Textbook of Lymphology: For Physicians and Lymphedema Therapists,9780972953504

Textbook of Lymphology: For Physicians and Lymphedema Therapists

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Edition: 1st
ISBN13: 9780972953504
ISBN10: 0972953507
Format: Hardcover
Pub. Date: 2003-08-01
Publisher(s): Klose Training & Consulting Llc
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Summary

Dr. Michael Foldi, professor and internationally renowned expert in the field of lymphology -- together with his co-editors and contributing authors -- unlocks the complex world of lymphological science for physicians and lymphedema therapists alike. Through its breadth and depth of information, the authors successfully bridge the gap between the pre-clinical environment and the functions of the clinician/physician or physiotherapist. The clear color layout and 700 impressive illustrations facilitate access to this special field. Based on the successful German textbook, originally published a decade ago and now already in its 5th edition, the English edition has been updated to reflect the latest knowledge in the field of lymphology. Book jacket.

Table of Contents

Scientific Section
1 Anatomy of the Lymphatic System
1.1 Structural Elements of the Lymphatic System: Lymph Vessels
2(32)
1.1.1 Introduction
2(1)
1.1.2 Structure of the Lymphatic System.Nomenclature
3(2)
1.1.3 Lymph Capillaries
5(1)
1.1.4 Precollectors and Collectors
6(4)
1.1.5 Lymph Trunks
10(1)
1.1.6 The Thoracic Duct
10(5)
1.1.7 Lymph Trunks the Upper Body Quadrants
15(2)
1.1.8 Junction of the Lymphatic Trunks with the Veins
17(1)
1.1.9 Lymph Transport Mechanisms
18(1)
1.1.10 Restoration of Lymph Drainage after Interruption of the Lymph Vessels
19(1)
1.1.11 Consequences of Disturbance of the Lymph Drainage in the Lower Half of the Body
20(2)
1.1.12 The Initial Lymphatic System of Various Tissues
22(12)
1.2 Lymphatic Tissue-Lymph Nodes-Principles of Lymph Transport
34(6)
1.2.1 Lymphatic Tissue
34(1)
1.2.2 Lymph Nodes
34(4)
1.2.3 Regional Lymph Nodes; Drainage Areas
38(1)
1.2.4 Types of Lymph Nodes
39(1)
1.2.5 Filling Pattern of Lymph Nodes
39(1)
1.2.6 Regeneration of Lymph Nodes
39(1)
1.3 Lymph Vessels and Regional Lymph Nodes of the Head and Neck
40(21)
1.3.1 Lymph Nodes of the Head
40(6)
1.3.2 Lymph Nodes of the Neck
46(3)
1.3.3 Connections of the Deep Lymph Node Chains
49(1)
1.3.4 Lymph Drainage Areas of the Head and Cervical Organs
50(1)
1.3.5 Lymph Drainage Areas of the Facial Region
50(3)
1.3.6 Lymph Vessels of the Palate, Gingiva and Teeth
53(1)
1.3.7 Tongue
54(2)
1.3.8 Lymph Vessels of the Salivary Glands
56(1)
1.3.9 Lymph Vessels of the Nasal Cavity
56(2)
1.3.10 Pharynx
58(1)
1.3.11 Larynx
58(2)
1.3.12 Thyroid Gland
60(1)
1.4 Lymph Nodes of the Thoracic Cavity; Drainage Areas of the Thoracic Organs
61(20)
1.4.1 Parietal Node Groups
61(3)
1.4.2 Visceral Nodes
64(3)
1.4.3 Connections between the Intrathoracic, Abdominal, and Cervical Lymphatics
67(1)
1.4.4 Lymph Nodes in the Drainage Area of the Thoracic Duct; Thoraco-Cervical Collateral Pathways
67(1)
1.4.5 Parietal Pleura
67(1)
1.4.6 Trachea and Bronchi
68(1)
1.4.7 Lungs
69(3)
1.4.8 Pericardium
72(1)
1.4.9 Heart
72(2)
1.4.10 Thymus
74(5)
1.4.11 Esophagus
79(2)
1.5 Lymphatics of the Upper Extremity
81(11)
1.5.1 Regional Lymph Nodes
81(4)
1.5.2 Lymph Vessels and Regional Lymph Nodes of the Upper Extremity
85(3)
1.5.3 The Deep System
88(2)
1.5.4 Connections Between the Superficial and Deep Systems
90(1)
1.5.5 Drainage Territories of the Upper Extremity
90(1)
