{"id":2203,"date":"2014-07-01T08:54:32","date_gmt":"2014-07-01T04:54:32","guid":{"rendered":"http:\/\/www.dubaihtc.com\/?page_id=2203"},"modified":"2020-09-16T09:53:51","modified_gmt":"2020-09-16T05:53:51","slug":"lymphedema-therapist-clt-mld-manual-lymph-drainage-decongestive-therapy","status":"publish","type":"page","link":"https:\/\/www.feelwellretreat.com\/dubaihtc\/lymphedema-therapist-clt-mld-manual-lymph-drainage-decongestive-therapy\/","title":{"rendered":"Manual Lymphedema Therapist (CLT)"},"content":{"rendered":"<p>[et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"on\" specialty=\"off\" transparent_background=\"off\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" make_equal=\"off\" use_custom_gutter=\"off\" module_class=\"zoomcontainer\" background_color=\"#ffffff\" custom_padding_tablet=\"50px|0|50px|0\" custom_padding_last_edited=\"on|desktop\" inner_width=\"auto\" inner_max_width=\"1200px\" next_background_color=\"#000000\"][et_pb_fullwidth_image admin_label=\"Manual Lymphatic Drainage Image\" src=\"https:\/\/www.dubaihtc.com\/wp-content\/uploads\/2016\/10\/Manual_Lymphatic_Drainage.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" animation=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"zoomimage\" animation_style=\"none\" animation_duration=\"1000ms\" animation_intensity_slide=\"50%\"]<\/p>\n<p><\/p>\n<p>[\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"off\" specialty=\"off\" transparent_background=\"off\" background_color=\"#ffffff\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" make_equal=\"off\" use_custom_gutter=\"off\" custom_padding_tablet=\"50px|0|50px|0\" custom_padding_last_edited=\"on|desktop\" inner_width=\"auto\" inner_max_width=\"1200px\" prev_background_color=\"#000000\" next_background_color=\"#000000\"][et_pb_row admin_label=\"Zeile\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" use_custom_gutter=\"off\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"off\" make_equal=\"off\" column_padding_mobile=\"on\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" width=\"80%\" max_width=\"1200px\"][et_pb_column type=\"3_4\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"MANUAL LYMPHATIC DRAINAGE\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" text_line_height=\"1.1em\" text_font_size=\"24\" text_text_color=\"#6fb43f\" custom_css_main_element=\"margin-bottom: 12px !important;\" module_class=\"pagetitle\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nManual Lymphatic Drainage (MLD)<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=\"ABOUT COMPLETE DECONGESTIVE THERAPY (CDT)\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" text_line_height=\"1.1em\" custom_css_main_element=\"margin-bottom: 0px !important;\" saved_tabs=\"all\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nABOUT COMPLETE DECONGESTIVE THERAPY (CDT)<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=\"Text 75%\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" custom_padding=\"20px|||\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nThe lymphatic system is made of lymph vessels, lymph nodes, and organs. Lymph nodes act as the garbage cans of the body and catch all the 'bad stuff. CDT allows the body to flush out that bad stuff and it helps to keep us healthy. CDT is the most effective treatment for chronic extremity lymphedema. Primary lymphedema (congenital) and secondary lymphedema (due to a damaged lymphatic system) respond extremely well to this gentle, non-invasive and highly-effective therapy.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_4\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" fullwidth=\"off\" specialty=\"off\" inner_width=\"auto\" inner_max_width=\"1200px\" prev_background_color=\"#000000\" next_background_color=\"#faf8f6\"][et_pb_row background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" width=\"80%\" max_width=\"1200px\"][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\"][et_pb_blurb admin_label=\"Sandra Serrano\" global_module=\"4709\" saved_tabs=\"all\" title=\"Sandra