What to expect at your first visit

At your first visit a therapist will take your medical history, assess the affected limb, and develop a personalized treatment plan which may include manual lymphatic drainage, compression techniques, exercise recommendations, and skin care education. 

Here’s more of what to expect:

Medical History and Assessment

The therapist will ask about your medical history, including any past surgeries, illnesses, or cancer treatments, and how and when the swelling began. They will also examine the affected limb, take measurements, and assess the skin and soft tissues. 

Diagnosis and Education

The therapist will discuss the diagnosis of lymphedema and explain the condition, potential complications, and management strategies. 

Treatment Plan Development

Based on your individual needs and goals, the therapist will create a comprehensive treatment plan that may include: 

  • Manual Lymphatic Drainage (MLD): A gentle massage technique to encourage lymph fluid movement. 

  • Compression Therapy: Using bandages or garments to reduce swelling and prevent fluid buildup. You may leave your first visit with the limb bandaged. Other times when a more detailed medical history needs to be obtained, the therapist will as you to come back within 24-48 hours for your first lymphatic drainage and bandaging. Once the bandaging is in place, your therapist will go over with you how long to keep it on, how to shower and care for the bandages until your next visit.

  • Exercise: A tailored exercise program to improve lymphatic function and overall well-being. Exercises are used to aid in lymphatic drainage and keep your swelling down.

  • Skin Care Education: You will be given advice on preventing infections and maintaining healthy skin in the affected area. If you have any active or new infections that need to be treated, you will need to start antibiotics before your first lymphatic treatment. 

  • Follow-Up and Monitoring: Regular follow-up appointments will be scheduled to monitor progress and make necessary adjustments to the treatment plan. 

Things to Prepare for

  • Gather any relevant medical records. This includes any prior diagnoses, treatment plans, or reports from other specialists. 

  • Prepare a list of questions. This will help you get the most out of your appointment and ensure your concerns are addressed. 

  • Be prepared to discuss your symptoms, lifestyle, and concerns. Open and honest communication is key to effective lymphedema management. 

  • Establish how payment works before your visit. You may need to pay with cash, handle a copay, or arrange partial to total coverage through insurance.