1.5.6 Regional Node Groups of the Upper Extremity
91(1)
1.5.7 Internodal Drainage Pathways
92(1)
1.6 Lymphatic System of the Lower Extremity
92(15)
1.6.1 Regional Lymph Nodes
92(5)
1.6.2 Superficial Lymphatic System
97(5)
1.6.3 Topography of the Superficial Lymphatic System and Subcutaneous Veins
102(2)
1.6.4 Drainage Territories of the Lower Extremities
104(1)
1.6.5 Deep Lymph Vessel System-Deep Intercalated Nodes
105(1)
1.6.7 The Lymph Vessels of the Joints and Periosteum
1.6.8 Lymph Vessels of the Nerves
105(1)
1.6.9 Anastomoses Between the Deep and Superficial Systems
106(1)
1.6.10 Lymph-Chylous reflux into the Lower Extremity
106(1)
1.7 Lymph Vessels and Regional Lymph Nodes of the Trunk
107(13)
1.7.1 Superficial System
107(2)
1.7.2 Subcutaneous Intercalated Nodes
109(2)
1.7.3 Connections between Lymph Territories. Alternative Drainage Pathways in Lymphedema
111(3)
1.7.4 Deep Vessels of the Trunk Wall
114(1)
1.7.5 Deep Intercalated Nodes
115(1)
1.7.6 Lymph Vessels of the Mammary Gland
116(1)
1.7.7 Efferent Lymph Vessels and Regional Lymph Nodes of the Mammary Gland
116(4)
1.7.8 Metastatic Pathways and Localization of Metastases in the Mammary Gland
120(1)
1.8 Lymph Nodes of the Pelvis and the Abdominal Cavity
120(14)
1.8.1 Parietal Lymph Nodes
120(8)
1.8.2 Drainage Areas and Connections of the Iliac and Lumbar Lymph Nodes
128(2)
1.8.3 Drainage Areas, Connections, and Drainage Pathways of the Iliac and Lumbar Node Groups
130(4)
1.8.4 Internodal Connections and Efferent Lymph Vessels
134(1)
1.8.5 Collaterals (Bypasses)
134(1)
1.8.6 The Lumbar Lymph Nodes and the Autonomic Nerve Plexus
134(1)
1.9 Drainage Pathways and Regional Lymph Nodes of the Pelvic and Abdominal Organs
134(30)
1.9.1 The Urinary Tract
134(5)
1.9.2 Male Genital Organs
139(4)
1.9.3 Drainage Ways and Regional Nodes of the Female Genital Organs
143(4)
1.9.4 The Visceral Node Group of Lumbar Nodes
147(6)
1.9.5 Basic Morphological Characteristics of the Initial Lymphatics of the Intestinal Tract
153(1)
1.9.6 Efferent Lymph Vessels and Primary and Secondary Lymph Nodes of the Abdominal Organs
154(10)
1.9.7 Relationship of the Lymph Nodes of the Stomach, Pancreas, Liver and Spleen to the Vagal Nerve Branches and Celiac Plexus
164(1)
1.10 References
164(3)
2 Terminal Vascular System (Microcirculation), Interstitial Connective Tissue, Lymph Capillaries and Precollectors
167(12)
2.1 Introduction, Definition and Overview
168(1)
2.2 Mural Structure of the Terminal Blood Vessels
168(1)
2.2.1 Afferent and Efferent Blood Vessel Segments
168(1)
2.2.2 Basic Structures of Blood Capillaries
168(1)
2.3 Interstitial Connective Tissue Membrane
169(3)
2.3.1 Interstitial Connective Tissue Cells
169(1)
2.3.2 Interstitial Connective Fibers
170(1)
2.3.3 Ground Substance of the Interstitial Connective Tissue Membrane
171(1)
2.3.4 The "Preferential Tissue Channels" of the Interstitial Connective Tissue Membrane
171(1)
2.4 Active Segments of the Lymphatic System Where Lymph Formation Occurs: Lymph Capillaries and Precollectors
172(4)
2.4.1 Lymph Capillaries
172(2)
2.4.2 The Precollectors
174(1)
2.4.3 Marker for Differentiation of Lymph-and Blood Vessels
174(1)
2.4.4 Growth Factors and Lymphangiogenesis
175(1)
2.5 Further Reading
176(3)
3 Fundamentals of Comparative Lymphology
179(16)
3.1 Introduction: Phylogenesis, Ontogenesis and Lymphedema
180(1)
3.2 Lymphostatic Diseases in Animals: Significance and Treatment
180(1)
3.3 Human Evolution and Susceptibility to Lymphedema
181(1)
3.4 Evolution of the Lymphatic System: Functional Anatomy
182(10)
