Practitioner must be trained in the function and location of the lymph system and nodes. Training must also be completed on the proper use of the LymphStar-Pro.
Subject: Susan R.
Patient consulted her physician for swelling of left arm. Ten years post mastectomy surgery lymphedema has developed in her left arm.
Age: 62
Symptoms: Susan came to us with complete swelling of the left arm including hand and wrist.

Assessment: Patients assessment form was reviewed with the patient. All questions were addressed.
Therapist palpated under and around her armpit, neck, parasternal lymph nodes and abdomen. Palpated the supra clavicular fossa, along ribs, breast tissue and abdomen. Palpated for any unusual lumps, masses or pain and none were found.

Treatment:
Jan. 13th: Manual lymph massage to the left arm and affected chest area.
Applied the LymphStar-Pro on setting 4, one bulb placed under the axilla and the other bulb used in circular motion over parasternal lymph nodes for 6min.
Next: Continued with the LymphStar-Pro on the upper arm (4min.) forearm (4min.) and hand and fingers for 4min.
Next: Worked with the LymphStar-Pro on the intercostals area for 6 min. on the left side.
Next: Worked with the LymphStar-Pro in a clockwise motion following the path of the intestinal track.
Results: Marked decrease in swelling and skin was looser and more pliable. Totally lost overall 6cm within a 24 hour period.
Patient reported substantial increase in mobility, comfort and patient stated that she felt much better.
Recommendation:
Patient advised to continue wearing her prescribed arm sleeve. Patient was advised to drink fluid throughout the day after treatments. Asked to report any changes in condition. Appointment made for a follow-up in three days.
Jan. 16th: Follow-up Susan R.
Assessment: Upon measurement of the patient’s left arm, she had maintain substantial fluid lose. Minimum fluid increase in the wrist and forearm was detected.
Treatment:
Manual lymph massage to the left arm and affected chest area.
Applied the LymphStar-Pro on setting 4, one bulb placed under the axilla and the other bulb used in circular motion over parasternal lymph nodes for 6min.
Next: Continued with the LymphStar-Pro on the upper arm (4min.) forearm (4min.) and hand and fingers for 4min.
Next: Worked with the LymphStar-Pro on the intercostals area for 6 min. on the left side.
Next: Worked with the LymphStar-Pro in a clockwise motion following the path of the intestinal track.
Conclusion:
Treatments with massage and the LymphStar-Pro continued, twice a week for 4 weeks with a total loss of 8cm which is now being maintained with follow up visits every third week.
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