anyone treat LD with Graston Technique?
hi ladies...am wondering if anyone treats their LD with Graston Technique. My plastic surgeon recommends a local chiropractor who also does this. I tried an LD therapist last year who fitted me with a sleeve, but the sleeve worsened things. She was then fired, and the whole damn hassle soured me on the practice, so I've been out of treatment. My arm was relatively fine until recently --actually, since my preventive MX on the other side-- and now swells all the time.
sorry for the longwinded narrative...
janyce
Comments
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I think you mean LE, right? Lymphadema? What is the Graston Technique? Do you do your own lymphatic draining? Have you been taught that? You can improve your LE quite a bit with daily drainage maneuvers.
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Jancye, unfortunately, there a plenty of not great therapists out there, and with pressure from insurance companies, it only seems to get worse.
Good LE therapy works. It often takes a few attempts to find a good person.
It's a weird situation where PT/OT's manage a chronic disease--that's not really their treatment model.
Here are some links:
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
http://www.stepup-speakout.org/treatments_for_lymphedema.htm
Also, the National Lymphedema Network has a position paper on the treatment of lymphedema, and you should review it with any therapist you got to:
http://www.lymphnet.org/lymphedemaFAQs/positionPapers.htm
It's really easy to get fed up with LE, and dealing with therapists, but unfortunately, it's not just swelling, when the lymphatic fluid stays in the tissues it causes inflammation and fibrosis and can make things so much harder to treat.
We all want quick fixes, and we've all toyed with alternative therapy, but I've never heard of a chiropractic technique that works for LE (and I've gone to chiropracters.)
Let us know how we can help.
Kira
if you pm Onebadboob--she lives in CT and knows good therapists, closer in to NYC.
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Just read what the Graston technique is--it's a way of grasping the skin and mobilizing it--I sure wouldn't advise it for lymphedema as the lymphatics are really delicate and in the skin
http://www.grastontechnique.com/
Kira
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thanks for the info, kira. i will pm onebadboob. (love that screen name!)
barbe - i went to a lymphedema therapist last year; she didn't get to teach me drainage techniques before she quit (umm, fired, likely).....
it's funny - i went for a brisk, long walk with the dog, did a bunch of weights and squats, and now my arm feels normal now! it's immediately upon rising that it swells.
thanks again, gals. will keep you posted.
hugs
j
ps: happy birthday, barbe!! hope you are celebrating wonderfully......
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Janyce I can identify with your last post, I find my arm feels a lot less swelled after I exercise, I think it's that the deep breathing improves central lymph return so anything that has me getting breathless will help. I don't do anything energetic with my arms at all yet (beyond what's necessary for balance) certainly not progressed to weights or anything like that! The swimming that I tried early on was too much for my arms at that stage, I might try again come summertime.
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I've had the Graston Technique done by a lymphedema O/T. Did wonders for the pulling I had in my ribs with no additional swelling. The procedure is not pain free and I understand it is controversial.
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kira, tx again for the links! i found local Ltherapists @ Yale, which is 10 minutes from my house (i actually go to another hospital 30minutes away for my onc; can't stand teaching hospitals, but willing to do this there).
my arm is feeling puffy as we speak..felt great after yoga, though..nothing like a good vinyasa to move it all around!
considering purchasing a rebounder- thoughts?
j
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Elmcity69,
So sorry to write this response so late, but I wanted to share my very positive experience with Graston.
About my lymphedema--I developed lymphedema after my failed flap surgery in 2011. I spent oodles of time and money on massage and garments and compression pumps. My right leg resolved, but my left leg and left arm never resolved. My left foot and ankle were most acutely affected, followed by my abdomen and left arm. The failed flap was a TUG flap, so there was alot of scar tissue and huge adhesions in my groin area, as well as a huge amount of scar adhesions on my left chest wall and left leg, due to the open wounds and wound vac which I had for 5 months. I was unable to exercise due to the pain in my legs. When I went to a lymphedema physician, they explained the entire protocol, put me on a pump and taping and hose and massage. He told me that they now know via imaging that lymph can make it through scar tissue, albeit slowly. To me, that meant that I needed to break down the scar tissue to make it easier. But how to do that was the issue. I had so much scar tissue and I was constantly fighting it to help move the lymph. I tried everything, including bouncing and inversion.
In 2014, I interviewed for a job at a company that focused on soft tissue management. When doing the competitive research, I discovered Graston Technique. I was most concerned with my scar tissue pain and identified a clinician (a chiropractor) using the website grastontechnique.com.
After one month of treatment, all of my adhesions are hugely improved and softened, sensations are back in my legs and chest, and swelling is greatly reduced. I am exercising heavily and I now have a normal gait with no pain. I no longer have the feeling of being stung by bees where I was swelling. I now have very minor swelling in my left ankle and left arm (maybe by about 1/2 an inch), and the trunk swelling is totally gone. I do not need compression hose anymore except when travelling and standing for long periods.
Graston people have these special tools which they use to break up the scar tissue. They gently rub the tools over areas where there are inflamed tendons or scar adhesions, and a special lubricant is on your skin so that it rarely hurts--feels more like a gentle massage. The quality of the skin and scars is much softer and more natural. She even works on my fibrous tissue on my ankle and it also is helping. At its worst, my left ankle was swollen by an extra 5 inches. My abdomen at its worst looked like I was 8 months pregant.
It worked for me and I'm amazed by the results. However, I will say that my lymphedema was due to massive trauma and scar adhesions. I only had one sentinel node biopsy on the left arm, which caused my upper arm to swell only slightly.
Here is one other paper on lymphedema and GT: http://www.grastontechnique.com/file/sites%7C*%7C...
There is probably more info out there if you google it. I recommend this for people with LD if they have a lot of scar tissue.
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