• Phase 1 - Intensive Clinic Program
  • 4-5 times/week in clinic
  • 2-4 weeks duration
  • bandages worn 23/24 hours per day, 7 days a week
  • bandages removed when patient arrives in clinic
  • patient washes extremity before treatment begins
  • 45 minutes of manual lymph drainage massage
  • massage is immediately followed by reapplication of bandages
  • education is on-going and includes exercise, edema prevention, skin and wound care, long-term self-management, self-bandaging
  • patients with severe lymphedema may need to return yearly (for a few years) for a brief intensive repeat of Phase 1
• Phase 2 - Self Management
  • continuation of self-bandaging in the evening or wearing of night device such as the Reid sleeve or the Legacy
  • compression garments are worn during the day
  • regular exercises are performed with compression bandages or garments on
  • regular self massage
  • skin care and prevention guidelines followed meticulously
  • self measuring to monitor limb size

© Tidewater Physical Therapy, Inc.
771 Pilot House Drive, Suite A, Newport News, Virginia 23606
Office: 757-873-2302, Fax: 757-873-2306, email: tpti@visi.net