Decongestive therapy

Complex decongestive therapy

The international gold-standard protocol for lymphedema treatment.

Care
São Paulo · SP

At a glance

Known internationally as Complex Decongestive Therapy (CDT), it is the reference treatment for lymphedema, supported by global guidelines. It combines four pillars applied in sequence as an integrated approach.

The four pillars

Manual lymphatic drainage using techniques specific to the lymphatic system. Multilayer compression bandaging with low-stretch bandages. Muscle-pump exercises for lymphatic flow under compression. Meticulous skin care to prevent infections.

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.

Page updated on

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

Frequently asked questions

Common questions.

What is complex decongestive therapy?

Known internationally as Complex Decongestive Therapy (CDT), it is the reference treatment for lymphedema, supported by global guidelines. It combines four pillars applied in sequence as an integrated approach.

How does the treatment work?

Manual lymphatic drainage using techniques specific to the lymphatic system. Multilayer compression bandaging with low-stretch bandages. Muscle-pump exercises for lymphatic flow under compression. Meticulous skin care to prevent infections.

When is it indicated?

It is indicated, among other cases, for: Lymphedema at any stage; Lipedema; Chronic edema of mixed origin.

How long does each session last?

60–90 min per session

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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