Lymphedema is abnormal swelling of the arms and legs due to problems with the lymphatic system. Lymphedema may occur weeks, months, or years after the initial injury or surgical procedure.

What are some of the signs of lymphedema?

• Swelling of the hand, arm or leg
• Pain of the shoulder, arm, leg, or hand
• Loss of motion as a result of swelling

Who is at risk for developing lymphedema?

• Individuals who have a mastectomy/ lumpectomy or radical mastectomy and/or radiation therapy
• Amputees
• Individuals with diabetes
• Individuals who have previously suffered a traumatic injury damaging the lymph nodes of the neck, arm, or groin region
• Individuals who have undergone vascular surgery
• Individuals who were born with lymphedema

What is the Lymphedema Treatment Program?

The program is staffed by a certified lymphedema therapist who will perform all treatment sessions. When necessary, consultations are available from nutrition and nursing services and the Women's Health Center's Medical Director.

What are the services provided in the program?

• Initial assessment of the affected area
• Manual lymph drainage and bandaging techniques
• Exercise
• Fitting for compression garments
• Instruction in independent management

How do I make an appointment for treatment?

You must have a referral from your healthcare provider. After discussing with your provider, he/she will make the referral and appointment for you and advise you of the date and time.

How long will the sessions last?

The therapy sessions will typically take about 1 1/2 hours with 45 minutes of manual lymph drainage and 45 minutes of bandaging and exercise.

How many times do I have to come?

This will vary depending on the degree of swelling and the area affected. Typically you are seen 3-5 times a week for 2-4 weeks.

What will I have to do?

You will be required to attend your appointments on a regular basis as missed appointments typically lead to setbacks. You will be required to perform the appropriate exercises and bandage regularly to maintain the decreased swelling.

Will I be 100% better when I am done with treatment?

Once noticeable swelling is diminished, the therapist will usually put you on a program of exercise and bandaging that you will continue on your own. There is no cure for lymphedema, but it CAN be controlled. You will then be monitored: initially after 1 month, 3 months, 6 months and then yearly to re-measure for your compression garments.

Will my insurance cover the cost of this physical therapy service?

Most insurance companies will cover services which are medically necessary. A provider's order is typically sufficient. We encourage you to call your insurance provider to determine coverage of the following services:

• Compression garments
• Manual lymph drainage/manual therapy
• Bandaging

Who provides this service locally and where can I learn more about it?

The Aroostook Medical Center has a full time physical therapist who is also a certified lymphedema therapist.

For further information, call TAMC's Physical Therapy Department at 768-4169.