Lymphoedema Follow Up Appt - Orange Family Physiotherapy

Patient first name: Sarah Attended the appointment with: Her husband, Mark. Reason for attending the appointment: Follow-up for right arm lymphoedema management. Patient Report * Reports reduced swelling in the right arm since last appointment. * Continues daily self-massage and compression garment wear. * Notes occasional discomfort with heavy lifting, but generally improved. * Expresses satisfaction with current management plan. Physiotherapy Assessment * Skin integrity of the right arm is good, no signs of infection or breakdown. * Palpation reveals softer tissue texture compared to previous assessment. * Range of motion in the right shoulder and elbow is full and pain-free. * No palpable cording observed. Measurements a: Wrist Circumference: L 16.5 cm; R 17.2 cm b: Forearm Circumference (5cm proximal to wrist): L 23.0 cm; R 24.1 cm c: Mid-forearm Circumference: L 26.0 cm; R 27.5 cm d: Elbow Circumference: L 27.5 cm; R 28.8 cm e: Upper Arm Circumference (mid-bicep): L 30.0 cm; R 31.5 cm f: Upper Arm Circumference (10cm proximal to elbow): L 28.5 cm; R 29.9 cm g: Hand Volume (perometry): L 450 ml; R 475 ml Treatment * Manual Lymphatic Drainage (MLD) performed on the right arm and trunk. * Reviewed self-massage techniques, focusing on proper pressure and direction. * Discussed benefits of continued exercise and provided new resistance band exercises. * Re-educated on appropriate compression garment care and wear time. Plan * Continue daily self-massage and wearing compression garment. * Incorporate new resistance band exercises 3 times a week. * Schedule next follow-up appointment in 6 weeks to reassess and adjust management as needed. * Provided contact details for any concerns or questions.