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