Abstract
Background and purpose: This case presentation describes the physical therapist examination, evaluation, and interventions for a patient with left upper extremity lymphedema. The patient received complete decongestive therapy with an emphasis placed on the utilization of a home exercise program with self-manual lymph drainage. Case description: The patient was a 55-year-old female who developed left upper extremity lymphedema approximately three months after surgery and chemotherapy for breast cancer. The patient presented with pain and swelling in the left upper extremity, as well as decreased range of motion, and decreased ability to reach overhead and complete functional tasks. Interventions: An intervention program was designed that consisted of manual lymph drainage techniques, compression, skin care education, and therapeutic exercise. The patient received treatment 2 to 3 times a week instead of the recommended 5 times per week, for a total of 9 visits. Outcomes: The outcomes related to lymphedema were measured using the sum of the circumference of each limb. Upon discharge, the patient had a 9% reduction of lymphedema in the left upper extremity. Range of motion was increased back to functional limits, and she was able to resume all normal functional activities. This case presentation demonstrates the effectiveness of a home exercise program with a focus on self-manual lymph drainage.