Editorial Letter:
Any questions?
As a physician (and the parent of three teenagers and a tween), I ask a lot of questions. And I’m encouraged when patients (and my kids) ask me questions in return!
When a patient asks a question, it is an opportunity to educate and clear up misconceptions. It also helps me to better understand the bigger picture of their health and what their goals are for treatment. In this issue of Vein Health News, we share many of the typical questions that patients ask about their legs – or maybe don’t know to ask. Answering these questions can cast light on a diagnosis and, hopefully, lead to treatment and resolution.
Our second feature article explores the topic of lymphedema and swelling. There are many reasons for lymphatic overload, including venous insufficiency, but I want to focus on treatment. There is no cure for lymphedema, but the earlier you can diagnose it, the easier it is to manage the swelling and help patients live comfortably with the condition.
Certified Lymphedema Therapists (CLT) are trained to perform Complete Decongestive Therapy (CDT), a program that combines different treatment modalities, such as bandaging, compression garments, manual lymphatic drainage, skin care, education, and exercise. Physical therapists and occupational therapists are among the most common CLTs, though many other medical fields can be accepted for training, including registered nurses, doctors, chiropractors, nurse practitioners, and physician assistants.
Currently, medical centers dedicated to lymphedema treatment are often limited to serving oncological patients. As we learn more about the prevalence of the condition, however, I envision a time when many more offices and clinics open to help people suffering from lymphedema, whatever the cause. When swelling is reduced, then all other treatment becomes more possible.
Have you encountered patients with swelling? Is it lymphatic or venous in nature? Or both? So many questions! If you have any questions for me, please contact me. I look forward to it.
Cindy Asbjornsen, DO, FAVLS
Certified by the American Board of Venous & Lymphatic Medicine