Tuesday, March 29, 2016

Mesotherapy and Lymphedema


Lymphedema refers to swelling that occurs in your  patient’ arms or legs for no apparent reason. It may affect just one arm or leg, but sometimes lymphedema can involve arms or both legs and all the limbs at once. 


The swelling occurs when a blockage in your lymphatic system prevents the lymph fluid in your arm or leg from draining. As the fluid accumulates, the swelling continues unchecked. This is a condition that must be managed, as there is no cure for it. The application of mesotherapy can be a successful intervention and may nclude an iectible cocktail of vaso-dilators such as Pentolifyilline,lipolytic agents thatbreak down fat and calcium hormone.

There are two types of lymph edema – primary and secondary.  Primary is an inherited type of lymph edema and secondary means that the disorder may have other causes such as Milroy’s disease. Secondary edema may have a known or unknown cause, such as kidney disease.

Symptoms of Lmphedema


The swelling caused by lymphedemea ranges from hardly noticeable changes in the size of a person’s limb to extreme swelling that can make it impossible to use the affected limb.

Signs and symptoms Include –

  • Swelling of part of your arm or your entire arm or leg, including your fingers or toes
  • A feeling of heaviness or tightness in your arm or leg
  • Restricted range of motion in your arm or leg
  • Aching or discomfort in your arm or leg
  • Recurring infections in your affected limb and or –
  • Hardening and thickening of the skin on your arm or leg

Causes


The causes of the two types of lymphedema differ from each other.

In primary lymphedema, which is rarer, problems with the development of lymph vessels causes problems with the legs. This type of lymphedema first makes it appearance in childhood or around puberty. Lymph vessels develop without valves making it difficult for the lymph nodes to drain.  Usually the symptoms of this disorder appear before a child reaches the age of ten. There is also a late onset form that does not make itself known until after the age of 35.

Damaged lymph nodes or lymph vessels cause secondary lymphedema. Surgery for breast cancer that requires the removal of a lymph node can be a trigger for the condition.

Radiation treatment for cancer can cause scarring and inflammation of the lymph nodes or lymph vessels, restricting flow of the lymph.

Cancer cells can cause lymphedema if they block lymphatic vessels. For example, a tumor can grow large enough to obstruct the flow of the lymph fluid.

Parasites can also block lymph vessels. Infection-related lymph edema is most common in tropical and subtropical regions of the globe and is more likely to occur in undeveloped countries.

Care and Treatment


Lymph edema can't be cured. Treatment focuses on minimizing the swelling and controlling the pain.

Alonng with mesotherapy treatments, you might pescribe light exercises that require you to move your affected arm or leg so lymph fluid is moved out of your limb.

You  also suggest that your patient wrap you arm or leg. Pressure from bandages can encourage the lymph fluid to flow back out of your affected limb and towards the trunk of your body. This type of bandage is wrapped tightest around fingers and toes and more loosely as you move up the arm or leg.

Massage may be also recommended. Manual lymph drainage involves special hand strokes on your affected limb to gently move lymph fluid to healthy lymph nodes, where it can drain. Lymphatic massage is one of the most in-demand massage techniques at the Pinewood Natural Health Centre in Toronto, which is also run by Dr. Michael Rahman and his team.

Pneumatic compression is another therapy that may be prescribed. With this therapy receive pneumatic compression you'll wear a sleeve over your affected arm or leg. The sleeve is connected to a pump that intermittently inflates the sleeve, putting pressure on your limb. The inflated sleeve gently moves lymph fluid away from your fingers or toes, reducing the swelling in your arm or leg.

Prognosis


If not managed, lymph edema in your arm or leg can lead to serious complications.  Sufferers have to be particularly careful of infections as the affected area is more prone to infections like lymphangitis and cellulitis.  Mesotherapy injections can assist with drainage as well as help handle with the thickening of the skin that can occur after years of swelling.

For more information about The Pinewood Institute for the Advancement of Natural Medicine courses including course outlines, detailed descriptions of courses and information about upcoming training sessions, please go www.pinewoodinstitute.com.  You can also send us an email using our email form at http://pinewoodinstitute.com/contact.aspx or call us at 416-656-8100. If you prefer to fax the number is 416-656-8107.



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