Serrano\" url_new_window=\"off\" use_icon=\"off\" icon_color=\"#6fb43f\" use_circle=\"off\" circle_color=\"#6fb43f\" use_circle_border=\"off\" circle_border_color=\"#6fb43f\" image=\"https:\/\/www.dubaihtc.com\/wp-content\/uploads\/2016\/10\/Sandra150x220.jpg\" icon_placement=\"top\" animation=\"off\" background_layout=\"light\" text_orientation=\"center\" disabled=\"off\" disabled_on=\"off|off|off\" use_icon_font_size=\"off\" header_font=\"|on|||\" header_font_size=\"17\" header_text_color=\"#707070\" body_text_color=\"#6fb43f\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"teamblurb\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" image_max_width=\"none\"]<\/p>\n<div class=\"popmake-sandra-perez\">Physiotherapist \u00a0 \u00a0<i class=\"fa fa-chevron-circle-right\"><\/i><\/div>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\"][et_pb_blurb admin_label=\"Elena Naranjo\" title=\"Elena Naranjo\" image=\"https:\/\/www.dubaihtc.com\/wp-content\/uploads\/2016\/10\/elena150x220.jpg\" animation=\"off\" text_orientation=\"center\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"teamblurb\" header_font=\"|on|||\" header_font_size=\"17px\" header_text_color=\"#707070\" body_text_color=\"#6fb43f\" saved_tabs=\"all\" _builder_version=\"4.4.8\" box_shadow_horizontal_image_tablet=\"0px\" box_shadow_vertical_image_tablet=\"0px\" box_shadow_blur_image_tablet=\"40px\" box_shadow_spread_image_tablet=\"0px\" text_shadow_horizontal_length=\"text_shadow_style,%91object Object%93\" text_shadow_horizontal_length_tablet=\"0px\" text_shadow_vertical_length=\"text_shadow_style,%91object Object%93\" text_shadow_vertical_length_tablet=\"0px\" text_shadow_blur_strength=\"text_shadow_style,%91object Object%93\" text_shadow_blur_strength_tablet=\"1px\" header_text_shadow_horizontal_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_horizontal_length_tablet=\"0px\" header_text_shadow_vertical_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_vertical_length_tablet=\"0px\" header_text_shadow_blur_strength=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_blur_strength_tablet=\"1px\" body_text_shadow_horizontal_length=\"body_text_shadow_style,%91object Object%93\" body_text_shadow_horizontal_length_tablet=\"0px\" body_text_shadow_vertical_length=\"body_text_shadow_style,%91object Object%93\" body_text_shadow_vertical_length_tablet=\"0px\" body_text_shadow_blur_strength=\"body_text_shadow_style,%91object Object%93\" body_text_shadow_blur_strength_tablet=\"1px\" body_link_text_shadow_horizontal_length=\"body_link_text_shadow_style,%91object Object%93\" body_link_text_shadow_horizontal_length_tablet=\"0px\" body_link_text_shadow_vertical_length=\"body_link_text_shadow_style,%91object Object%93\" body_link_text_shadow_vertical_length_tablet=\"0px\" body_link_text_shadow_blur_strength=\"body_link_text_shadow_style,%91object Object%93\" body_link_text_shadow_blur_strength_tablet=\"1px\" body_ul_text_shadow_horizontal_length=\"body_ul_text_shadow_style,%91object Object%93\" body_ul_text_shadow_horizontal_length_tablet=\"0px\" body_ul_text_shadow_vertical_length=\"body_ul_text_shadow_style,%91object Object%93\" body_ul_text_shadow_vertical_length_tablet=\"0px\" body_ul_text_shadow_blur_strength=\"body_ul_text_shadow_style,%91object Object%93\" body_ul_text_shadow_blur_strength_tablet=\"1px\" body_ol_text_shadow_horizontal_length=\"body_ol_text_shadow_style,%91object Object%93\" body_ol_text_shadow_horizontal_length_tablet=\"0px\" body_ol_text_shadow_vertical_length=\"body_ol_text_shadow_style,%91object Object%93\" body_ol_text_shadow_vertical_length_tablet=\"0px\" body_ol_text_shadow_blur_strength=\"body_ol_text_shadow_style,%91object Object%93\" body_ol_text_shadow_blur_strength_tablet=\"1px\" body_quote_text_shadow_horizontal_length=\"body_quote_text_shadow_style,%91object Object%93\" body_quote_text_shadow_horizontal_length_tablet=\"0px\" body_quote_text_shadow_vertical_length=\"body_quote_text_shadow_style,%91object Object%93\" body_quote_text_shadow_vertical_length_tablet=\"0px\" body_quote_text_shadow_blur_strength=\"body_quote_text_shadow_style,%91object Object%93\" body_quote_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" vertical_offset_tablet=\"0\" horizontal_offset_tablet=\"0\" z_index_tablet=\"0\"]<\/p>\n<div class=\"popmake-4921\">Physiotherapist&nbsp;&nbsp;<i class=\"fa