Hello all,
I am a CLT working in Helena Montana. I treat both oncology and lymphedema
and have been through most of the PORi certification courses. I most
recently took the Pelvic course and in prepping for a presentation back to
my colleagues, I had a thought about ankle edema (or lower extremity edema
in general) and how it influences balance. We have neuro specialized
therapists who see most of the non-oncology balance/weakness patients and
note they often have LE edema, particularly that of the ankle.
My question is really more of a discussion. Do you treat the edema first
and then address the balance? If the edema is managed, will that improve
proprioception and thus improve balance? Could the patient better
participate in balance training/reeducation if the edema has been
mitigated?
I did a quick literature search that did not reveal much. I would love a
discussion on the topic if this group feels up to it. I value clinical
experience as well as evidence pertaining to the area.
[image: Jyndia Ruff Email Signature]
