Sora Therapies LLC
Massage, Bodywork, and Integrative Fitness in Eugene, Oregon


541.505.1193
  Kelsey@SoraTherapies.com
        ​
 5 East 24th Avenue
 Eugene, Oregon 97405​​​
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Lymphedema Management

​As a nationally certified ​Lymphedema
​Therapist through LANA, the
Lymphology Association of North America,
I am qualified to help clients manage their
lymphedema with Complete Decongestive
Therapy, the internationally recognized gold-
​standard treatment for lymphedema and
related conditions​​​​​.

As per LANA ​​standards, I have completed a
​135-hour training program in Complete
​D​econgestive Therapy ​through the
Norton School of Lymphatic Therapy.
​Please see below for more information about
​lymphedema management, manual lymph
​drainage, and complete decongestive
​therapy.​


What is Lymphedema?
Lymphedema is an accumulation of protein-rich lymph fluid in the interstitial spaces. It typically develops slowly over time, resulting from some insufficiency of the lymphatic system. This accumulation of lymph fluid presents as a swelling, and if left untreated can cause fibrosis (a hardening of the tissues). Lymphedema usually affects an arm or a leg but can affect other areas of the body as well, such as the face, head, trunk, or genitals. There is no cure for lymphedema, but it can be managed, and in some cases can be returned to a state of latency. Even a very advanced lymphedematous swelling can be treated and returned to a normal or near-normal size with the help of a qualified lymphedema therapist.

What causes lymphedema?​
There are many different causes for lymphedema. Rarely, a person can be born with an impaired lymphatic system, and can develop swelling at birth, shortly after birth, at puberty, or sometimes later in life after a triggering event. This is called primary lymphedema.

Secondary lymphedema develops when someone experiences an illness or trauma of some kind that damages their lymphatic system. This can happen from cancer therapies (lymph node removal, radiation), other surgeries, severe burns, injuries, or parasitic infection.

What is involved in managing lymphedema?
Lymphedema has no cure, but it can be managed, and in some cases it can even be returned to a state of latency. The international “gold standard” of care for lymphedema is CDT, or Complete Decongestive Therapy. CDT involves two phases, an intensive phase, and a maintenance phase.

Phase one, the intensive phase, is indeed very intensive. It involves coming in for CDT treatments 4-5 days per week for an average of 2-4 weeks. Each session is comprised of skin care, manual lymphatic drainage (MLD), compression bandaging, and exercises.

Phase two, the maintenance phase, occurs when you reach a plateau in the volume reduction of your lymphedema. This phase, which needs to be continued for life, involves following certain precautionary guidelines, meticulous skin care, self-MLD, therapeutic compression garments and/or self bandaging, and a home exercise program. Re-evaluations are recommended every six months to a year, as compression garments will need to be refitted in this time frame. Ideally, someone in this phase will come in once or twice a month for full MLD sessions and a “check-up” on their progress, but this is optional.

​Does CDT really work?
Some amazing results have been achieved with CDT, but it does require consistent adherence to the therapy on the part of the affected person. CDT necessitates significant involvement from the client—it is not a pill you can take once a day and forget about. However, at this point in time no such pill exists, and CDT really is the best option for lymphedema treatment. With compliance to the CDT protocol, CDT will provide wonderful results that can be maintained for life. Below you can see some of these amazing results. All photos provided courtesy of the Norton School of Lymphatic Therapy













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​​How much does CDT cost?

The costs involved with CDT will vary from person to person. For some, we may be able to bill your insurance for part or all of the cost. For others, discounted self-payment options are available. For a very mild case of lymphedema, a very short intensive phase might be indicated. For a very advanced stage III case, many weeks or multiple rounds of intensive phases might be required. On average, the costs are as follows for a mild case affecting one arm or one leg, requiring a two-week intensive phase, assuming discount for upfront self-payment:

Bandaging materials fee to be paid before treatment begins: $150 for one arm, $250 for one full leg. Could be more or less depending on size of limb, but will include two full sets of bandages to allow for one set to be washed while the other is in use.

Two weeks of four sessions per week: $645 paid up front (with 15% package-deal discount, only for in-office sessions. This includes eight 90-minute CDT sessions.)

Compression garments for maintenance phase: cost varies greatly.​​

Total: ​​​$745 for a mild arm, $845 for a mild full leg. This is just an example, the true costs will vary from person to person. Discounts are not available for outcall sessions, and a $20 outcall fee is added for each treatment session.

What is MLD?​​

MLD, or Manual Lymphatic Drainage, is a specialized hands-on treatment for stimulating the lymphatic system to work more efficiently. It involves very light and rhythmic stretching of the skin in specific directions according to the anatomy of the lymphatic system.

How do I make an appointment?
Call or email Kelsey any time to set up a consultation at no charge. You can also set up an appointment online through this website. Just click here, click the “Book Now” button, and scroll down to schedule a “Lymphedema/CDT Consultation”. We will discuss your condition and how CDT can help, and what all might be involved for your particular case. That way you can know ahead of time what CDT treatment will look like for you, about how much it will cost, and you can make an informed decision about whether or not to move forward.

For stand-alone manual lymphatic drainage (MLD) sessions only (no bandaging, skin care, or exercises), you can schedule online​​, by phone, or by email. No consultation is necessary prior to stand-alone MLD sessions. 

Helpful Websites:

Norton School of Lymphatic Therapy​
http://www.nortonschool.com/aboutlymphedema.html​​

National Lymphedema Network​
http://www.lymphnet.org/​​

Lymphology Association of North America (LANA)​
http://www.clt-lana.org/​​
Image above depicts pre- and post- treatment of lymphedema using CDT. Photo provided courtesy of the Norton School of Lymphatic Therapy.