Integrative Treatment for all Types of Lymphoedema

Lymphoedema

In India Lymphoedema is most commonly is caused by Lymphatic Filariasis. Filariasis is an infection caused by a mosquito: an infected mosquito bites a human and deposits microscopic larvae (microfilaria) into the skin. The larvae migrate to the nearest lymph vessel in the unsuspecting human, and then on to the bigger lymph vessels close to the lymph glands where they mature into adult worms. They mate and form worm nests, which physically block the flow of lymph within the vessel, and so lymphoedema starts. Not all people infected with lymphatic Filariasis develop lymphoedema, but when they do the swelling can be so severe, and the skin changes so marked, it is called ‘elephantiasis’. People are only affected by Filariasis in regions with infected mosquitoes and that means a tropical country. Arguably India has more cases of lymphoedema than any other country on the planet because of the high numbers of cases of lymphatic filariasis. As well as swelling, the disease also causes frequent fevers as the body fights the worm infection. Eventually the fevers cease, when the worms die, but by then the lymph system has likely been permanently damaged. Then the fevers might start again but this time due to bacterial infection. This is now just the same as with any form of lymphoedema, where the sufferer develops recurrent bouts of bacterial infection, equivalent to cellulitis but called acute dermatolymphangio adenitis or ADLA. With each episode of infection the swelling gets worse, often reaching gigantic proportions.

There are different approaches to treat the condition and patients can avail the best lymphoedema treatment in India at IAD. There are other caused for lymphoedema. All types of Lymphoedema are treated at IAD

Fig1: Classification of Lymphoedema based on the aetiology (cause )

Integrative treatment approach of chronic dermatological cases at our institute
The schematic diagram gives an overview of how integrated treatment is provided in IAD

Fig2: Integrative treatment approach of chronic dermatological cases at our institute

IAD also provides treatment for

  • Lymphedema of any cause, Vitiligo, Lichen Planus, Psoriasis, Chronic wound

Flow of integrative treatment for Lymphoedema

  • Starts with a secession of counseling
  • Examination bydoctors and fixing the protocol
  • Routine Blood and Urine Investigations, Photo Documentation, Volume Measurement, Girth Measurement-done to monitor the treatment outcomes
  • 7,10,14,21,28 days  treatment cum training protocols depending up on the disease and  associated complications
  • Out-patient care-daily treatment lasts for 2 to 3 hours  in our day care centre
  • Treatment empowerment-training of at least one member of the family on self care
  • Patient follow up after 30, 60 and 90 days of discharge
  • Domiciliary treatment under IAD supervision with advise on long term home based self care
  • The treatment components and duration may get simplified depending on the improvement of the affected limb

Flow of integrative treatment for chronic dermatological cases

  • Starts with a secession of counseling
  • Examination bydoctors and fixing the protocol
  • Blood and Urine Investigations, Photo Documentation, investigations for adverse drug reactions,  are done to monitor the treatment outcomes.
  • Out-patient care on the day of visit- takes around half a day in our day care centre
  • Patient follow up schedule varies between 1 to 3 months intervals after the first consultation