© Mandurah Oedema Clinic 2021
CDT is a combination of treatment approaches
including manual lymph drainage, bandaging,
compression garments, exercise and self care.
Many studies have demonstrated the
effectiveness of CDT for improving lymphedema
symptoms such as swelling and pain.
Complex Decongestive Therapy (CDT) is
considered the gold standard of treatment for
lymphedema that has progressed beyond stage 1
— meaning there is visible swelling without
pitting (a temporary indentation forms on the
skin when pressed) and there may be evidence of
fibrosis (scarring of soft tissue). The aim is to an
intensive phase to bring oedema under control
and then work to maintain those results.
Phase I CDT is all about getting the extra lymph
out of the arm, hand, or other part of the upper
body to reduce visible swelling and other
symptoms of lymphedema. This phase typically
involves a number of treatments including
Manual Lymph Drainage, compression bandaging
and exercise. The therapist will show you how to
apply the bandages on your own so that you can
remove them for showering & bathing.
Phase II CDT is about maintaining the results of
the initial intensive phase on your own. This
phase includes getting fitted for compression
sleeves and garments to control oedema then
learning how to put them on correctly & care for
them. Our therapists will work with you to create
a long term plan to help you maintain control
over oedema, every person is a little bit different:
Over time, you’ll get to know how your body
responds in certain situations and be able to take
action accordingly. Just be sure to check with your
lymphedema therapist before making any
changes in your treatment plan.
You can find further information on reducing the
risk of lymphoedema & lymphoedema flare ups
on the Breastcancer.org website
Complex Decongestive
Therapy (CDT)