Level 3 Theory Update 2024

Lymphoedema and Chronic Oedema Course : Theory Update with Dr Markus Killinger

16 CPD CEUs with DVSIrl Certificate of attendance

Dates: Thurs 26th Sept to Fri 27th Sept (8.30am to 4.30pm)

LOCATION: Cork International Hotel ( Airport)

Open to therapists who have successfully completed Dr Vodder Level 3 or HCPs working in the field of Lymphoedema / Chronic Oedema

Course content

LYMPHOEDEMA

• Diagnostics of lymphoedema, lymphoscintigraphy, indirect and direct lymphography, patent blue test, Stemmer’s sign, primary lymphoedema and its pathophysiology, secondary lymphoedema and its pathophysiology, malignant lymphoedema, MLD and metastatisation;
• Risks and prevention of oedema, oedema fact sheets;
• Compression therapy of lymphoedema using
• bandaging, stockings and compression devices;
• Surgical interventions in lymphoedema;
• Complications in lymphoedema such as erysipelas, lymph vesicles, lymphatic fistulas, lymphocele, lymphogenic ulcers, protein fibroses, interdigital mycoses, papillomatosis cutis lymphostatica, Stewart- Treves syndrome = angiosarcoma;
• Lymphoedema and pregnancy;
• Radiation injury in combination with lymphoedema;
• Radiation dermatitis, radiation fibrosis, radiofibrotic plexus injury, radiation injury of other organs;
• Outpatient and inpatient lymphology treatment and results in lymphoedema.
• Face lymphoedema after neck dissection.

ARTIFICIAL LYMPHOEDEMA (SELF-INDUCED OEDEMA):

• Assessment and measurement of lymphoedema.

VENOUS OEDEMA:

• Anatomy of veins and pathophysiology of the venous system
• Thromboses, thrombophlebitis, varicose veins, ulcus cruris venosum
• Compression therapy in phleboedema, phleboedema/ulcus cruris/phlebolymphoedema as indications for MLD.

POST-TRAUMATIC OEDEMA / POST-OPERATIVE OEDEMA/ PERI-OPERATIVE OEDEMA:

• In fractures, contusions, distortions, sprains, dislocations, pain, postoperative oedema and hematoma as well as oedema in burns.
• Pathophysiology and role of MLD and other accompanying therapies.

REFLEX SYMPATHETIC DYSTROPHY = SUDECK’S DISEASE (COMPLEX REGIONAL PAIN SYNDROME)

• Pathophysiology and role of MLD and other accompanying therapies.

OEDEMA CAUSED BY PHYSICAL INACTIVITY

• Pathophysiology, role of MLD.

OEDEMA IN ARTERIAL CIRCULATORY PROBLEMS

• Pathophysiology, gangrene, indication for and limits of MLD and compression therapy

LIPOEDEMA

• Distinction between adiposity, lipohypertrophy, lipoedema and lipolymphoedema.
• Pathophysiology, diagnosis and therapy.

IDIOPATHIC OEDEMA

• Pathophysiology, clinical picture and therapy, role of MLD and compression.

CHRONIC INFLAMMATORY OEDEMA

• Rheumatic oedema, pathophysiology, MLD as additional therapy.

CONTRAINDICATIONS FOR MLD, IN PARTICULAR:

• Acute infections
• Cardiac decompensation
• Acute phlebothrombosis
• Local recurrence of tumor, local metastasizing
• Acute eczema in oedema region

OEDEMA THAT ONLY RESPOND TO MEDICATION AND DIETARY THERAPY:

• Pathophysiology, role of MLD.

PRESCRIPTION OF MLD

• Prescription of compression bandaging and stockings: Indications for bandaging;
• Different types of compression stockings, compression devices and prostheses;
• Psychological problems in patients with oedema in post-cancer treatment.