3.4.1 Are Lymph Vessels Present in Fish?
182(1)
3.4.2 Do Lymph Vessels in Amphibians Have Any Specific Function?
183(1)
3.4.3 Structure and Function of Initial Lymph Vessels From the Frog to the Human
184(1)
3.4.4 Does the Primitive Lymph Vessel Architecture Help to Prevent Lymphedema?
185(2)
3.4.5 The Lymphatic System: Comparison of Ontogenesis and Evolution
187(1)
3.4.6 The Differentiated Lymphatic System in Birds
188(2)
3.4.7 Variability of the Lymph Collector System in Animals Compared to Humans
190(1)
3.4.8 Conclusion: Morphology, Lymph Dynamics and Lymphatic Evolution
191(1)
3.5 Further Reading
192(3)
4 Physiology and Pathophysiology of the Lymphatic System
195(36)
4.1 Fundamentals
196(4)
4.1.1 Diffusion
196(2)
4.1.2 Osmosis
198(1)
4.1.3 Colloid Osmosis
199(1)
4.1.4 Ultrafiltration
199(1)
4.2 Basic Principles of Microcirculation
200(2)
4.2.1 Ohm's Law
200(1)
4.2.2 Hagen-Poiseullle's Law
200(1)
4.2.3 Peripheral Resistance
201(1)
4.2.4 Blood Capillary Pressure and Vasomotion
201(1)
4.3 Interstitium and Interstitial Fluid
202(17)
4.3.1 The Fibro-Elastic Apparatus
202(3)
4.3.2 Formation of Interstitial Fluid. Starling's Equilibrium
205(5)
4.3.3 Lymph Formation and Lymph Flow
210(5)
4.3.4 The "Lymphatic Loads"
215(3)
4.3.5 The Role of Lymph Nodes in Lymphodynamics
218(1)
4.4 Sufficiency and Insufficiency of the Lymphatic System
219(5)
4.5 Edema
224(6)
4.5.1 Definition and Classification
224(2)
4.5.2 The Consequences of High-Protein Edemas
226(2)
4.5.3 Tendency to Develop Edema: The Dehydration Reaction
228(1)
4.5.4 Physiological Responses to Impending Lymphostasis
229(1)
4.6 Reference
230(1)
5 Lymphostatic Diseases
231(90)
5.1 Introduction
232(1)
5.2 Lymphedema
232(70)
5.2.1 Definition and Pathophysiology
232(8)
5.2.2 Classification
240(12)
5.2.3 Epidemiology
252(1)
5.2.4 Prognosis
253(1)
5.2.5 Clinical Picture of Lymphedema; Diagnosis and Differential Diagnosis
253(14)
5.2.6 Complications of Lymphedema
267(8)
5.2.7 Prevention
275(4)
5.2.8 Treatment of Lymphedema
279(20)
5.2.9 Primary Lymphedemas in Animals
299(3)
5.3 Lymphedema of the Head and Neck; Lymphostatic Encephalopathy and Ophthalmopathy
302(3)
5.3.1 Etiology
302(1)
5.3.2 Connections Between the Central Nervous System (CNS) and the Lymphatic System
303(1)
5.3.3 Consequences of the Obstruction of the Lymphatics Responsible for the Drainage of the Subarachnoideal Space, Brain and Eye; Experimentally Induced Lymphostatic Encephalopathy and Ophthalmopathy
304(1)
5.3.4 The Consequences of Combined Lymphatic Insufficiency of the Lymphatics in the Brain
304(1)
5.3.5 Lymphostatic Encephalopathy and Ophthalmopathy in Humans
305(1)
5.4 Lymphostatic (Protein-Losing) Enteropathy
305(5)
5.4.1 Definition
305(1)
5.4.2 Pathophysiology
306(1)
5.4.3 Diagnosis and Differential Diagnosis
306(4)
5.4.4 Treatment
310(1)
5.5 Lymphostatic Cardiomyopathy
310(1)
5.5.1 Definition
310(1)
5.5.2 Clinical Applications
311(1)
5.6 Lymphostatic Pneumopathy
311(1)
5.6.1 Scientific Basis
311(1)
5.6.2 Clinical Relevance
