Treating Lymphedema and an Advanced Therapy for Parkinson’s Disease

By James Ferrara, Lymphedema Therapist

Lymphedema is a build-up of fluid and disposes the affected area to an ongoing inflammatory process that, if untreated, can progress to skin fibrosis, adipose tissue accumulation, and further accumulation of fluid, causing disfiguring swelling, disability, and infections such as cellulitis.

Lymphedema Treatment Complete Decongestive Therapy

1. Manual Lymphatic Drainage (MLD)— A manual technique to mobilize fluid in the lymph system that is very light and gentle.

2. Compression—Low stretch compression bandages that help increase lymph flow by increasing resting and working pressures to decrease the lymphedema in the limb; this also assists the efficiency of the muscle pump to decrease lymphedema and prevents fluid from returning.

3. Skin Care—Reduces the risk for infection and helps prevent dry skin from cracking.

4. Exercises—Improves lymph flow and improves venous return.

5. Self-Care Management and Training—Allows the patient to minimize spikes in fluid retention.

Parkinson’s Disease (PD)
Currently, there is no cure for PD; the main treatments are given through traditional pharmaceutical medications, which are available to slow down the development of the disease. Along with medication management, speech pathology, and physical therapy, there is a therapy called LSVT BIG for Parkinson’s Disease, and it provides remarkable results for many patients.

LSVT BIG Therapists are specially trained to offer specialized treatment for patients with Parkinson’s Disease.

According to LSVT Global, the following explains more details on the therapy’s offered and why they are making such a huge impact on patients’ lives.

LSVT BIG trains people with Parkinson’s disease (PD) to use their body more normally. People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. They may have trouble with getting around, getting dressed, and with other activities of daily living. LSVT BIG effectively trains improved movements for any activity, whether “small motor” tasks like buttoning a shirt or “large motor” tasks like getting up from sofa or chair or maintaining balance while walking. The treatment improves walking, self-care, and other tasks by helping people “recalibrate” how they perceive their movements with what others actually see. It also teaches them how and when to apply extra effort to produce bigger motions – more like the movements of everyone around them.1

Because LSVT BIG therapy is customized to each person’s specific needs and goals, it can help regardless of the stage or severity of your condition. That said, the treatment may be most effective in early or middle stages of your condition when you can both improve function and potentially slow further symptom progression. Beginning your work with LSVT BIG before you’ve noticed significant problems with balance, mobility, or posture will often lead to the best results, but it’s never too late to start. LSVT BIG can produce significant improvements even for people facing considerable physical difficulties.

With LSVT BIG, the patients learn to make large explosive movements that are controlled and precise. They are also encouraged to project their voice with various exercises, and in combination with physical movement, the outcomes allow patients to gain balance, improve range-of-motion, build muscle strength, flexibility and move as they did before Parkinson’s disease.

LSVT BIG® treatments consist of 16 therapy sessions (approx. 1 hr. each) that are 4 days in a row for 4 weeks. There are daily homework assignments and daily carryover exercises. Only LSVT BIG® trained clinicians can deliver the treatment sessions. This therapy is allowing individuals to move more freely and to achieve various levels of independence and confidence.

YOU CAN GET TREATMENTS IN THE COMFORT OF YOUR HOME
Therapist James Ferrara explained, “Many people are concerned about visiting a medical office due to COVID-19. My services are unique in that we come to you via our Mobile Outpatient Occupational Therapy Services. You don’t have to leave your home.”

James Ferrara is a licensed, experienced and highly regarded occupational therapist. He founded a mobile therapeutic company that will come to the privacy of your home to provide outstanding services.

Occupational Therapy
• Upper Extremity Orthopedic Injuries
• Work on ADL’s
• Home Safety Evaluations
• Work On IADL’s
• Strengthening
• Patient Education
• Functional Balance
• Transfer Training
• LSVT BIG for Parkinson’s Disease
• Lymphatic Drainage

James Ferrara is an Occupational Therapist, Certified Lymphedema Therapist and LSVT BIG® Certified. Graduated from Illinois State University 1998 with a degree in Athletic Training. Graduated from Sarasota School of Massage Therapy 2001, and Spalding University in 2006 with a Master Degree in Occupational Therapy and became a Certified Lymphedema Therapist from the Academy of Lymphatic Studies. LSVT BIG® Certified Therapist. Over 20 years of Therapy experience with 6 plus years in Outpatient Therapy and the past 11 years in Home Healthcare.

Insurance/Billing Information and More
• Medicare B provider (Bills Medicare directly for in home visits).
• Insurance—Will check network provider cover-age/cost for patients, many will have only a co-pay!
• Provides outpatient Therapy to patients in their homes.
• The patient does not need to be homebound. This is Outpatient Occupational Therapy that travels to the patients home.
• Uses appropriate PPE as recommended by CDC and tested regularly.

IF YOU ARE IN NEED OF THERAPY, CONTACT Functional Transformation Mobile Rehab TODAY AT 941-830-3749. TO FIND OUT MORE, PLEASE VISIT:

JAMESFERRARALYMPHEDEMA.COM