fa-chevron-circle-right\"><\/i><\/div>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"off\" specialty=\"off\" transparent_background=\"off\" background_color=\"#faf8f6\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" make_equal=\"off\" use_custom_gutter=\"off\" module_class=\"lightbrownfond\" custom_padding_tablet=\"50px|0|50px|0\" custom_padding_last_edited=\"on|desktop\" inner_width=\"auto\" inner_max_width=\"1200px\" prev_background_color=\"#ffffff\" next_background_color=\"#ffffff\"][et_pb_row admin_label=\"Zeile\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" use_custom_gutter=\"off\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"off\" make_equal=\"on\" column_padding_mobile=\"on\" custom_padding=\"20px||20px|\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" width=\"80%\" max_width=\"1200px\"][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"CAUSES OF SECONDARY LYMPHEDEMA\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" text_line_height=\"1.2em\" custom_css_main_element=\"margin-bottom: 0px !important;\" saved_tabs=\"all\" text_text_color=\"#6fb43f\" text_font_size=\"24\" module_class=\"pagetitle\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nCAUSES OF SECONDARY LYMPHEDEMA<\/p>\n<p>[\/et_pb_text][et_pb_image src=\"https:\/\/www.dubaihtc.com\/wp-content\/uploads\/2016\/10\/Lymph-Composition.png\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" animation=\"off\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" custom_css_main_element=\"padding: 30px 20px 0px 0px !important;||max-width: 400px !important;\" animation_style=\"none\" animation_duration=\"1000ms\" animation_intensity_slide=\"50%\" show_bottom_space=\"on\" align_last_edited=\"on|desktop\" align_tablet=\"center\"]<\/p>\n<p><\/p>\n<p>[\/et_pb_image][\/et_pb_column][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"Text 1\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nAny condition or procedure that damages your lymph nodes or lymph vessels can cause lymphedema. Causes include:<\/p>\n<p><strong>Surgery:<\/strong> Lymphedema can develop if your lymph nodes and lymph vessels are removed or cut. For instance, surgery for breast cancer may include the removal of one or more lymph nodes in your armpit to look for evidence that cancer has spread. If your remaining lymph nodes and lymph vessels can't compensate for those that have been removed, lymphedema may result in your arm.<\/p>\n<p><strong>Radiation treatment for cancer:<\/strong> Radiation can cause scarring and inflammation of your lymph nodes or lymph vessels, restricting flow of lymph fluid.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"Text 2\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\n<strong>Cancer:<\/strong> If cancer cells block lymphatic vessels, lymphedema may result. For instance, a tumour growing near a lymph node or lymph vessel could become large enough to block the flow of the lymph fluid.<\/p>\n<p><strong>Infection:<\/strong> An infection of the lymph nodes can restrict the flow of lymph fluid and cause lymphedema. Parasites also can block lymph vessels. Infection-related lymphedema is most common in tropical and subtropical regions of the globe and is more likely to occur in developing countries.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"off\" specialty=\"off\" inner_width=\"auto\" inner_max_width=\"1200px\" prev_background_color=\"#faf8f6\" next_background_color=\"#063537\"][et_pb_row admin_label=\"Zeile\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" use_custom_gutter=\"off\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"off\" make_equal=\"off\" column_padding_mobile=\"on\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" width=\"80%\" max_width=\"1200px\"][et_pb_column type=\"1_2\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"Text 3\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nCDT is sometimes referred to as Complete Decongestive Physiotherapy (CDP). CDT consists of the following four steps:<\/p>\n<p><strong>1. Manual Lymphatic Drainage (MLD)<\/strong><\/p>\n<p>MLD is a gentle manual treatment which improves the function of the lymphatic system throughout the body. The techniques of MLD were first introduced in the 1930s by Dr. Emil Vodder, PhD, MT, of Denmark. MLD is widely recognized in the United States as an effective treatment for post-surgical swelling, post-traumatic edema (as with sports injuries), migraine headaches, rheumatoid arthritis, fibromyalgia, and other conditions involving edema. When used to treat lymphedema, MLD re-routes lymph flow around blocked areas and into healthy lymph vessels which drain into the venous circulation.