The counselling of patients with lymphedema or lymphatic drainage disorders is extensive and is often shifted from the physicians to the ML therapists due to lack of time. The latter informs about physical therapy and the time-consuming MLD. Patients should not be left alone with “don’t do’s”. Better is “positive” counselling on how to deal with the restrictions. A light white shirt or a blouse may be worn to avoid sunburn and overheating. The affected body quadrant may be covered with a white towel when sunbathing. If erysipelas is already known, even with minor injuries in the kitchen and garden, a prophylactic single dose of phenoxymethylpenicillin or clarithromycin should be administered to avoid a recurrence. The external application of antibiotic-containing ointments is probably useless, as the active ingredient hardly reaches the pathogens under the cutis. In the case of insect bites, the additional use of antihistamine-containing externals can be helpful. In case of tick bites, a doctor should be consulted to check the additional risks regarding Lyme disease or tick-borne encephalitis (TBE). In case of lymphedema risk, blood sampling or blood pressure measurements can be performed on the endangered extremity according to the usual rules of medical art. Lymphoedema is not triggered by these manipulations alone, let alone the fact that RR measurement worsens lymphoedema or blood sampling causes erysipelas in the case of manifest lymphoedema.

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Counselling for Patients on Everyday Life, Sports and Physiotherapy for Concomitant Illnesses

  • Helmut Rogge,
  • Eric Breuer

摘要

The counselling of patients with lymphedema or lymphatic drainage disorders is extensive and is often shifted from the physicians to the ML therapists due to lack of time. The latter informs about physical therapy and the time-consuming MLD. Patients should not be left alone with “don’t do’s”. Better is “positive” counselling on how to deal with the restrictions. A light white shirt or a blouse may be worn to avoid sunburn and overheating. The affected body quadrant may be covered with a white towel when sunbathing. If erysipelas is already known, even with minor injuries in the kitchen and garden, a prophylactic single dose of phenoxymethylpenicillin or clarithromycin should be administered to avoid a recurrence. The external application of antibiotic-containing ointments is probably useless, as the active ingredient hardly reaches the pathogens under the cutis. In the case of insect bites, the additional use of antihistamine-containing externals can be helpful. In case of tick bites, a doctor should be consulted to check the additional risks regarding Lyme disease or tick-borne encephalitis (TBE). In case of lymphedema risk, blood sampling or blood pressure measurements can be performed on the endangered extremity according to the usual rules of medical art. Lymphoedema is not triggered by these manipulations alone, let alone the fact that RR measurement worsens lymphoedema or blood sampling causes erysipelas in the case of manifest lymphoedema.