Skip to content

Lymphedema Management Survey

Understanding your lymphedema

1. Is your lymphedema in the upper extremity or the lower extremity?

2. At what age were you diagnosed with lymphedema?

3. How long ago were you diagnosed with lymphedema?

4. How did you first know you had lymphedema?

5. If your lymphedema is due to lymph node removal or cancer surgery, did your surgeon or oncologist educate you on the risk factors of lymphedema or what to do about it?

6. If you have received lymph drainage therapy, including manual lymphatic drainage, were you taught a home self MLD program?

7. If you were taught a home self MLD program, would you say that you still reliably complete this program currently?

8. If you do not continue with your home MLD program, what is the reason?

9. If you stopped doing your MLD due to the complexity of the self MLD routine you were taught, was this routine:

10. Do you feel that your therapist spent enough time training you on your home self MLD and answered your questions about it?

11. If you received compression bandaging in your lymphedema treatment were you taught how to self-bandage?

12. If you were taught how to self-bandage, are you able to still complete that task today when necessary?

13. If you were taught self-bandaging and cannot complete it today if needed, what is the reason?

14. Were you taught protective skin care of your at-risk limb?

15. If so, is the skin care program you were taught easy to maintain?

16. If the skin care program you were taught is not easy to maintain, what are the factors that prevent you from maintaining a good skin care routine?

17. Do you currently perform some sort of exercise to stimulate the muscle contraction in the at-risk limb?

18. If you answered yes, how many days per week and how many minutes per day do you complete exercises related to your lymphedema?

19. If you answered no, what prevents you from completing exercises related to your lymphedema?

20. I was fit for a compression garment at the end of treatment when my measurements reached a plateau with compression bandaging and or manual lymphatic drainage.

Complete this form and confirm your email address in your inbox. We'll send you information about our courses and how you can add value to your patients and your career.

By submitting this form, you are consenting to receive marketing emails from: LCS, 17 N Franklin St., Christiansburg, VA, 24073, You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact