Randomized Trial Of Decongestive Lymphatic Therapy For
We have collated some great articles and material published over the last month. Hand N Check this out. Controversy exists regarding the influence of breast cancer-related lymphedema BCRL in the development of peripheral neuropathies. Our aim was to evaluate the association of secondary lymphedema with peripheral neuropathies in patients with breast cancer.
Seventeen articles met the inclusion criteria. Discrepancies were found in studies that analyzed whether a cause-effect association exists between carpal tunnel syndrome CTS and secondary lymphedema. No evidence indicated that lymphedema predisposes to developing peripheral neuropathies such as CTS or brachial plexopathy. No studies found an association between patients with breast cancer at risk of or with lymphedema and the development or worsening of CTS. Carpal tunnel release can be safely performed in patients Randomized Trial Of Decongestive Lymphatic Therapy For BCRL. Neuropathic pain worsens with lymphedema, and treatment seems to improve the pain. Our study did not find enough evidence to conclude that BCRL is associated with the development of peripheral neuropathies.
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Carpal tunnel release is a safe procedure that can be performed in patients with BCRL and does not influence the development or worsening of lymphedema. Neuropathic pain seems to worsen after development of lymphedema, and treatment has been found to improve neuropathic pain. The aim of this study was to evaluate the change in the lymphatic diameter in different body positions. We performed indocyanine green ICG lymphography and Randomiaed ultrasound as a pre-operative examination for lymphaticovenous anastomosis LVA. ICG was injected at three lymphosomes per limb the saphenous lymphatics, lateral thigh lymphatics, and lateral calf lymphatics.
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For the lymphatic ultrasound, a commonly used ultrasound device with an 18 MHz linear probe was employed. We measured the lymphatic Decongeative in the designed LVA sites in prone, sitting, and upright position. The mean age was We measured the lymphatic diameter at 78 sites in the thigh and 76 sites in the lower leg. In the thigh, the mean lymphatic diameters in the supine and upright positions were 0. In the lower leg, the mean lymphatic diameters in the supine, sitting, and upright positions were 0. Lymph is transported proximally through valved lymphatic channels and read article contraction.
The purpose of this study was to determine lymphatic function in nonambulatory patients with lower extremity neuromuscular disease. Patient age, gender, disease, body mass index BMIand lymphoscintigram result were recorded. Patient ages were between 15 and 36 years; five were female.
Obesity is associated with abnormal lymphoscintigram result and lymphedema in this patient population. Individuals should be advised to maintain a normal BMI. Jennifer A Ligibel, Kathryn H.
Trial Purpose and Description
Schmitz, Nathan A Berger. Transl Cancer Res. Download full paper.]
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