@Article{Kurpiewska2017,
journal="Medycyna Paliatywna/Palliative Medicine",
issn="2081-0016",
volume="9",
number="1",
year="2017",
title="Physical therapy of far-advanced primary lower limb lymphedema: a case report and literature review",
abstract="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.",
author="Kurpiewska, Joanna
and Grądalski, Tomasz
and Ochałek, Katarzyna",
pages="42--46",
url="https://www.termedia.pl/Physical-therapy-of-far-advanced-primary-lower-limb-lymphedema-a-case-report-and-literature-review,59,30137,1,1.html"
}