3.2. LYMPH DISTRIBUTION MASSAGE

ymphatic drainage massage, although its effectiveness has not yet been proven, is important in the treatment of lymphedema as it has a positive effect on the patient's psychology. It is a gentle massage technique that aims to facilitate the movement of fluid away from the area of ​​its accumulation, through increasing the activity of normal lymphatic vessels and glands. Other goals are to facilitate formation of collateral lymphatic vessels, change lymph flow to functioning lymph vessels and lymph nodes, facilitate lymph flow from areas of accumulation, and facilitate contractility of lymph nodes (Woods, 2003).
Lymphatic drainage massage is indicated as part of comprehensive decongestive treatment, in all its phases (intensive, long-term, increased care). However, it is not effective on its own, but is recommended in combination with a compression bandage. It can be applied alone in cases where bandaging is not feasible, however, on the head, neck, trunk, genitals and chest (Williams et al, 2002)

The lymphatic massage, which will be done in the physical therapy department of the P.G.N. Larissa by the physical therapists members of the multifactorial team. It has no specific duration. Its duration depends on the patient's condition and is decided by the physical therapist. It will be done on the trunk, the main lymph nodes and the lymphedematous member in combination with deep diaphragmatic breathing. Also, a special massage bandage will be applied for about 20 minutes on the lymphedematous member. Massage dressing materials will be provided by the physical therapy department or written in the patients' booklets.