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In the United States, approximately one in four women diagnosed with breast cancer will develop secondary arm lymphedema after axillary dissection. These patients experience significant functional limb impairment, psychological morbidity and a reduction on their perceived quality of life . The efficacy of pharmaceutical interventions for lymph edema is uncertain; therefore, most therapies prescribed are non-pharmaceutical.While the mechanisms are poorly understood, decongestive physiotherapy (consisting of skin care, manual lymph drainage, lymphatic/pneumatic pumps, exercise and compression wrapping) is effective for the treatment of lymphedema.
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