What is Complete Decongestive Therapy?
Complete Decongestive Therapy (CDT) is recognized as the gold standard treatment for lymphedema. This comprehensive approach combines multiple therapeutic techniques to reduce swelling, improve lymphatic function, and help you manage your condition effectively.
CDT is a two-phase treatment program that addresses both the immediate need to reduce swelling and the long-term goal of maintaining those improvements.
Components of CDT
Manual Lymphatic Drainage (MLD)
A specialized gentle massage technique that stimulates the lymphatic system, redirecting fluid from congested areas to healthy lymph nodes where it can be properly processed.
Compression Therapy
Multi-layer compression bandaging during the intensive phase, followed by fitted compression garments during the maintenance phase. Compression helps prevent fluid re-accumulation and supports the lymphatic system.
Therapeutic Exercise
Specific exercises performed with compression to promote lymphatic flow and improve muscle pump function. These exercises are tailored to your abilities and condition.
Skin Care
Meticulous skin care to prevent infections and maintain skin health. Patients with lymphedema are at increased risk for skin infections, making proper hygiene essential.
Treatment Phases
Phase 1: Intensive Treatment
During this phase, you’ll receive frequent treatments (typically daily or several times per week) focused on:
- Reducing limb volume
- Softening fibrotic tissue
- Learning self-management techniques
- Being fitted for compression garments
Phase 2: Maintenance
After achieving optimal reduction, the focus shifts to maintaining your results through:
- Self-administered MLD
- Daily use of compression garments
- Continued exercise program
- Regular follow-up visits as needed
Benefits of CDT
- Significant reduction in limb swelling
- Improved limb function and mobility
- Reduced risk of infections (cellulitis)
- Better quality of life
- Skills for long-term self-management
Who Can Benefit from CDT?
CDT is appropriate for most patients with lymphedema, including those with:
- Primary lymphedema
- Secondary lymphedema from cancer treatment
- Chronic lymphedema
- Lymphedema affecting any part of the body
Your therapist will perform a thorough evaluation to determine if CDT is right for you and create a personalized treatment plan.