Clinical approach

Physiotherapy for lymphedema

Complete decongestive treatment for chronic swelling of lymphatic origin.

Care

São Paulo · SP

At a glance

Lymphedema is the abnormal accumulation of lymph in the interstitial space, causing chronic swelling. The physiotherapy approach is based on Complex Decongestive Therapy (CDT), an international protocol considered the gold standard for treatment, using a specially developed method based on up-to-date scientific evidence.

Treatment phases

The intensive phase combines manual lymphatic drainage, multilayer compression bandaging, muscle-pump exercises for lymphatic flow, and skin care. The aim is to reduce the volume of the affected limb.

During the maintenance phase, the patient begins using elastic compression stockings or arm sleeves, continues the exercises, and returns periodically for adjustments and reassessment.

Clinical content by

Jaqueline Baiocchi

PhD in Oncology from AC Camargo Cancer Center, author, teacher, researcher and mentor to physiotherapists through Lymph Expert, her advanced vascular physiotherapy mentorship. A specialist in oncology physiotherapy, lymphedema and lipedema, trained at leading international lymphology schools.

Explore her journey Lattes academic CV

Page updated on: July 24, 2026

For information only. Treatment recommendations and the combination of techniques depend on individual assessment.

Frequently asked questions

Common questions.

What is physiotherapy for lymphedema?

Lymphedema is the abnormal accumulation of lymph in the interstitial space, causing chronic swelling. The physiotherapy approach is based on Complex Decongestive Therapy (CDT), an international protocol considered the gold standard for treatment, using a specially developed method based on up-to-date scientific evidence.

How does the treatment work?

The intensive phase combines manual lymphatic drainage, multilayer compression bandaging, muscle-pump exercises for lymphatic flow, and skin care. The aim is to reduce the volume of the affected limb. During the maintenance phase, the patient begins using elastic compression stockings or arm sleeves, continues the exercises, and returns periodically for adjustments and reassessment.

When is it indicated?

It is indicated, among other cases, for: Lymphedema after cancer surgery; Primary lymphedema; Lipedema; Chronic venous insufficiency.

How long does each session last?

60–90 min per session

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Individual care

Every treatment starts with a detailed clinical assessment.

Diagnosis, history and goals determine the treatment plan. Book an appointment to understand which approach is suitable for you.

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