The movement of the pump stimulates the flow of the excess lymph out of the affected limb as if were flowing following the movements of the muscles. Then the pump is activated for the appropriate period of time while the patient rests comfortably with the affected limb in the recommended position. In the drainage phase, the pump settings are adjusted to the appropriate pressure level before the garment is donned. This preparation must be carefully completed to prevent any damage to the tissues. In a home setting, the preparatory phase is performed by the patient as self-massage, or by a caregiver as Simple Lymph Drainage (SLD). This stimulates the lymphatic vessels in preparation for receiving the flow of lymph created by the pump. In a professional setting, a professional lymphedema therapist prepares the patient by performing manual lymph drainage (MLD). When this happens, the lymph is forced into the surrounding tissues where it can cause additional damage. The preparatory phase, which must be performed first, is Manual Lymph Drainage to prepare the lymphatic vessels to receive the fluid that will be moved by the drainage action of a pumping. When the preparatory phase is not completed properly, the lymphatic system is not ready to receive and transport the lymph that is moved by the pump. These are the preparatory and drainage phases. No matter what the treatment setting, there are two phases to each pump treatment. ![]() If the pump is not used properly, it can force excess fluids into the surrounding tissues, therefore creating more problems. An even more important role of the pump is for use at home by a patient who has been trained in its proper use. A pump is used by some treatment facilities as part of a professional service. The goal of using a pump in the treatment of lymphedema is to move excess fluid out of the affected limb and return it to the cardiovascular system. Click to read "I love my Caregivers" by Wanda
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