<\/p>\n<p>These are further health benefits of the lymph massage (MLD):<\/p>\n<p>[\/et_pb_text][et_pb_toggle admin_label=\"Against Cellulite \/ Lipoedema\" title=\"Against Cellulite \/ Lipoedema\" open=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"dhtctoggle\" open_toggle_background_color=\"#e0dad0\" closed_toggle_background_color=\"#c9bfad\" title_line_height=\"1.2em\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nIt works best in earlier stages. The ideal case is to start the treatment during the teenage years. Cellulite appears when the fat deposits compress the lymph vessels, reducing the lymph flow. If the intervention is not rapid, the tissue fills with liquids and toxins and the fat deposits tend to turn harder, producing the  \u20ac\u0153orange peel skin \u20ac\u009d. When the cellulite is on its incipient stages, it is easy to activate the flow of the accumulated waste and definitively solve the issue. Normally, just three months are enough to get satisfactory results.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle admin_label=\"Swollen, heavy and Edematose feet, legs and arms\" title=\"Swollen, heavy and Edematose feet, legs and arms\" open=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"dhtctoggle\" open_toggle_background_color=\"#e0dad0\" closed_toggle_background_color=\"#c9bfad\" title_line_height=\"1.2em\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nLymph flows from the periphery of the limbs to their center. When this path is interrupted, the lymph falls back due to the action of gravity, flooding the foot tissues and causing swelling. The lymph drainage helps lymph to complete its route, making it the treatment of choice. In 3-4 weeks, the problem is improved. If it's chronic, the doctor will decide the ideal frequency of the massage.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle admin_label=\"Pregnancy and PMS syndrome\" title=\"Pregnancy and PMS syndrome\" open=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"dhtctoggle\" open_toggle_background_color=\"#e0dad0\" closed_toggle_background_color=\"#c9bfad\" title_line_height=\"1.2em\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nThe drainage is very effective in both cases but as a preventive method. The hormonal changes during pregnancy determine liquid retention and a decrease in the tonus of the vein and lymph vessels. The drainage can be started from the third month of pregnancy, up until the delivery. It is also effective against the swelling experienced by many women a few days before their menstruation. In this case, the massage is made immediately after the end of the cycle for a week.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle admin_label=\"Scars\" title=\"Scars\" open=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"dhtctoggle\" open_toggle_background_color=\"#e0dad0\" closed_toggle_background_color=\"#c9bfad\" title_line_height=\"1.2em\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\nIf during the scarring process of a wound interstitial liquid accumulates forming an edema, a hypertrophic (cheloid, swollen) scar forms. The lymph draining has a  \u20ac\u0153planning \u20ac\u009d effect on the scar, it is even effective on older scars because it activates the lymphocytes, which are involved in reconstructing the tissue.<\/p>\n<p>[\/et_pb_toggle][\/et_pb_column][et_pb_column type=\"1_2\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_text admin_label=\"Text 4\" background_layout=\"light\" text_orientation=\"left\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\"]<\/p>\n<p>\n<strong>2. Compression Therapy:<\/strong><\/p>\n<p>Compression therapy improves the efficiency of the muscle and joint pump and increases tissue pressure. Multi-layered compression bandages are applied between MLD treatments to help prevent re-accumulation of evacuated fluid. Once the patient's limb is sufficiently decongested through repeated treatments, they can be fit with compression garments.