Redesigning Lymphedema Treatment
EVRA Trial Clinical Highlight
The Early Venous Reflux Ablation (EVRA) trial was conducted to evaluate the role of early endovenous treatment of superficial venous reflux as an adjunct to compression therapy in patients with venous leg ulcers.
Lymphedema (LE) occurs when there is impairment to the lymphatic system, disrupting normal transport of fluid within the body. When the lymphatic system becomes overwhelmed, damaged, or blocked for an extended period of time, lasting swelling (referred to as chronic…
Fluid Dynamics Overview Handout
Many patients with chronic edema are not aware of the critical relationship between the lymphatic and vascular systems. This resource depicts this venolymphatic connection and we hope you find it useful in conversations with your patients.
CVI-related chronic swelling (phlebolymphedema) is often overlooked in clinical practice. But lymphatic overload of protein-rich fluid can compromise the local immune response, putting patients at risk of infection, creating a spiral of worsening complications.
Progressive Spiral of Lymphatic Dysfunction
Chronic swelling in CVI patients (phlebolymphedema) is sometimes overlooked in clinical practice due mainly to a lack of understanding of the available effective treatment options. But concurrently treating venous and lymphatic health is critical to mitigating a downward spiral of worsening complications, patient misery and related healthcare costs.
Treating Breast Cancer-Related Lymphedema
40% of breast cancer survivors acquire lymphedema (BCRL). They need effective at-home therapy to maintain gains from manual lymphatic drainage (MLD). Download this white paper on BCRL from Dr. Donald Buck II.
Venous Symposium 2018 Handout
True or false: All chronic edema indicates lymphedema, regardless of its primary cause. Not long ago, most vascular physicians might have answered “false.” While CVI causes hypertension and an increase in capillary filtration, it was long held that venous reabsorption played the central role in maintaining fluid balance (the Starling principle).
Revised Starling Principle
The veins and lymphatics form one interdependent fluid-balance system. For CVI patients, this veno-lymphatic connection means that a singular focus on repairing veins will not resolve chronic edema – the lymphatics must also be addressed.
Phlebolymphedema Disease Progression Handout
Skin changes in CVI patients tell an important story about what’s happening beneath the surface. This diagram’s near-infrared lymphatic images illustrate the lymphatic dysfunction that often accompanies CVI progression (Rasmussen et al. 2015).
Health and Economic Analysis Ad Handout
Use of at-home pneumatic compression devices (PCDs) in addition to conservative therapy has been shown to reduce CVI-related lymphedema (phlebolymphedema) and its costly and debilitating complications.
Health and Economic Analysis Clinical Highlight
Phlebolymphedema is a widespread, chronic and underdiagnosed disease associated with high MRU and cost. Flexitouch system use significantly reduces phlebolymphedema- and sequelae-related costs in comparison to CONS, SPCDs, and other APCDs.
“She Fought Cancer” Handout
Living with cancer-related lymphedema is tough. Exhausted from battling one disease, cancer survivors find themselves facing a painful and disabling new disease they barely knew existed. The Flexitouch® Plus system is clinically proven to stimulate the lymphatics, removing excess fluid and reducing edema. It’s also easy and comfortable to use at home.
Understanding and Managing Chronic Swelling
Edema, or swelling, occurs when an abnormal buildup of fluid occurs in the body. Mild, temporary edema can be caused by many factors, but lasting edema may be a sign of a more serious underlying medical condition. At Tactile Medical, we make it our mission to empower patients with tools to better care for their chronic conditions at home. Please download our Patient Guide to Understanding and Managing Chronic Swelling.
Chronic Edema: Not just a venous issue
Is chronic edema just a symptom of CVI? Evidence supports treating the lymphatics of patients with chronic swelling in parallel with treating their venous conditions.
10 Things I Want My Physician to Know about Lymphedema
As you know, lymphedema is a chronic disease without a cure. But you may not be fully aware of the devastating physical and emotional toll this painful, debilitating disease can take on your patients. This handout spells this out from the patient perspective. It was created by a group of patients who sometimes feel they are part of an “invisible population” suffering from a condition that robs them of the joy of living.
About Lymphedema Infographic
Although widespread in the U.S., fewer than 20% of those living with lymphedema are actually diagnosed. The disconnect may be a lack of understanding of lymphedema as it relates to other medical conditions, and/or practitioner perception that treatment is complicated, ineffective and time consuming. To help bridge this gap and drive improved outcomes for patients, it is imperative for practitioners to understand the early presentations of lymphedema as a secondary condition—commonly chronic venous insufficiency, cancer and its treatments or trauma. For patients presenting with pre-existing conditions such as diabetes or cancer, treatment of lymphedema is often overlooked as a priority. With more than 5 million Americans suffering with this progressive and incurable condition, it is essential to drive earlier diagnosis and treatment of the condition in order to prevent late-stage complications.
It’s estimated that more than 5 million Americans suffer from lymphedema. That’s more than muscular dystrophy, multiple sclerosis, Parkinson’s disease, and AIDS combined. Sadly, lymphedema often goes undiagnosed, and the patient journey toward effective treatment is…
Chronic Leg Swelling Due to Under-Recognized Pelvic Vascular Disorders
Chronic swelling conditions Chronic swelling conditions are far more widespread than clinicians may realize and, oftentimes, may present as symptoms of other systemic, vascular disorders. Renowned vascular specialist and pelvic pain expert, Dr. Vinay Satwah, shares…
Lymphatic Education & Research Network’s (LE&RN) 2017 Walk to Fight Lymphedema & Lymphatic Diseases
Edema, or swelling, occurs when an abnormal buildup of fluid occurs in the body. Mild, temporary edema can be caused by many factors, but lasting edema may be a sign of a more serious underlying medical condition. At Tactile Medical, we make it our mission to…