Negative Pressure Treatment Benefits Patients with Head and Neck Cancer Symptoms $0.00

Negative Pressure Treatment Benefits Patients with Head and Neck Cancer Symptoms

By: Kathy McGinty, PTA, CLT | Nov 21, 2019
Negative Pressure Treatment Benefits Patients with Head and Neck Cancer Symptoms

Until recently, treatment options that support healing for patients that have had head and neck cancers have been limited. Because the symptoms of scaring, fibrosis, movement restriction and swelling can cause swallowing and breathing difficulties, finding treatments that will assist with healing these symptoms is critical. LymphaTouch® is a gentle tool that is able to assist in treating many of the symptoms that these patients endure. This device is truly unique because it creates negative pressure (suction) over tissues by stretching them vertically. Negative pressure treatments with LymphaTouch® assists therapist by giving different options that can significantly enhance their outcomes.

Lymphatouch

Treatment Options Include:


  • Lymphedema
  • Fibrosis from radiation and lymphedema
  • Soft tissue restrictions; and
  • Scar restrictions.

Lymphedema


Mimicking manual lymph drainage, LymphaTouch® generates negative pressure in the tissues while simultaneously opening the lymphatic capillaries. The device accomplishes this by lifting the skin and interstitial tissues in a pulsating rhythm. This combination creates an ideal environment for affective lymph drainage. Simply guide the treatment cup to follow the chosen lymphatic pathway, adjusting the amount of negative pressure needed for appropriate skin movement. When used over the neck, LymphaTouch® reaches deep swelling that restricts movement, breathing and swallowing.

Lymphedema Treatment

Fibrosis from Radiation and Lymphedema


LymphaTouch offers different settings that help break up fibrosis.

With the rhythmic-pulsating setting, the device applies negative pressure to the hardened tissues, allowing for tissue stretch and expansion.

A slight setting adjustment allows negative pressure to be held continually, and tissues can be lifted and stretched for longer periods of time. Using the smaller treatment cups allows for vertical stretch behind the ear and on delicate places on the face.

The continual hold setting is similar to cupping, but, with the LymphaTouch®, we can control the amount of negative pressure for patient comfort (20-250mmHg) and we can stop the suction at any time. Cupping also creates negative pressure, but, when left on the skin, cups can create circular-shaped ecchymosis. Using LymphaTouch® instead can avoid this while protecting the already fragile tissues.

Mechanical high-frequency vibration is a feature that can be used with either the pulsating or continual hold setting. This vibration assists with breaking up radiation and lymphedema fibrosis by shaking the area being treated. By adjusting the vibration’s Hertz, we are able to loosen deeper fibrotic areas that we normally would not be able to reach! This capability is especially useful around the waddle and larynx where areas of fibrosis are typically stubborn.

Fibrosis from Radiation and Lymphedema

Soft Tissue Restrictions


Surgical scars and radiation on the head and neck can restrict movement, swallowing, speaking, and breathing. Using negative pressure on the continual hold setting, in conjunction with regular rehab practices, can significantly assist in relieving these symptoms.

Using the device over the temporomandibular joint (TMJ) can stretch the tissues in the joint to help ease movement. Myofascial tissue stretching can be enhanced by placing the device’s treatment cup over the inflexible areas on the face and neck. This technique can also be used over the larynx and hyoid, loosening any restriction around those areas that affect swallowing. LymphaTouch® can release restrictions in and around the diaphragm by reaching its deeper tissues.

Twisting or pulling the treatment cup horizontally can also increase the stretches’ effectiveness.

Scar and Graft-Site Restrictions


Using negative pressure to lift scars can also release the adhesions that restrict tissue movement and lymph flow. On the pulsating or continual hold setting, LymphaTouch® is able to vertically lift the subcutaneous scar tissues that create adhesions.

About the Author


Kathy

Kathy McGinty, PTA, CLT
Physical Therapist Assistant & Certified Lymphedema Therapist
John Hopkins Hospital

Kathy McGinty is a Physical Therapist Assistant with a decade of successful experience treating patients in an outpatient setting at Johns Hopkins Hospital. Kathy has a strong background in orthopedics and specializes in treating lymphedema and oncology-related ailments. Kathy has been a speaker and workshop presenter at lymphedema and oncology conferences and is a community college lecturer for PTA programs. A believer in treating the whole person, Kathy incorporates wellness and mindfulness in her practice. Outside of work, she is a devoted mother and grandmother, enjoys gardening, hiking, and watching anything that is related to Star Trek.

REFERENCES

Gott, F. H., Ly, K., Piller, N., & Mangion, A. (2018). Negative pressure therapy in the management of lymphoedema. Journal of Lymphoedema, 13(1). http://lymphoedemaeducation.com.au/wp-content/uploads/2018/06/5.-Negative-pressure-therapy-in-the-management-of-lymphoedema.pdf

Iivarinen, J. T., Korhonen, R. K., & Jurvelin, J. S. (2016). Modeling of interstitial fluid movement in soft tissue under negative pressure–relevance to treatment of tissue swelling. Computer methods in biomechanics and biomedical engineering, 19(10), 1089-1098. https://www.tandfonline.com/doi/full/10.1080/10255842.2015.1101073?scroll=top&needAccess=true

Lacross, Z. T. (2014). Treatment outcomes of myofascial decompression on hamstring pathology (Doctoral dissertation, Oklahoma State University). https://shareok.org/handle/11244/14951

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