<\/p>\n<p><strong>3. Exercises:<\/strong><\/p>\n<p>Exercises are performed with compression bandages in place to activate the muscle and joint pumps of the affected extremity. This results in an increase in lymphokinetic activity and further reduction of the swollen limb over time.<\/p>\n<p><strong>4. Skin Care:<\/strong><\/p>\n<p>Skin care and general hygiene are essential to eliminate bacterial and fungal growth which can cause repeated attacks of cellulitis or erysipelas. Infections are very common complications of lymphedema so meticulous skin and nail care is vital.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row background_position=\"top_left\" background_repeat=\"repeat\" background_size=\"initial\" width=\"80%\" max_width=\"1200px\"][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][\/et_pb_column][et_pb_column type=\"1_3\" custom_padding__hover=\"|||\" custom_padding=\"|||\" parallax_method=\"on\"][et_pb_button admin_label=\"BOOK AN APPOINTMENT\" global_module=\"5710\" saved_tabs=\"all\" button_url=\"http:\/\/www.dubaihtc.com\/contact\/\" url_new_window=\"on\" button_text=\"BOOK AN APPOINTMENT\" button_alignment=\"center\" background_layout=\"light\" custom_button=\"on\" button_text_size=\"17\" button_text_color=\"#ffffff\" button_bg_color=\"#51af26\" button_border_radius=\"4\" button_letter_spacing=\"0\" button_font=\"Arial||||\" button_use_icon=\"on\" button_icon=\"%%75%%\" 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custom_padding=\"|||\" parallax_method=\"on\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Sektion\" _builder_version=\"3.22\" background_color=\"#063537\" transparent_background=\"off\" padding_mobile=\"on\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" collapsed=\"off\" prev_background_color=\"#ffffff\" next_background_color=\"#b3a48b\" inner_width=\"auto\" inner_max_width=\"1200px\" global_module=\"3850\"][et_pb_row admin_label=\"Zeile\" global_parent=\"3850\" padding_mobile=\"off\" column_padding_mobile=\"on\" module_id=\"imagemenuportfolio\" _builder_version=\"3.25\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\"][et_pb_column type=\"4_4\" global_parent=\"3850\" _builder_version=\"3.25\" custom_padding=\"|||\" custom_padding__hover=\"|||\"][et_pb_accordion global_parent=\"3850\" _builder_version=\"3.0.87\" 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global_parent=\"3864\" area=\"et_pb_widget_area_5\" show_border=\"off\" module_class=\"footermenu\" _builder_version=\"3.0.74\" remove_border=\"on\" \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"on\" specialty=\"off\" transparent_background=\"off\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" make_equal=\"off\" use_custom_gutter=\"off\" module_class=\"zoomcontainer\" background_color=\"#ffffff\" custom_padding_tablet=\"50px|0|50px|0\" custom_padding_last_edited=\"on|desktop\" inner_width=\"auto\" inner_max_width=\"1200px\" next_background_color=\"#000000\"][et_pb_fullwidth_image admin_label=\"Manual Lymphatic Drainage Image\" src=\"https:\/\/www.dubaihtc.com\/wp-content\/uploads\/2016\/10\/Manual_Lymphatic_Drainage.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" animation=\"off\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" module_class=\"zoomimage\" animation_style=\"none\" animation_duration=\"1000ms\" animation_intensity_slide=\"50%\"] [\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Sektion\" fullwidth=\"off\" specialty=\"off\" transparent_background=\"off\" background_color=\"#ffffff\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" make_equal=\"off\" [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<div class=\"pageimage\"><img src=\"http:\/\/035a744.netsolhost.com\/images\/MLD_web.jpg\"><\/img><\/div>\r\n\r\n<div class=\"pageheader\">Certificated Lymphedema Therapist (CLT)<\/div>\r\n\r\n[ezcol_1half id=\"\" class=\"\" style=\"\"]\r\n\r\n<strong>About Complete Decongestive Therapy (CDT)<\/strong>\r\nThe lymphatic system is made of lymph vessels, lymph nodes, and organs. Lymph nodes act as the garbage cans of the body and catch all the 'bad stuff. CDT allows the body