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Manual lymphatic drainage in management of edema in a case with CRPS: why the(y) wait?
Ismail Safaz1, Fatih Tok, Mehmet Ali Taşkaynatan
1Department of Physical Medicine and Rehabilitation, GATA TSK Rehabilitasyon Merkezi, 06530, Bilkent Ankara, Turkey.
Abstract:
Complex regional pain syndrome (CRPS) is a disorder characterized by pain, edema, skin color changes and autonomic abnormalities. Its treatment is quite difficult and in most of the patients effective results cannot be reached. Manual lymphatic drainage is a very rare method for managing limb edema in CRPS. In this case report, the dramatic response of an excessive edema to lymphatic drainage was discussed in a CRPS patient.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
