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Posts Tagged ‘edema’

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

Lymphedema Research Institute @ lymphdoc.com

In doctor, Doctors, FL, Health, Healthcare, Lympdedema Research, Lymphedema, Lymphedema Advances, Lymphedema Clinic, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Lymphologist, Lymphology, Manual Lymph Drainage, Medical, Physiatrist, Physical Medicine and Rehabilitation, Research on July 22, 2012 at 12:57 pm

Lymphedema Research Institute @ lymphdoc.com.

Lymphedema Research Institute

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

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

 

Cancer Rehabilitation Program – products and services from Physical Medicine Institute @ Winter Park

In Bowel & Bladder Dysfunction, Cancer Rehabilitation, Electromyography, EMG & NCS, Health, Lymphedema, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Medical, Nerve Conduction Studies, Pain Medicine, Physiatrist, Physical Medicine and Rehabilitation on February 5, 2011 at 5:43 pm

Cancer Rehabilitation Program – products and services from Physical Medicine Institute @ Winter Park.

Margarita Correa MD – Orlando, FL (Florida) | (352) 404-6959

In Cancer Rehabilitation, Electromyography, EMG & NCS, Health, Lymphedema, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Medical, Nerve Conduction Studies, Pain Medicine, Physiatrist, Physical Medicine and Rehabilitation on February 5, 2011 at 1:10 am

Margarita Correa MD – Orlando, FL (Florida) | (352) 404-6959.

New office open on April 15, 2011 – Margarita Correa MD – Phys Med Inst @ Winter Park 2902 North Orange Ave Ste 205 Orlando, FL, 32804

In Alternative Medicine, Bowel & Bladder Dysfunction, Cancer Rehabilitation, Electromyography, EMG & NCS, Health, Lymphedema, Lymphedema Doctor, Lymphedema Physician, Lymphedema Rehabilitation, Lymphedema Therapy, Lymphedema Treatment, Manual Lymph Drainage, Manual Therapy, Massage, Medical, Nerve Conduction Studies, Pediatric Physical Medicine and Rehabilitation, Pediatric Rehabilitation Medicine, Physiatrist, Physical Medicine and Rehabilitation on January 23, 2011 at 1:24 am

Physmedi @ Winter Park - Under Construction