to flush out that bad stuff and it helps to keep us healthy. CDT is the most effective treatment for chronic extremity lymphedema. Primary lymphedema (congenital) and secondary lymphedema (due to a damaged lymphatic system) respond extremely well to this gentle, non-invasive and highly-effective therapy. \r\n\r\n<strong>Causes of secondary lymphedema<\/strong>\r\nAny condition or procedure that damages your lymph nodes or lymph vessels can cause lymphedema. Causes include:\r\n\r\n<strong>Surgery:<\/strong> Lymphedema can develop if your lymph nodes and lymph vessels are removed or cut. For instance, surgery for breast cancer may include the removal of one or more lymph nodes in your armpit to look for evidence that cancer has spread. If your remaining lymph nodes and lymph vessels can't compensate for those that have been removed, lymphedema may result in your arm.\r\n\r\n<strong>Radiation treatment for cancer:<\/strong> Radiation can cause scarring and inflammation of your lymph nodes or lymph vessels, restricting flow of lymph fluid.\r\n\r\n<strong>Cancer:<\/strong> If cancer cells block lymphatic vessels, lymphedema may result. For instance, a tumour growing near a lymph node or lymph vessel could become large enough to block the flow of the lymph fluid.\r\nInfection: An infection of the lymph nodes can restrict the flow of lymph fluid and cause lymphedema. Parasites also can block lymph vessels. Infection-related lymphedema is most common in tropical and subtropical regions of the globe and is more likely to occur in developing countries.\r\n\r\nCDT is sometimes referred to as Complete Decongestive Physiotherapy (CDP). CDT consists of the following four steps: \r\n\r\n<strong>1. Manual Lymph Drainage (MLD):<\/strong>\r\nMLD is a gentle manual treatment which improves the function of the lymphatic system throughout the body. The techniques of MLD were first introduced in the 1930s by Dr. Emil Vodder, PhD, MT, of Denmark. MLD is widely recognized in the United States as an effective treatment for post-surgical swelling, post-traumatic edema (as with sports injuries), migraine headaches, rheumatoid arthritis, fibromyalgia, and other conditions involving edema. When used to treat lymphedema, MLD re-routes lymph flow around blocked areas and into healthy lymph vessels which drain into the venous circulation.\r\n\r\nThese are further health benefits of the lymph massage (MLD)\r\n\r\nAgainst Cellulite \/ Lipoedema:[slider title=\"read more \" hint=\"Against Cellulite \/ Lipoedema\"]It works best in earlier stages. The ideal case is to start the treatment during the teenage years. Cellulite appears when the fat deposits compress the lymph vessels, reducing the lymph flow. If the intervention is not rapid, the tissue fills with liquids and toxins and the fat deposits tend to turn harder, producing the  \u20ac\u0153orange peel skin \u20ac\u009d. When the cellulite is on its incipient stages, it is easy to activate the flow of the accumulated waste and definitively solve the issue. Normally, just three months are enough to get satisfactory results.[\/slider]\r\n \r\nSwollen, heavy and Edematose feet, legs and arms:[slider title=\"read more \" hint=\"Swollen, heavy and Edematose feet, legs and arms:\"]Lymph flows from the periphery of the limbs to their center. When this path is interrupted, the lymph falls back due to the action of gravity, flooding the foot tissues and causing swelling. The lymph drainage helps lymph to complete its route, making it the treatment of choice. In 3-4 weeks, the problem is improved. If it's chronic, the doctor will decide the ideal frequency of the massage.