311(1)
5.7 Chylous Reflux
311(6)
5.7.1 Pathophysiology
311(1)
5.7.2 Classification
312(3)
5.7.3 Diagnosis and Differential Diagnosis
315(1)
5.7.4 Treatment of Benign Chylous Reflux
316(1)
5.8 Hydrocele of the Testis (and Spermatic Cord)
317(1)
5.9 Further Reading
318(3)
6 Morphological Changes
321(50)
6.1 Morphological Changes in Chronic Lymphedema
322(28)
6.1.1 Introduction
322(1)
6.1.2 Extracellular Matrix: Composition, Significance, and Changes
323(4)
6.1.3 Morphological Findings in Lymphedema
327(23)
6.2 Morphology of Lymphatic Changes, Tumors and Tumorous Changes
350(17)
6.2.1 Lymph Vessel Anomalies and Lymph Vessel Tumors
350(7)
6.2.2 Lipedema, Lipolymphedema
357(3)
6.2.3 Massive Localized Lymphedema in Extreme Obesity
360(1)
6.2.4 Stewart-Treves Syndrome
361(6)
6.3 References
367(4)
7 Lymphatic Tissue and Its Vessel Systems
371(20)
7.1 Morphological Findings and Functional Significance of the Vessel Systems Within Lymph Nodes
372(13)
7.1.1 The Vascular Compartments of Pathologically Unaltered Lymph Nodes
372(8)
7.1.2 Vascular Compartments of Pathologically Altered Lymph Nodes
380(5)
7.2 Lymph Conduction Outside the Lymph Nodes
385(4)
7.3 References
389(2)
8 Acute Inflammation
391(4)
8.1 Pathophysiology
392(1)
8.2 Clinical Manifestations
393(1)
8.3 Therapy
394(1)
8.4 Further Reading
394(1)
9 Lipedema
395(10)
9.1 Definition and Symptoms
396(1)
9.2 Pathophysiology and Pathology
397(1)
9.3 Complications and Combination with Other Diseases
398(1)
9.4 Prognosis
399(1)
9.5 Diagnosis and Differential Diagnosis
400(1)
9.6 Therapy
400(2)
9.7 "Cellulite"
402(1)
9.8 References
403(2)
10 Benign Symmmetrical Lipomatosis
405(1)
10.1 Definition
406(1)
10.2 Epidemiology
406(1)
10.3 Classification
406(1)
10.4 Symptoms, Diagnosis, and Differential Diagnosis
406(1)
10.5 Therapy
406(1)
11 Chronic Venous Insufficiency (CVI) and Insufficiency
406(17)
11.1 Phsyiology: Venous Hemodynamics of the Leg
409(1)
11.2 Pathophysiology: Venous Hemodynamics in Chronic Venous Insufficiency (CVI)
410(1)
11.2.1 Acute Deep Venous Thrombosis (DVT)
411(3)
11.3 Post-Thrombotic Syndrome (PIS) Treatment and Pathophysiologic and Clinical Stages
414(4)
11.4 Suprafascial
418(1)
11.5 Diagnosis and Differential Diagnosis of CVI
419(1)
11.6 Prevention
420(1)
11.7 Therapy
421(1)
11.7.1 Complete Decongestive Therapy (CDT)
421(1)
11.7.2 Drug Therepy
421(1)
11.8 Further Reading
422(1)
12 Generalized Edemas in Women
423(10)
12.1 Cyclic-Idiopathic/Idiopathic-Orthostatic, Idiopathic Edema Syndromes; Fluid Retention Syndrome
424(6)
12.1.1 Premenstrual Syndrome
425(1)
12.1.2 Edema Syndromes Independent of the Menstrual Cycle
426(2)
12.1.3 Generalized Edemas Caused by Abuse of Diuretics and, or Laxatives
428(1)
12.1.4 Combined Forms
428(1)
12.1.5 Diagnosis and Differential Diagnosis
428(1)
12.1.6 Therapy
429(1)
12.2 Physiological Edema During Pregnancy
430(1)
12.3 Further Reading
431(2)
13 Radiological Diagnostic Procedures in Edema of the Extremities
433(22)
13.1 Soft Tissue X-rays
434(4)
