Compression garments are used once the lymphedema is decreased and stabilized. The elastic compression garment is custom fitted to each patient and the use of garments does not allow the refilling of the limb tissues with excess fluid. Pneumatic Pumps Pneumatic pumps are another adjunctive tool to treat patients with lymphedema. The pump consists of an inflatable sleeve or boot with multiple chambers connected to a motor-driven air pump which displaces the fluid in the extremity. Home Management Home management is important to maintain and improve the tissue softening achieved while in physical therapy.
Compression needs to be continued by the patient at home.
In general, it is recommended that compression garments be worn during the day with compression bandaging at night. Exercises including flexibility, mild strengthening and aerobics training should continue. Self massage techniques should also continue to enhance the lymphatic flow. The Breast Cancer Digest, National Cancer Institute, p. 78, April 1994. Petrick, JA and Lerner, R, Disease of the Breast, Lippincott-Raven, 1996.