mcorreamd

Archive for the ‘Manual Therapy’ Category

Margarita Correa MD – Lymphedema/Lipedema Physician

In Cancer, Cancer Rehabilitation, doctor, Doctors, Health, Healthcare, Lipedema, lipolymphedema, Lympdedema Research, Lymphedema, Lymphedema Advances, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Lymphologist, Lymphology, Manual Therapy, Medical, Obesity, Physiatrist, Physical Medicine and Rehabilitation, Research on July 27, 2012 at 1:02 am

Lymphedema Research Institute

Margarita Correa MD – Lymphedema/Lipedema Physician

Axillary Vein Thrombosis (AVT) and Breast Cancer

In Cancer Rehabilitation, doctor, Doctors, FL, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Medical, Physiatrist, Physical Medicine and Rehabilitation on March 11, 2012 at 8:40 pm

Axillary vein thrombosis (AVT) in patients with breast cancer and arm lymphedema is often overlook probably because the clinician does not suspect this condition exists.
Cases reported in the medical literature ranges as an initial manifestation of an inflammatory breast cancer, after axillary lymph nodes dissection and after radiotherapy.
One of the issues with AVT is that can present insidiously, making more difficult to be diagnosed.
In my clinical experience, I suspect this condition may be present when you have a rapid onset arm lymphedema, arm lymphedema that has been stable and worsen without any obvious triggering factors; or even an arm lymphedema that is responding very slowly to treatment with or without associated pain.
Early diagnosis and treatment is extremely important because adequate management improves prognosis and response to treatment.
Diagnosis is made with a venous ultrasound doppler of the upper extremities. On physical examination an axillary cord can be visible and/or engorgement of proximal – chest superficial veins.
I have seen patients not only with AVT, but thrombus extending to the subclavian vein and distally to the basilic vein.
Anticoagulation with low-molecular-weight heparin and warfarin as per lower limb deep venous thrombosis (DVT) is the mainstay of management. Sufficient analgesia should be prescribed. Elevation of the arm can help.
Questioning about when to start MLD/CDT? Based on my clinical experience, if pain is present should be subsiding as well as some of the edema, anticoagulation levels should be achieved and confirmed by two consecutive PT(prothrombin time)/INR(international normalized ratio) between 2 – 3. Use of pneumatic compression devices are contraindicated.
References:
Ann R Coll Surg Engl. 2012 Mar;94(2):55-6
Clin Radiol.1987 Jan;38(1):95-6.
Expert Rev Anticancer Ther. 2006 Nov;6(11):1629-38.
Author: Margarita Correa MD
http://www.lymphedemaphysmedi.com

Lymphedema —an overview on Orlando Medical News

In Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical on September 18, 2011 at 2:27 am

 

 

 

 

 

Lymphedema —an overview on Orlando Medical News.

Margarita Correa MD Google Map Orlando Office

In Alternative Medicine, Bowel & Bladder Dysfunction, Cancer Rehabilitation, doctor, Electromyography, EMG & NCS, FL, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical, Nerve Conduction Studies, Pain Medicine, Pediatric Physical Medicine and Rehabilitation, Pediatric Rehabilitation Medicine, Pediatric Therapy, Physiatrist, Physical Medicine and Rehabilitation on June 19, 2011 at 1:47 pm

Margarita Correa MD.

2902 N Orange Ave, Suite 205, Orlando, FL 32804

Phone (407) 237-0069 ‎

Fax (352) 404-6960

http://www.physmedi.com

http://www.lymphedemaphysmedi.com

http://www.lymphdoc.com

http://www.pedrehabphysmedi.com

 

Lymphedema Therapy in Orlando FL « Mcorreamd’s Blog

In Alternative Medicine, Cancer Rehabilitation, doctor, FL, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical on June 16, 2011 at 3:23 am

Lymphedema Therapy in Orlando FL « Mcorreamd’s Blog.

Lymphedema Therapy in Orlando FL

In Alternative Medicine, Cancer Rehabilitation, doctor, FL, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical on June 16, 2011 at 3:07 am

Lymphedema Therapy in Orlando, FL

Treatment for lymphedema varies depending on the severity of the edema and the degree of fibrosis of the affected limb. Most people with lymphedema follow a daily regimen of treatment as suggested by their physician and certified lymphedema therapist.

