Complete Decongestive Therapy

Complete Decongestive Therapy (CDT)

CDT is the most successful treatment for chronic extremity lymphedema. Post mastectomy lymphedema and other related conditions respond extremely well to this gentle, non-invasive and highly effective therapy. CDT is sometimes referred to as Complete Decongestive Physiotherapy (CDP) or Complex Decongestive Physiotherapy.

CDT is a combination of

1. Manual Lymph Drainage,

2. Bandaging of the affected areas,

3. Remedial exercises

4. Skin and nail care.

CDT is usually divided into a two-phase program that first involves an intensive treatment phase, followed by a maintenance program that the patient continues at home. When carried out with great care, consistency and the expertise of a well-trained therapist, CDT is the treatment of choice for chronic extremity lymphedema. Even in advanced lymphedema, CDT can be used (free of side effects) with great success. Because CDT is labour intensive, time consuming and requires patient compliance, many patients have difficulty committing to the program at first. Nevertheless, because the results of CDT are superior to other available treatments, most patients undergo CDT treatment and are then able to maintain the reduction of their limbs by diligently participating in a home based self care program.

The therapist must also have a complete understanding of the anatomy, physiology and pathophysiology of the lymphatic system, the treatment of primary and secondary lymphedema, the indications and contraindications of MLD/CDT, as well as the measuring techniques for lymphedema support garments. Further, lymphedema therapy should not begin unless the patient has been examined and diagnosed by a board-certified physician who understands lymphedema and its complications. Lymphangioscintigraphy (LAS), CT scans and MRIs are recommended to some lymphedema patients before they start CDT. The physician will be able to decide and inform the patient about the necessity of such procedures at the time of consultation. Because of the complications associated with lymphedema, the involvement and consultations of a qualified physician is essential in order to provide safe and effective lymphedema therapy.

Get on Track has fully capable setup for treatment and application of CDT and at present is the only facility in the private sector in the UAE that can provide this kind of service. Our staff is highly trained and educated for this treatment and application. We offer full treatment and make sure that our patients get all the pertinent information about their condition and about the treatments.

Ongoing CTD Treatment Protocol For Primapry Lymphedema In Last Stage ( Elephantiasis )