13.2 Cross-Section Imaging
438(3)
13.2.1 Computed Tomography
438(1)
13.2.2 Magnetic Resonance Imaging
438(1)
13.2.3 Ultrasound
438(3)
13.3 Radiological Diagnostics Using Contrast Media
441(5)
13.3.1 Direct Lymphography
441(2)
13.3.2 Indirect Lymphography
443(3)
13.4 Radiological Diagnostics Using Radioisotopes
446(6)
13.4.1 Imaging: Lymphscintigraphy
446(2)
13.4.2 Functional Diagnostics: Isotope Lymphography
448(4)
13.5 Respective Value of the Imaging Procedures
452(1)
13.6 Further reading
452(3)
14 Metastasis of Malignant Tumors
455(12)
14.1 Paths of Metastasis and Basic Principles of Metastasization
456(7)
14.2 Tumor Metastases in Lymph Nodes
463(1)
14.3 References
464(3)
15 Angiodysplasia
467(4)
16 Molecular Lymphology and Genetics of Lymphedema-Angiodysplasia Syndromes
471(24)
16.1 Abstract
472(1)
16.2 Glossary
472(1)
16.3 Introduction and Overview
472(1)
16.4 Molecular Lymphology, Lymphatic Genomics and Proteomics
473(1)
16.5 Lymphvasculogenesis/Lymphangiogenesis
474(3)
16.6 Lymphvascular Phenotyping
477(2)
16.7 Genetics and The Spectrum of Lymphedema-Angiodysplasia (LE-AD) Syndromes
479(4)
16.8 Lymphangiogenesis Genes
483(5)
16.9 Animal Models of Primary Lymphedema-Angiodysplasia Syndromes
488(1)
16.10 Frontiers of Ignorance in Molecular and Translational Lymphology
488(2)
16.11 Acknowledgments
490(1)
16.12 References
490(5)
Practical Section
17 Practical Instructions for Therapists-Manual Lymph Drainage
495(18)
17.1 Manual Lymph Drainage (MLD); Technique and Therapeutic Effect
496(1)
17.1.1 General Remarks
496(1)
17.1.2 The Four Basic Techniques of Manual Lymph Drainage
496(1)
17.2 Contraindications for Manual Lymph Drainage
497(1)
17.3 General Instructions for MLD Techniques and Sequences
497(1)
17.4 Treatment of the Cervical Lymph Nodes and Their Tributary Regions
498(4)
17.4.1 Treatment of the Neck and Shoulder Region
498(1)
17.4.2 Treatment of the Posterior Neck and Occiput
499(1)
17.4.3 Treatment of the Face
500(1)
17.4.4 Treatment of the Oral Cavity
501(1)
17.5 Treatment of the Axillary Lymph Nodes and Their Tributary Regions
502(3)
17.5.1 Treatment of the Chest (Upper Ventral Trunk Quadrant)
502(1)
17.5.2 Treatment of the Back (Upper Posterior Trunk Quadrant)
503(1)
17.5.3 Treatment of the Arm
504(1)
17.6 Treatment of the Lymph Trunks of the Thorax and Abdomen
505(2)
17.6.1 Treatment of the Abdomen (Deep Abdominal Drainage)
505(2)
17.6.2 Alternative Treatment Techniques for the Abdomen
507(1)
17.7 Treatment of the Inguinal Lymph Nodes and Their Tributary Regions
507(3)
17.7.1 Treatment of the Inguinal Lymph Nodes
507(1)
17.7.2 Treatment of the Abdominal Wall (Lower Anterior Trunk Quadrant)
508(1)
17.7.3 Treatment of the Lumbar and Gluteal Regions (Lower Posterior Trunk Quadrant)
508(1)
17.7.4 Treatment of the Leg
509(1)
17.8 Special Techniques used in MLD
510(3)
17.8.1 "Edema Techniques"
510(1)
17.8.2 Treatment of Lymphostatic Fibrosis ("Fibrose Tissue Techniques")
511(2)
18 Decongestive Kinesiotherapy, Respiratory Therapy, Physiotherapy and Other Physical Therapy Techniques