The most common treatments for lymphedema are a combination of the use of manual lymphatic drainage, compression bandaging and garment and intermittent sequential gradient pumps. Complex decongestive physiotherapy is a system of manual lymphatic drainage massage, application of multi-layer compression bandages, exercises, skin care and patient education.

Office location:

2902 N Orange Ave.

Suite 205

Phone (407) 237-0069

Fax (352) 404-6960

http://www.lymphedemaphysmedi.com

http://www.lymphdoc.com

Lymphedema Therapy in Clermont FL

In Cancer Rehabilitation, doctor, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical on June 16, 2011 at 2:57 am

Lymphedema Therapy in Clermont, FL

Treatment for lymphedema varies depending on the severity of the edema and the degree of fibrosis of the affected limb. Most people with lymphedema follow a daily regimen of treatment as suggested by their physician and certified lymphedema therapist.

The most common treatments for lymphedema are a combination of the use of manual lymphatic drainage, compression bandaging and garment and intermittent sequential gradient pumps. Complex decongestive physiotherapy is a system of manual lymphatic drainage massage, application of multi-layer compression bandages, exercises, skin care and patient education.

Office location:

1715 E Hwy 50 Bldg 3, Ste A

Clermont, FL 34711

Phone (352) 404-6959

Fax (352) 404-6960

http://www.lymphedemaphysmedi.com

http://www.lymphdoc.com

Lymphedema Doctor Appointment Request Form Now Available!

In Alternative Medicine, Cancer Rehabilitation, doctor, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical, Physiatrist, Physical Medicine and Rehabilitation on April 26, 2011 at 3:11 am

http://www.lymphedemaphysmedi.com

http://www.lymphdoc.com

Appointment request form now available!

Homepage of Margarita Correa MD

In Alternative Medicine, Cancer Rehabilitation, doctor, Health, Lymphedema, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical, Physiatrist, Physical Medicine and Rehabilitation on April 24, 2011 at 10:56 pm

Homepage of Margarita Correa MD.
Make an appointment form now available, is easy!

Lymphedema Doctor in Florida – Margarita Correa MD

In Cancer Rehabilitation, doctor, Health, Lymphedema, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical, Physiatrist, Physical Medicine and Rehabilitation on April 22, 2011 at 2:31 pm

About Margarita Correa MD

Medical School: University of Puerto Rico School of Medicine, Medical Sciences Campus, 1980           

Residency: Physical Medicine and Rehabilitation, University of Puerto Rico School of Medicine, 1984

Margarita Correa MD is certified by the American Board of Physical Medicine and Rehabilitation, ABPMR Pain Medicine and ABPMR Pediatric Rehabilitation Medicine.

Former Professor of the Physical Medicine, Rehabilitation and Sports Health Department, University of Puerto Rico School of Medicine, San Juan, P.R. from 1984 to 2008.

Dr. Correa did her Lymphedema training with Coast to Coast School of Lymphedema Management, Leduc Lymphedema Management Method; basic – 2002, advanced – 2004 & 2005 and refreshment – 2010 courses. Dr. Correa is practicing Lymphedema diagnosis and management since 2002 to present.

Dr. Correa has dictated Lymphedema conferences at the University of Puerto Rico School of Medicine, Physical Medicine and Rehabilitation Residency Program for several years to residents in training and in forums in the US.

Dr. Correa established the first comprehensive lymphedema program for adults and pediatrics in San Juan, Puerto Rico private practice at Centro Fisiatrico Americo Miranda Inc (2003 – 2007) NLN sponsor diagnostic and treatment center and relocated to Florida in 2008.

Dr. Correa is fellow of the American Academy of Physical Medicine and Rehabilitation, member of the International Society of Lymphology and National Lymphedema Network.

Dr. Correa is fluent in both English and Spanish.

Manual Lymph Drainage

Office Location #1:

1715 East Hwy 50 Bldg 3

Suite A

Clermont, FL 34711

Office Location #2:

2902 N Orange Ave

Suite 205

Orlando, FL 32804

Phone (352) 404-6959

Fax (352) 404-6960

http://www.lymphedemaphysmedi.com

http://www.lymphdoc.com