The purpose of this specialized massage is to remove excess fluid in the limb by clearing the lymphatic system. This occurs by opening collateral lymph channels to drain the excess fluid. Other massage techniques are used to soften the hardened or fibrosed areas. The massage phase is immediately followed by a multi-layered Medical Compression Bandage . This utilizes minimally elastic bandages to help maintain the smaller limb volume.
Exercise is one of many ways the lymph fluid moves.
Muscular contractions cause the lymphatic vessels to contract and propel fluid. To assist in lymphatic flow, exercises should be started as soon as possible. Flexibility exercises for the limb, mild weight training and aerobic activities with compression bandaging improve lymphatic drainage. 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.