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Skip to content Skip to search Skip to footer Occupational Therapy Services Open Menu Back Close Menu Search for: Search Close Search About Us For Patients For Physicians Our Therapists Locations Open Search Lymphedema Services MILLIKEN PROVIDES LYMPHEDEMA SERVICES Refer a patient or schedule an appointment: 314-286-1669 What is Lymphedema? Lymphedema presents as a chronic swelling of the limb due to the accumulation of protein-rich fluid. This can be due either to a genetic condition or as a result of trauma or cancer. It may cause a significant increase in limb size, an increase in susceptibility to infection, and may also impact healing ability. As lymphedema progresses, changes in your skin composition may occur. Lymphedema can be managed with therapy, compression garments, and when appropriate- surgical intervention.  Signs and Symptoms Swelling Tightness of the skin Feeling of heaviness, fullness, or fatigue in the limb Aching pain Hardening of the skin Reduced range of motion Risk Factors Risk factors include radiation to your lymph nodes or removal of lymph nodes. Treatment: What to expect on your first day of therapy: Following your evaluation, the first day of treatment will consist of preparing bandaging supplies and Manual Lymph Drainage (MLD). You will be asked to remove your clothing during treatment so massage is directly over your skin. Sheets will be used to ensure privacy. You are welcome to bring a family member or friend to therapy with you. Your first set of bandages will be provided to you by your therapist. If a second set is required, it will be your responsibility to purchase these bandages. What to wear: Loose-fitting shirt (preferably short sleeves or a tank top) The goal The goal of therapy is to achieve maximum swelling reduction. This is accomplished with a combination of bandaging, MLD, and a possible exercise plan. Bandages will need to be worn for 22-24 hours a day over the course of therapy. Your therapist will discuss specific guidelines with you. Course of treatment In general, therapy will begin with treatment sessions 4-5 days a week. This can vary based on diagnosis and presentation. After two weeks, your treatment will be reduced to 2-3 times a week as appropriate. When limb reduction is achieved, you will be measured for compression garments. These typically arrive 1-2 weeks after the order date. Your therapist will ensure proper fit upon arrival. These garments will be used long term. We recommend a follow-up every 6 months. Care of Bandages Bandages should be washed frequently. You will need to follow the care instructions provided. In general, bandages need to be washed a minimum of once a week in lukewarm water. Use a mild liquid detergent with no softeners. Items should be washed by hand or in a lingerie bag if using the washing machine. Lay bandages flat to dry. Stockinette can be machine washed and air-dried. Do not wash any foam pieces or padding. Finger wraps do not have a long life – usually, one to two wears only. These should not be washed. Please roll the bandages after washing so that they are ready for the next use. If bandages cause an increase in pain, rubbing, throbbing, discoloration, numbness, or tingling that does not resolve with repositioning the limb, remove the outermost bandage. If symptoms continue, remove all bandages and contact therapists. Reducing the Risk of Infection Lymphedema can be worsened with infection. It is important to protect your skin and practice good hygiene. You can reduce your risk of infection by following these tips: Keep your skin clean, dry, and moisturized Do not cut your cuticles Protect your skin with sunscreen and bug spray Avoid constriction and punctures to the affected limb (such as blood draw and blood pressure cuffs) If damage to the skin occurs, care for the wound and use antibacterial ointments as indicated. If significant redness, warmth, or pain occurs in any area of your skin, especially when combined with fever or flu-like symptoms, contact your physician immediately. View Our Services Refer a patient or schedule an appointment: 314-286-1669 Central for Advanced Medicine location 4921 Parkview PlaceSuite 6FSt. Louis, MO 63110Phone: 314-286-1669Fax: 314-747-3662 Parking: Parking garage located adjacent to the building, attached to DoubleTree Hotel. Washington University and Barnes-Jewish Orthopedic Center location 14532 S. Outer Forty Rd.Suite 120Chesterfield, MO 63107Phone: 314-286-1669Fax: 314-514-3635 Parking: Lot includes free parking spaces for patients. Schedule An Appointment: Please call (314) 286-1669 to schedule an appointment. Physician Referral Instructions: For Physicians Access MyChart: MyChart For Patients Community Resources Patient Billing &＃038; Insurance Patient Services Breast Cancer Services Concussion Recovery Program Lymphedema Services Train Your Brain &＃8211; Winter Booster Session Pediatric Activity of The Week Occupational Therapy ServicesWashington University School of Medicine4444 Forest Park AvenueMSC 8505-66-01St. Louis, MO 63108Phone: 314-286-1669 | Fax: [email protected] Facebook Twitter Quick Links Patient Services Physician Referral Join our E-newsletter Our Locations Our Therapists ©2024 Washington University in St. Louis