[\/slider]\r\n\r\nPregnancy and PMS syndrome:[slider title=\"read more \" hint=\"Pregnancy and PMS syndrome\"]The drainage is very effective in both cases but as a preventive method. The hormonal changes during pregnancy determine liquid retention and a decrease in the tonus of the vein and lymph vessels. The drainage can be started from the third month of pregnancy, up until the delivery. It is also effective against the swelling experienced by many women a few days before their menstruation. In this case, the massage is made immediately after the end of the cycle for a week. [\/slider]\r\n\r\nScars:[slider title=\"read more \" hint=\"Pregnancy and PMS syndrome\"]If during the scarring process of a wound interstitial liquid accumulates forming an edema, a hypertrophic (cheloid, swollen) scar forms. The lymph draining has a  \u20ac\u0153planning \u20ac\u009d effect on the scar, it is even effective on older scars because it activates the lymphocytes, which are involved in reconstructing the tissue. [\/slider]\r\n\r\n<strong>2. Compression Therapy:<\/strong>\r\nCompression therapy improves the efficiency of the muscle and joint pump and increases tissue pressure. Multi-layered compression bandages are applied between MLD treatments to help prevent re-accumulation of evacuated fluid. Once the patient's limb is sufficiently decongested through repeated treatments, they can be fit with compression garments.\r\n\r\n<strong>3. Exercises:<\/strong>\r\nExercises are performed with compression bandages in place to activate the muscle and joint pumps of the affected extremity. This results in an increase in lymphokinetic activity and further reduction of the swollen limb over time.\r\n\r\n<strong>4. Skin Care:<\/strong>\r\nSkin care and general hygiene are essential to eliminate bacterial and fungal growth which can cause repeated attacks of cellulitis or erysipelas. Infections are very common complications of lymphedema so meticulous skin and nail care is vital.\r\n\r\n[\/ezcol_1half]\r\n\r\n[ezcol_1half_end id=\"\" class=\"teambox\" style=\"\"]<p>\r\n\r\n<div class=\"teamheader\">Team<\/div>\r\n\r\n<strong><img class=\"alignright size-full wp-image-859\" src=\"http:\/\/www.dubaihtc.com\/images\/osteapthic_gema_dubai.jpg\" alt=\"\" width=\"150\" height=\"246\" \/>Gema Roca<\/strong>\r\nAfter getting her Bachelor in Physiotherapy\/Physical therapy from the CEU University of Valencia (Spain), Gema worked 2 years in a Hospital developing several techniques such as: preoperative and postoperative treatment of orthopedic patients, musculoskeletal disorders, whiplash injuries, kinesiotherapy, Manual Lymphatic Drainage, Manual Therapy (mobilizations, myofascial treatment, massage, superficial dry needling), Neurological Rehabilitation Physiotherapy, pelvic floor exercises, electrotherapy (ultrasound, high and low frequency electrotherapy), thermotherapy, micro current, kinesio  \u20ac\u201ctaping.\r\n\r\nWhile working, Gema got her Master in Osteopathy and Manual Therapy from UCAM University of Murcia (Spain). In 2012, Gema moved to Dubai where she worked in one of the most renowned hospitals in Middle East. The therapies she used there were: Structural Osteopathy, Cranial (adult and children) Osteopathy, Visceral Osteopathy, Myofascial Induction, Trigger Point Treatment (Manual Therapy and Superficial dry needling), Technique Dejarnette, Mitchell Treatment (muscle-energy), Pregnanancy Physiotherapy, TMJ Disorder Treatment, Headaches and Migraines Treatments.\r\n \r\nGema recently was certified as a Certified Lymphedema Therapist on the Foeldi Clinic in Germany, one of the most reputable and pioneer in this type of therapy clinics. Therapy includes: Manual Lymphatic Drainage (MLD-Vodder technique) and Complete Decongestive Therapy (Compression therapy, exercises, skin care).\r\n\r\n<span style=\"background-image: initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: #9d7e5f; display: block; color: #ffffff; margin: 10px 0px 0px 0px; padding: 3px 8px 3px 8px; background-position: initial initial; background-repeat: initial initial;\"><a href=\"http:\/\/www.dubaihtc.com\/contact\/\">Book an appointment with Gema<\/a> \u00a0or call 04-3351200<\/span>\r\n\r\n\r\n<\/p>[\/ezcol_1half_end]","_et_gb_content_width":"","footnotes":""},"class_list":["post-2203","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/pages\/2203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/comments?post=2203"}],"version-history":[{"count":34,"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/pages\/2203\/revisions"}],"predecessor-version":[{"id":7380,"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/pages\/2203\/revisions\/7380"}],"wp:attachment":[{"href":"https:\/\/www.feelwellretreat.com\/dubaihtc\/wp-json\/wp\/v2\/media?parent=2203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}