Melody Brown, an experienced occupational therapist with over 20 years in the field of lymphedema and vascular conditions, recently shared her journey and initial impressions of the LymphaTouch Pro device. Having worked extensively with lymphedema, vascular conditions, and lipedema, Melody’s insights provide a valuable perspective on the integration of this innovative technology into clinical practice. She began using the LymphaTouch Pro device after trialing it at the ALA conference. The device was purchased to explore its potential as an adjunct tool in her practice, particularly for treating lymphedema, general edema, fibrosis, and scar management.

Three detailed cases were presented on the webinar, highlighting the versatility and effectiveness of the LymphaTouch Pro device in treating various conditions. This article presents the cases that Melody showed.

Case 1: Post-Total Knee Replacement

A man with a history of bilateral lower limb lymphedema underwent a total knee replacement on his right leg. Post-surgery, significant tethering at the distal end of the scar near the patella was experienced, restricting his range of motion. The LymphaTouch Pro device was used to address this issue. Initially, the inguinal nodes were cleared manually, a step that can also be performed with the device.

The LymphaTouch Pro was then used:

  • 50 mm cup size to work along the scar and around patella
  • a lift and twist motion was used to mobilize the scar tissue

After just one treatment session, a notable increase in knee flexion and scar mobility was achieved. The pulsation mode of the device was particularly effective in breaking up adhesions, and the low vibration setting helped penetrate deeper tissues. Full knee flexion and improved scar flexibility were reported by the patient (POSAS questionnaire).

Case 2: Breast Cancer Survivor

A woman who had undergone multiple surgeries for breast cancer, including a mastectomy and implant removal, suffered from chest wall lymphedema, pain, and reduced range of motion due to adhesions and cording.

The LymphaTouch Pro was incorporated into her treatment plan, focusing on areas of adhesion and cording. Using the device’s pulse mode, suction and release techniques were applied over the areas of adhesion and cording, combined with manual lymphatic drainage (MLD) and node clearance.

Significant improvements in range of motion were reported, not only in her shoulder but also through her torso and hip, as the cording extended in both directions. The low vibration setting was well-tolerated and helped reduce pain and discomfort. Over time, the patient was able to extend the intervals between treatments and eventually experienced no discomfort, maintaining free movement and a lymphedema-free right arm.

Case 3: Secondary Lymphedema from Metastatic Melanoma

A man with secondary lymphedema of the right leg following an inguinal node dissection due to metastatic melanoma experienced significant swelling without any apparent cause. Traditional treatments, including intensive bandaging, were ineffective against the dense and resistant lymphedema.

The LymphaTouch Pro was introduced, using continuous pressure at 130 mmHg with a sliding technique. Remarkable reductions in leg circumference and tissue density were observed after just 15-20 minutes of treatment. Less heaviness in the leg was reported by the patient. The device’s ability to apply high pressure and continuous suction helped soften the dense fibrotic tissue, making subsequent manual treatments more effective. The addition of the LymphaTouch Pro to the patient’s existing high-pressure garments and other lymphedema management tools was found to be significantly beneficial.

Patient with lower leg lymphedema in the ankle

Before treatment

After treatment

Practical Tips and Observations

Throughout her presentation, practical tips for using the LymphaTouch Pro device effectively were shared by Melody:

  • Cream Application: Using a suitable cream, such as Epiderm, helps reduce friction and improve the device’s suction and sliding capabilities.
  • Adjusting Techniques: Different techniques, such as continuous pressure, pulsation, and lift and twist, can be tailored to the patient’s specific needs and treatment goals.
  • Patient Comfort: Monitoring skin integrity and adjusting pressure settings are crucial to ensure patient comfort and avoid adverse effects.

Conclusion

The importance of integrating the LymphaTouch Pro as an adjunct tool rather than a replacement for traditional methods. The device has proven to be a valuable addition to clinical practice, offering new possibilities for managing lymphedema, scar tissue, and other related conditions.

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