The current recommended treatment for chronic lymphedema is Combined Decongestive Therapy (CDT) which aims to improve lymph drainage through existing lymphatic vessels and to encourage collateral circulation. It can be subdivided into two treatment phases:
1) An edema reduction phase of approximately 1 month that involves specific massage techniques (manual lymphatic drainage) and application of non-elasticized bandages, for 5 days per week. Electric pneumatic compression machines may also be used in this stage of treatment.
2) A maintenance phase which is a life-long commitment to wearing a graduated pressure elastic garment during the day and to performing daily specific remedial exercises. Additional manual lymph drainage and bandaging can be performed as needed during the maintenance phase in those with more severe degrees of lymphedema.
Drug treatments are not effective for chronic Lymphedema. Therefore, research into physical treatments and methods of self-management are of primary importance in this chronic life-long condition.