserved for physiotherapy-resistant cases and always followed by extended maintenance compression therapy. We present the case of the successful physical therapy of the young female with a neglected, massive, primary lymphedema of the lower extremity present since birth, with prior extensive tissue resection. Complex decongestive physical therapy has been performed for one year, combined with ten months’ of negative-pressure wound therapy at a hospice facility due to pressure ulcers complication. Obtained reduction of the affected extremity/edema volumes (by 69.4 and 88.2% respectively) enhanced patient’s mobility, helping her become more independent. Ongoing therapeutical program maintained these results for three years. Physical therapy even in far-advanced and neglected cases may be effective. Lymphedema services should be offered widely through a network of fully reimbursed health care system, delivering high-quality evidence-based management tailored to individual patients.
keywords:

primary lymphedema, palliative care, physical therapy

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