OT Stretches

Here are categories of movements that may be part of a lymphedema exercise program. Again, these should ONLY be performed under the guidance of a certified lymphedema therapist (CLT):

1. Deep Breathing Exercises:
   
   

   • Diaphragmatic Breathing: Deep belly breaths can help stimulate the lymphatic system in the trunk. This is often a foundational exercise.

2. Gentle Range of Motion Exercises:
   
   

   • Neck Stretches: Gentle head tilts and rotations to improve lymphatic flow from the head and neck.

   • Shoulder Rolls/Circles: Forward and backward rolls to gently move the shoulder girdle and encourage lymphatic flow in the upper body.

   • Arm Raises: Gentle arm elevation (flexion and abduction) to improve circulation. These are often performed slowly and within a comfortable range.

   • Elbow Flexion/Extension: Bending and straightening the elbow.

   • Wrist and Hand Movements: Gentle wrist circles, finger flexion/extension, and making a fist/spreading fingers.

   • Leg/Ankle Pumps (for lower limb lymphedema): Pointing and flexing the toes and ankles to activate the "muscle pump" that aids lymphatic flow in the lower legs.

   • Knee Bends: Gentle bending and straightening of the knees.

   • Hip Flexion/Extension: Gentle leg swings or marching in place.

3. Active Range of Motion with Light Resistance (often using compression garments or bandages):
   
   

   • Once a patient is stable and under therapist supervision, light resistance (e.g., against the compression garment itself or with very light bands) might be introduced to further enhance the muscle pump.

Important Considerations for Lymphedema Exercises:

• Compression: Exercises are most effective when performed while wearing prescribed compression garments or bandages, as this helps to support the limb and enhance the pumping action.

• Gentle and Rhythmic: Movements should be slow, gentle, and rhythmic, avoiding sudden or jerky motions.

• Start Slowly and Progress Gradually: The intensity and duration of exercises should be increased gradually as tolerated.

• Listen to Your Body: Patients should stop if they experience pain, increased swelling, or discomfort.

• Proximal to Distal: Some therapists may guide patients to perform exercises starting with the part of the limb closest to the trunk (proximal) and then moving outwards (distal) to encourage flow towards healthier lymphatic areas.

• Elevation: Performing exercises with the limb slightly elevated can sometimes be beneficial.

This information is provided for general understanding only. Anyone with lymphedema should consult with a certified lymphedema therapist (CLT) or their physician to develop a personalized exercise plan.