What is CDT?
Breast cancer awareness month is October. Many of those that have undergone medical treatment (often surgical or radiation interventions) for breast cancer experience upper extremity lymphedema. This is when CDT or Complete Decongestive Therapy comes into play.
All About CDT
Complete Decongestive Therapy (CDT) is a specialized treatment designed to manage lymphedema, which is a lymph fluid build up within tissue. This multifaceted approach combines manual lymphatic drainage, compression bandaging, exercise, and skincare, effectively reducing swelling and improving the quality of life for those affected.
The first step in CDT involves manual lymphatic drainage, where trained therapists use gentle massage techniques to stimulate lymph flow and reduce swelling. Following this, compression bandaging is applied to maintain the reduction of fluid and support the lymphatic system. Exercise is also essential; it enhances circulation and promotes overall physical health, encouraging patients to engage in movement that’s safe and effective. Finally, skincare education helps prevent infections, a significant concern for individuals with lymphedema.
Top Five Complications of Lymphedema
- Infection: The accumulation of lymph fluid creates an environment conducive to bacterial growth, increasing the risk of infections such as cellulitis. These infections can be serious and may require antibiotic treatment.
- Skin Changes: Chronic swelling can lead to skin thickening (fibrosis), changes in texture, and increased susceptibility to rashes or skin irritations. These changes can be both uncomfortable and aesthetically concerning.
- Reduced Mobility: Swelling can restrict the range of motion in the arm, making everyday activities challenging. This can impact a person’s ability to perform tasks like lifting, reaching, or even personal hygiene.
- Psychological Impact: Living with lymphedema can lead to emotional distress, including anxiety and depression. The visible changes and physical limitations can affect self-esteem and social interactions.
- Chronic Pain and Discomfort: Many individuals experience persistent pain or a heavy sensation in the affected arm. This discomfort can be exacerbated by activity and may lead to avoidance of physical movement.
Complete Decongestive Therapy is a vital component of supportive care for cancer patients, helping them manage lymphedema and improve their overall quality of life. Physical therapists complete extra training are fully certified to manage all aspects of Complete Decongestive Therapy. Dr Roseanne Schoen at our clinic is certified in Lymphedema/Lymphatic Care. Call our office to make an appointment or if you have further questions.