513(14)
18.1 Basic Principles
514(2)
18.2 General Remarks Regarding Decongestive Exercises-Practical Tips
516(1)
18.3 Functional Rehabilitation of Lymphedema Patients
517(2)
18.4 Treatment of Malignant Tumors Using Radiation Therapy and Implications for Lymphedema Therapy
519(6)
18.4.1 Acute Effects of Radiation
519(1)
18.4.2 Chronic Effects of Radiation
519(1)
18.4.3 Manual Lymph Drainage
520(1)
18.4.4 Treatment of Radiation-Induced Fibrosis
520(1)
18.4.5 Directions for Compression Therapy in the event of Radiation-Induced Plexopathy
521(1)
18.4.6 Functional Rehabilitation after Radiotherapy
521(4)
18.5 Additional Physical Therapy Techniques for Complex Decongestive Therapy (CDT)
525(1)
18.5.1 Use of Heat
525(1)
18.5.2 Cooling Treatments
525(1)
18.5.3 Hydrotherapy
525(1)
18.5.4 Electrotherapy
525(1)
18.5.5 Massage
525(1)
18.6 Further Reading
525(2)
19 Compression Therapy
527(62)
19.1 Basic Physical Principles
528(4)
19.1.1 Pressure
528(1)
19.1.2 Compression
528(1)
19.1.3 Types of Pressure
529(1)
19.1.4 Pressure Gradient
530(2)
19.1.5 Compression Force
532(1)
19.1.6 Extensibility/Elasticity
532(1)
19.1.7 Fatigue/Loss of Strength
532(1)
19.1.8 Wear Resistance
532(1)
19.2 Compression Therapy: Mode of Action
532(3)
19.3 Construction of Compression Bandages and Garments; Selection
535(10)
19.3.1 Compression Bandages
537(2)
19.3.2 Compression Stockings
539(6)
19.4 Instructions for Prescribing Compression Stockings
545(2)
19.4.1 Leg Stockings
545(1)
19.4.2 Compression Sleeves and Gloves
546(1)
19.4.3 Custom Designs
546(1)
19.4.4 The Prescription
546(1)
19.5 Taking Measurements for Medical Compression Garments
547(13)
19.5.1 Measuring for Medical Compression Stockings
547(4)
19.5.2 Measuring for Medical Compression Footwear (Toe caps)
551(2)
19.5.3 Measuring for Medical Compression Gloves
553(3)
19.5.4 Measuring for Medical Compression Sleeves
556(4)
19.5.5 When Should a New Compression Stocking Be Ordered?
560(1)
19.5.6 Tips for Putting on Stockings More Easily
560(1)
19.6 About Materials Used for Compression Bandages
560(4)
19.6.1 Cotton Tubular Bandages
560(2)
19.6.2 Padding Materials
562(1)
19.6.3 Bandages
562(1)
19.6.4 Fasteners
563(1)
19.6.5 Skin Care
563(1)
19.7 Material Quantities/Order List
564(1)
19.8 Practical Instructions for Therapists-General Requirements for Compression Bandages
564(3)
19.9 Compression Bandages: Specific Instructions and Contraindications
567(1)
19.10 Application of Compression Bandages to the Arm
567(7)
19.11 Practical Tips for Bandaging the Arms
574(2)
19.12 Application of Compression Bandages to the Legs
576(5)
19.13 Practical Tips for Bandaging the Legs
581(6)
19.14 Instructions for Self-Bandaging
587(1)
19.15 References
588(1)
20 Guidelines for the Application of MLD/CDT for Primary and Secondary Lymphedema and Other Selected Pathologies
589(50)
20.1 When should Complete Decongestive Therapy (CDT) Phase I Be Performed as Inpatient Therapy at a Specialty Clinic for Lymphology?
