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Foreword Preface 1 Anatomy Topography of the Lymphatic System Components of the Lymphatic System Lymph Fluid Lymphatic Vessels Lymphatic Tissues Lymphatic Watersheds Sagittal Watershed Horizontal Watershed Watersheds between the Trunk and the Extremities Interterritorial Anastomoses Lymphatic Drainage and Regional Lymph Node Groups of Different Body Parts Lymphatic Drainage of the Scalp, Face, and Neck Lymphatic Drainage of the Neck Lymphatic Drainage of the Trunk Lymphatic Drainage of the Upper Extremity Lymphatic Drainage of the Lower Extremity 2 Physiology Heart and Circulation Blood Pressure Blood Capillary Pressure Capillary Exchange Diffusion Osmosis and Osmotic Pressure Colloid Osmosis and Colloid Osmotic Pressure Filtration and Reabsorption Physiology of the Lymphatic System Lymph Time Volume and Transport Capacity of the Lymphatic System Safety Factor of the Lymphatic System Insufficiencies of the Lymphatic System Dynamic Insufficiency Mechanical Insufficiency Combined Insufficiency 3 Pathology Lymphedema Definition Incidence of Lymphedema Etiology of Lymphedema Stages of Lymphedema Grading of Lymphedema Based on Severity Precipitating Factors for Lymphedema Avoidance Mechanisms Complications in Lymphedema Diagnosis and Evaluation of Lymphedema Diagnostic Imaging Therapeutic Approach to Lymphedema Chronic Venous and Lymphovenous Insufficiency Definition of CVI Post-thrombotic Syndrome Venous Dynamics in the Lower Extremities Pathophysiology of CVI Stages of CVI Complications Evaluation Therapeutic Approach Wounds and Skin Lesions Skin Lesions Often Associated with Lymphedema Wound Management/Wound Bed Preparation Lipedema Definition Etiology and Natural History Pathology and Pathophysiology of Lipedema Stages Evaluation Therapeutic Approach Traumatic Edema Definition Pathophysiology Effects of Inflammation on the Lymphatic System Therapeutic Approach Inflammatory Rheumatism Definition Anatomy of a Synovial Joint Pathophysiology Effects on the Lymphatic System Therapeutic Approach Reflex Sympathetic Dystrophy Definition Pathology and Stages Lymphatic Involvement Therapeutic Approach Cyclic Idiopathic Edema Complete Decongestive Therapy 4 Complete Decongestive Therapy History and Background Discovery of the Lymphatic System Development of Complete Decongestive Therapy Goal of Complete Decongestive Therapy Components of Complete Decongestive Therapy Manual Lymph Drainage Compression Therapy Effects of Compression Therapy Laplace's Law Compression Bandages Compression Garments Decongestive Exercises Skin and Nail Care The Two-Phase Approach in Lymphedema Management Intensive Phase Self-Management Phase Documentation Techniques for Lymphedema 5 Treatment General Considerations Application of Basic MLD Techniques on Different Parts of the Body Lateral Neck and Submandibular Area Posterior Neck and Occipital Area Face Posterior Thorax Lumbar Area Anterior Thorax Abdomen (Superficial and Deep Manipulations) Upper Extremity Lower Extremity Treatment Sequences Unilateral Secondary Upper Extremity Lymphedema Bilateral Secondary Upper Extremity Lymphedema Unilateral Secondary Lower Extremity Lymphedema Bilateral Secondary Lower Extremity Lymphedema Unilateral Primary Lower Extremity Lymphedema Bilateral Primary Lower Extremity Lymphedema Genital Lymphedema Phlebolymphostatic Edema Lipolymphedema Lymphedema of the Head and Neck Pediatric Lymphedema Application of Compression Bandages Required Materials Upper Extremity Bandaging Lower Extremity Bandaging Genital Bandaging Measurements for Compression Garments Measuring for Stockings and Pantyhose Measuring for Arm Sleeves Measuring for Hand and Finger Compression Garments Compression Neck and Chin Straps and Face Masks Compression Garments for the Upper Thorax and Breast Patient Education Self-Bandaging Decongestive Exercises Self-MLD Precautions Lymphedema and Air Travel 6 Administration Setting Up a Lymphedema Clinic Personnel Required Space Equipment Marketing Issues Suggested Materials to Start Up a Lymphedema Program Reimbursement and Billing CPT Codes Appendix Sample Forms 1 Patient Information Form 2 Evaluation Form for Lymphedema Treatment Centers 3 Physical Examination Form for Physicians 4 Form for Circumferential Measurement of the Upper Extremity 5 Form for Circumferential Measurement of the Lower Extremity 6 Treatment Progress Form 7 Photography Release Form 8 Notice of Privacy Practices: Patient Consent 9 Patient Authorization for Use and Disclosure of Health Information 10 Letter of Medical Necessity 11 Information on Lymphedema for Patients Glossary Index
Library of Congress Subject Headings for this publication: Lymphedema, Lymphedema physiopathology, Lymphedema therapy