Management of Orthopedic Edemas

Presented by Linda T. Miller

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Following tissue injury or trauma, a normal physiologic response, including a transient localized edema, serves as a conduit for healing. This is a self-limiting response, and the development of chronic edema can impact further healing and function. The physiologic rationale of several edema management techniques will be discussed, including when it might be best to apply those techniques during the different phases of healing and presentations of edema.

Meet your instructor

Linda T. Miller

Linda T. Miller, PT, DPT, CLT, served as the founder and clinical director of the Breast Cancer Physical Therapy Center in the Philadelphia area for over 20 years. She has over 300 hours of training in lymphedema management and has been an international student of lymphedema, including training in the UK, Italy, Spain,…

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Chapters & learning objectives

Tissue Balance and Edema Formation Following Trauma

1. Tissue Balance and Edema Formation Following Trauma

Normal tissue fluid homeostasis and the acute response of the tissue to injury will be discussed. The impact of chronic inflammatory changes on structures of microcirculation if edema persists will also be described.

Overview of Edema Management Techniques

2. Overview of Edema Management Techniques

In order to best manage orthopedic edema, attention should be paid to both the fluid component and the protein component of the total edema volume. The physiologic rationale of various treatment techniques will be introduced, and their impact on various components of tissue physiology will be discussed. Special attention will be given to manual edema resorption techniques.

Evaluation of Orthopedic Edemas:  Impact on Treatment Choices

3. Evaluation of Orthopedic Edemas: Impact on Treatment Choices

Components of an orthopedic edema assessment will be described. Considering the time since injury and how the injured area presents, including the amount of edema and type of tissue texture changes, contribute to the effective timing of treatment choices.