As a certified Lymphedema therapist,  Praiya helps her patients manage lymphedema with complete decongestive therapy for localized swelling including manual lymphatic drainage and  multi-layer compression bandaging.

By Praiya holding Three unique specializations as a Registered Nurse, Massage Therapist and a Certified Lymphedema Therapist, She is able to develop highly personalized, one-on-one treatments, which has resulted in referrals throughout the state through in person.

 

About Us

Praiya  Galeano  RN, LMT, CLT

FAQ for New Patients

What is Lymphedema?

Lymphedema is an abnormal swelling condition that may affect one or  many body regions. The swelling develops  because the lymphatic  vessels  or  nodes  have  been  damaged  or   were  formed  incorrectly.  Lymphedema is  most  commonly  a  side  effect  of  cancer  treatments.  If  a  person  has  surgery  to  remove Lymph  nodes,  as  is  common  for  cancer  treatment,  or  if  they have  radiation  for  cancer  treatment,  or  if  they  have  radiation  for  cancer,  the  damage  done  to  the  Lymphatic  system  may  result  in  a  back-up  of fluid.  The lymphatic  system  is  the  body's  plumbing  system  and is  responsible  for  removing  waste  material  from the  body.  Just  as you would  imagine,  if  the  plumbing  system  in  your  home  were  disrupted  or  damaged,  you  may  end  up  with  a  back-up  of  waste.  The  same  is  true  in  your  body.  The  back-up  of  waste  products  from  the  cells  in  the  body,  along  with  water  and  protein,  builds  up  in  your  tissue  and  causes  swelling  to  occur.  Lymphedema  can  be  from  many  different  causes.  Some  lymphedema  occurs  because  the  lymphatic  system  was  damaged  with  surgery  or  another  trauma.  This  is  called  secondary  lymphedema  and  is  the  most  common  type  of  lymphedema.  Sometimes  people  are  born  with  a  condition  that  causes  the  lymphatic  system  to  not  work  correctly.  This  is  called  primary  lymphedema.  Both  types  of  lymphedema  can  affect  any  part  of  the  body   where  lymphatic  vessels  have  been  damaged  or  malformed.

When  the  swelling  occurs  in  the  body,  and  is  not  treated  it  can  get  worse  over  time.  As  the  swelling  worsens,  changes  occur  in  the  tissue,  resulting  in  scarring  amd  hardening  of  the  tissue.  Also, as  the  waste  products  back  up  into  the  tissue,  there  is  an  increased  risk  of  infection  because  the  body  cannot  process  and  eliminate  the  bacteria  that  it  is  encountering  in  the  area  where  the  damage  has  occurred  to  the  system.

While  lymphedema  can  be  treated  to  decrease  the  swelling,  and  while  relapses  of  swelling  can  be  prevented, there  is  no  cure  for  lymphedema.  The  condition  involves  lifelong  management  of  the  swollen  limb(s)  with  complete  decongestive  therapy  (CDT)  to  decrease  the  swelling  and  to  prevent  adverse  side  effects  like  infections  and  skin  breakdown.

 

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Lymphedema  Services  offered

Our  therapists  offer  a  variety  of  lymphedema  treatments  for  your  condition

Manual Lymphatic  Drainage

A gentle, hands-on  massage  of  both  the  affected  body  part  and  agjacent  selected  areas.  MLD  can  move  lymphatic  fluid  from  the  swollen  region  into  parts  of  the  lymphatic  system  that  are  still  functioning

Compression  Garments  and  Wrapping

Multi-layer  Compression  Bandaging : Following  MLD, the therapist wraps the treated  area  with  layers  of  compression  bandages.  Bandages  help  prevent  the  re-accumulation  of  lymphatic  fluid.

 

Therapeutic  Manual  Lymphatic  Drainage  

MLD  has  an  overall   positive  effect  on  healing,  relaxation and  mood.

Condition  we  treat

Lymphedema

Lymphedema  refers  to  the  build-up  of  fluid  under  the  skin  in  the  leg  or  arm.

The  lymphatic  system  plays  a  very  important  role  in  the  immune  system.  Lymph  nodes  move  fluid  through  our  bodies,  picking  up  waste,  bacteria,  and  viruses.  This  waste  is  flushed  from our  bodies  through  our  lymph  nodes.  When  damage  occurs  to  the  lymph  nodes  and  they  cease to  work  properly,  fluid  can  back  up  in  the  tissues  of  limbs  causing  lymphedema.

Swelling/ Genneral  Edema

Manual  Lymphatic  drainage  can  reduce  swelling  by  moving  the  excess  fluid  that  builds  up  the  area  into  the  lymphatic  system  to  flush  out  the  extra  waste,  fluid  and  toxins.  It  promotes  healing  and  expedites  recovery  time  in  injuries  such  as  sprains  and  strains.

Can a therapist  come to  my  home?

In  some  instances  you  may  be  able  to  have  a  therapist  come  to  your  home  to  help  manage  your  lymphedema.  Some  people  are  very  ill  and  unable  to  even  walk  around  their  house  because  their  lymphedema  is  so  advanced  and  their  lymphedema  until  it  gets  to  a level  where  they  are  more  mobile  and  able  to  attend  regular  therapy  in  an  outpatient  clinic.

If I have  lymphedema, can I get a massage?

Massages  are  a  wonderful  way  to  reduce  stress  and  muscle  tension.  Many  different  types  of  massage  exist,  and  some  are  very  safe  to  have  done  when  you  have  lymphedema  Remember   that  the  area  of  the  body  where  lymphedema  exist  needs  to  be  protected  If you  choose  to  have  a  massage,  be  sure  the  massage  therapist  knows  of  your  condition,  and  ask  that  the  therapist  either  avoid  the  lymphedematous  area  or  apply  techniques  that  are  very  light  and  supportive  of  the  lymphatic  system.

Deep-tissue  work  and  excessive  pressure  from  a  massage  may  harm  the  delicate  lymphatic  vessels  that  remain  healthy  and  viable  in the  limb. Also,  any  massage  techniques  that  cause  excessive  friction  on  the  surface  of  the  skin  can  cause  an  increase  in  blood  flow  and  may  increase  in  blood  flow  and  may  increase  lymphedema.  Scented  lotions  or  oils  should  also  be  avoided,  as  they  may  unnecessarily  irritate  the  skin.



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