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Table 2 Two phases of lymphedema management

From: Primary lymphedema French National Diagnosis and Care Protocol (PNDS; Protocole National de Diagnostic et de Soins)

Phase 1: intensive phase (volume reduction)

Phase 2: maintenance phase (volume stabilization)

Low-stretch bandages, 24 h/24 h, for 5 days to 3 weeks

Elastic compression, during the day (every day, from morning to evening)

Exercises while wearing the bandages

Low-stretch bandages overnight (3 nights/week)

Manual lymphatic drainage

Exercises while wearing the bandages

Skin care

Skin care

 

Manuel lymphatic drainage, if necessary