Laser a Therapeutic Intervention for Controlling Lymphoedema Lynette

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Laser – a Therapeutic Intervention for Controlling Lymphoedema Lynette E. Barnet Private Practitioner Sydney,

Laser – a Therapeutic Intervention for Controlling Lymphoedema Lynette E. Barnet Private Practitioner Sydney, Australia 1 Prepared by: Lynette E. Barnet

Treatment of Lymphoedema: l Gathering information Client history l Correct diagnosis l Explanation of

Treatment of Lymphoedema: l Gathering information Client history l Correct diagnosis l Explanation of Treatment l Important information on condition l Necessity of Compliance 2 Prepared by: Lynette E. Barnet

Case History # 1 - details l Female l 76 yrs old l Breast

Case History # 1 - details l Female l 76 yrs old l Breast cancer diagnosed May 01 l Bilateral mastectomy, removal 14 nodes (R), 2 (L) chemotherapy, radiation to R chest & axilla 3 Prepared by: Lynette E. Barnet

Case Study #1 – First Visit Nov 01 Presented with lymphoedema in both arms

Case Study #1 – First Visit Nov 01 Presented with lymphoedema in both arms l Large pouches under both arms – larger on Right l Sensitive raised scarring on chest l Distended abdomen l Lacking nutrition l 4 Prepared by: Lynette E. Barnet

Case Study #1 – Initial Treatment l l 5 LTU. 904 to both axillas

Case Study #1 – Initial Treatment l l 5 LTU. 904 to both axillas and scars Vodder MLD to neck, abdomen, inguinal area to clear lymph pathways Vodder MLD (lymphoedema technique) to both arms, chest above and below scars and down back to below waist. Advised client re compression garment – not interested Prepared by: Lynette E. Barnet

Case Study #1 – continuing Treatment l l 6 Same treatment plan twice weekly

Case Study #1 – continuing Treatment l l 6 Same treatment plan twice weekly for 2 wks Reduced visits to weekly for 4 weeks Change to fortnightly visits Reduction continued with regular visits; now maintained with LTU. 904 + occasional Vodder lymphoedema treatment. Prepared by: Lynette E. Barnet

Case Study #1 – Rationale in Treatment using LTU. 904 l l l 7

Case Study #1 – Rationale in Treatment using LTU. 904 l l l 7 Reduction in oedema Softening of congested areas Muscle relaxation & cording control Pain reduction On-going effect Prepared by: Lynette E. Barnet

Case Study #1 – Method of use of LTU. 904 8 l 40 seconds

Case Study #1 – Method of use of LTU. 904 8 l 40 seconds per spot (max 1 min) l Use of probe shield l Treatment time – approx. 25 minutes. Prepared by: Lynette E. Barnet

Case Study #1 – Treatment Protocol l l 9 Vodder short neck and inguinal

Case Study #1 – Treatment Protocol l l 9 Vodder short neck and inguinal technique LTU. 904 x 8 positions in both axillas LTU. 904 to scar areas LTU. 904 to area of cording RH side LTU. 904 to beside Sternum (L & R) 1052 Prepared by: Lynette E. Barnet

Case Study #1 – Before and After Before 10 + 35 min, post tx

Case Study #1 – Before and After Before 10 + 35 min, post tx Prepared by: Lynette E. Barnet

Case Study #1 – Before and After Before 11 + 35 min, post tx

Case Study #1 – Before and After Before 11 + 35 min, post tx Prepared by: Lynette E. Barnet

Case Study # 1 –Before and After Before 12 + 35 min, post tx

Case Study # 1 –Before and After Before 12 + 35 min, post tx Prepared by: Lynette E. Barnet

Case Study # 1 – Before and After 13 Before + 35 min, post

Case Study # 1 – Before and After 13 Before + 35 min, post tx Prepared by: Lynette E. Barnet

Lymphoedema and Laser LTU. 904 l l l 14 Proved effective Safe to use

Lymphoedema and Laser LTU. 904 l l l 14 Proved effective Safe to use for both patient and therapist Time effective Portability Useful for wound healing, arthritis, muscle, tendon, ligament damage, migraine, TMJ, keloid scarring, etc. Prepared by: Lynette E. Barnet

Laser – a Therapeutic Intervention for Controlling Lymphoedema Mahalo. aangel@riancorp. com Riancorp Pty Ltd

Laser – a Therapeutic Intervention for Controlling Lymphoedema Mahalo. [email protected] com Riancorp Pty Ltd PO Box 177 Marleston South Australia 5033 Tel 08 8232 8822 Fax 08 8232 8833 Mobile 0412 848 127 15 Prepared by: Lynette E. Barnet