590(1)
20.2 Evaluation
590(14)
20.2.1 Edema-Related History
593(1)
20.2.2 Evaluation of the Edema
593(8)
20.2.3 Overview-Suspicious Findings in Various Body Regions
601(2)
20.2.4 Evaluation ("Body-Chart") and Treatment Sequence
603(1)
20.2.5 Edema History (Circumferential Measurement)
603(1)
20.2.6 Functional Evaluation
603(1)
20.2.7 Treatment Planning
604(1)
20.2.8 Treatment Goal Agreement
604(1)
20.3 Treatment of Secondary Arm, Breast and Trunk Lymphedema
604(9)
20.3.1 General Remarks
604(2)
20.3.2 Special Aspects of Physiotherapy Evaluation; Possible Complications
606(1)
20.3.3 MLD Treatment Sequence for Unilateral Secondary Arm Lymphedema after Removal of Axillary Lymph Nodes
606(2)
20.3.4 MLD Treatment Sequence for Bilateral Secondary Lymphedema of the Arm after Bilateral Removal of Axillary Lymph Nodes
608(1)
20.3.5 Examples of Remedial Decongestive Exercises for Arm Lymphedema
609(4)
20.3.6 Special Considerations for Functional Rehabilitation
613(1)
20.4 Treatment of Secondary Leg Lymphedema
613(9)
20.4.1 General Remarks
613(1)
20.4.2 Special Considerations for Physiotherapy Evaluation; Possible Complications
614(1)
20.4.3 MLD Treatment Sequence for Unilateral Secondary Leg Lymphedema after Removal of Iliac and/or Inguinal Lymph Nodes
615(1)
20.4.4 MLD Treatment Sequence for Bilateral, Secondary Leg Lymphedema Following Bilateral Removal of Iliac and/or Inguinal Lymph Nodes
616(2)
20.4.5 Examples of Decongestion Exercises in Leg Lymphedema
618(3)
20.4.6 Special Considerations for Functional Rehabilitation
621(1)
20.5 Treatment of Primary Leg Lymphedema
622(3)
20.5.1 General Remarks
622(1)
20.5.2 Special Considerations for Physiotherapy Evaluation; Possible Complications
622(1)
20.5.3 MLD-Treatment Sequence for Distal Primary Lymphedema
622(1)
20.5.4 MLD Treatment Sequence for Primary Leg Lymphedemas with Involvement of Thigh and Trunk Quadrant
623(1)
20.5.5 Unilateral Lymphedema
623(1)
20.5.6 MLD-Treatment Sequence for Bilateral Primary Leg Lymphedema and Involvement of Thigh and Trunk Quadrants
624(1)
20.5.7 Special Considerations for Functional Rehabilitation
625(1)
20.6 Treatment of Genital and Lower Abdominal Lymphedema
625(2)
20.6.1 General Remarks
625(1)
20.6.2 Special Considerations for Physiotherapy Evaluation; Complications
625(1)
20.6.3 MLD Sequence for Genital Lymphedema
626(1)
20.6.4 Special Considerations for Compression Therapy in Genital Lymphedema
626(1)
20.7 Treatment of Lipedema
627(3)
20.7.1 Special Considerations for Physiotherapy Evaluation; Complications
627(1)
20.7.2 MLD Treatment Sequence for Lipedema
627(1)
20.7.3 Respective MLD Treatment Sequences for Lipo-Lymphedema and Lympho-Lipedema
628(1)
20.7.4 Special Considerations for Compression Therapy in Lipedema
629(1)
20.7.5 Special Considerations for Functional Rehabilitation
629(1)
20.7.6 Additional Remarks
629(1)
20.8 Physiotherapy for Chronic Venous-Lymphatic Insufficiencies (CVLI)
630(3)
20.8.1 General Remarks
630(1)
20.8.2 Special Considerations for Physiotherapy Evaluation and Complications
630(1)
20.8.3 Treatment of Phlebo-Lymphodynamic Edema
630(1)
20.8.4 CDT in Phlebo-Lymphostatic Edema
631(1)
20.8.5 Treatment of Venous Ulcers
631(1)
20.8.6 Specific Directions for Functional Rehabilitation
632(1)
20.8.7 Suggestions for Other Treatments
632(1)
20.9 Treatment of Head and Neck Lymphedema
633(5)
20.9.1 General Remarks
633(1)
20.9.2 Physiotherapy Evaluation: Special Considerations; Complications
633(1)
20.9.3 MLD Treatment Sequence for Head and Neck Lymphedema Following Cervical Neck Dissection
634(3)
20.9.4 MLD Treatment Sequence for Primary Head & Neck Lymphedema
637(1)
20.9.5 Childhood Lymphostatic Encephalopathy Resulting from Chronic Inflammatory Processes in the Head and Neck Regions
637(1)
20.10 Cyclic Idiopathic Edema Syndrome (CIES)
638(1)
20.10.1 Special Considerations for Physiotherapy Evaluation; Complications
638(1)
20.10.2 MLD Treatment Sequence
638(1)
20.10.3 Compression Therapy
638(1)
Index 639(52)
Illustrations Credits 691

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