{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:28:24Z","timestamp":1792121304168,"version":"4.4.0"},"reference-count":94,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract This article aims to discuss the possibilities of conservative and non-pharmacological treatments for lymphedema. A non-systematic review of the literature was carried out, including studies involving human subjects with different types of lymphedema. Several approaches to lymphedema treatment have been reported and Complex Decongestive Therapy (CDT) has been considered the most effective treatment for limb lymphedema. Other conservative treatments have been proposed such as Taping, Extracorporeal Shock Wave Therapy, Acupuncture, Photobiomodulation Therapy, Endermologie, Intermittent Pneumatic Compression, and Low-frequency, Low-intensity Electrotherapy. The choice of the therapeutic approach to be employed should consider lymphedema characteristics, the therapist's experience, and the patient's wishes. In addition, since this is a chronic condition, the patient must adhere to the treatment. To this end, the therapeutic proposal may be the key to better control of limb volume.<\/jats:p>","DOI":"10.1590\/1677-5449.200091","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T16:05:09Z","timestamp":1633968309000},"source":"Crossref","is-referenced-by-count":55,"title":["Conservative treatment of lymphedema: the state of the art"],"prefix":"10.1590","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1972-8777","authenticated-orcid":false,"given":"Anke","family":"Bergmann","sequence":"first","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5477-1634","authenticated-orcid":false,"given":"Jaqueline Munaretto Timm","family":"Baiocchi","sequence":"additional","affiliation":[{"name":"Instituto Oncofisio,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9907-3768","authenticated-orcid":false,"given":"Mauro Figueiredo Carvalho de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"20","key":"ref1","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1056\/NEJMcp1803290","article-title":"Lymphedema after breast cancer treatment","volume":"379","author":"Rockson SG","year":"2018","journal-title":"N Engl J Med"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1136\/ijgc-2019-001032","article-title":"Lower extremity lymphedema in patients with gynecologic malignancies","volume":"30","author":"Dessources K","year":"2020","journal-title":"Int J Gynecol 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A randomized controlled trial","volume":"16","author":"Kizil R","year":"2018","journal-title":"Lymphat Res Biol"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.12968\/bjcn.2019.24.Sup10.S6","article-title":"Critical examination of skin care self-management in lymphoedema","volume":"24","author":"Jones A","year":"2019","journal-title":"Br J Community Nurs"},{"issue":"7","key":"ref44","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/01.ASW.0000520501.23702.82","article-title":"Skin and wound care in lymphedema patients: a taxonomy, primer, and literature review","volume":"30","author":"Fife CE","year":"2017","journal-title":"Adv Skin Wound Care"},{"issue":"3","key":"ref45","doi-asserted-by":"crossref","first-page":"77","DOI":"10.3390\/mps2030077","article-title":"An enhanced self-care protocol for people affected by moderate to severe lymphedema","volume":"2","author":"Douglass J","year":"2019","journal-title":"Methods 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Med"},{"issue":"1","key":"ref55","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1142\/S0192415X02000041","article-title":"Effectiveness of acupuncture and moxibustion treatment for lymphedema following intrapelvic lymph node dissection: a preliminary report","volume":"30","author":"Kanakura Y","year":"2002","journal-title":"Am J Chin Med"},{"issue":"2","key":"ref56","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s10103-015-1854-y","article-title":"Anti-inflammatory and lymphangiogenetic effects of low-level laser therapy on lymphedema in experimental mouse tail model","volume":"31","author":"Jang DH","year":"2016","journal-title":"Lasers Med Sci"},{"issue":"3","key":"ref57","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1007\/s10103-012-1240-y","article-title":"Low-level laser therapy in secondary lymphedema after breast cancer: systematic review","volume":"29","author":"Lima MTBRM","year":"2014","journal-title":"Lasers Med 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A","year":"2020","journal-title":"Support Care Cancer"},{"issue":"7","key":"ref64","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1039\/C9PP00120D","article-title":"Examining tumor modulating effects of photobiomodulation therapy on head and neck squamous cell carcinomas","volume":"18","author":"Silveira FM","year":"2019","journal-title":"Photochem Photobiol Sci"},{"issue":"11-12","key":"ref65","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1002\/jbio.201600107","article-title":"Exploring the effects of low-level laser therapy on fibroblasts and tumor cells following gamma radiation exposure","volume":"9","author":"Silva CR","year":"2016","journal-title":"J Biophotonics"},{"issue":"3","key":"ref66","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/s00520-011-1113-0","article-title":"Differential responses of fibroblasts, non- neoplastic epithelial cells, and oral carcinoma cells to low level laser therapy","volume":"20","author":"Schartinger VH","year":"2012","journal-title":"Support Care Cancer"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"S151","DOI":"10.1089\/pho.2008.2475","article-title":"Low-level laser irradiation (InGaAlP-660 nm) increases fibroblast cell proliferation and reduces cell death in a dose-dependent manner","volume":"28","author":"Frigo L","year":"2010","journal-title":"Photomed Laser Surg"},{"issue":"1","key":"ref68","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1089\/104454702753474977","article-title":"Effects of low-level laser therapy on malignant cells: in vitro study","volume":"20","author":"Pinheiro AL","year":"2002","journal-title":"J Clin Laser Med Surg"},{"issue":"1","key":"ref69","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1089\/pho.2008.2445","article-title":"The effect of laser irradiation on proliferation of human breast carcinoma, melanoma, and immortalized mammary epithelial cells","volume":"28","author":"Powell 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Biol"},{"issue":"4","key":"ref80","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1159\/000360786","article-title":"Intermittent pneumatic compression pump for breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials","volume":"37","author":"Shao Y","year":"2014","journal-title":"Oncol Res Treat"},{"issue":"1","key":"ref81","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s10549-011-1795-5","article-title":"A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema","volume":"131","author":"Ridner SH","year":"2012","journal-title":"Breast Cancer Res Treat"},{"issue":"2","key":"ref82","first-page":"56","article-title":"A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema","volume":"31","author":"Johansson 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Lymphol."},{"issue":"9","key":"ref89","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00296-010-1409-2","article-title":"Massage therapy for fibromyalgia symptoms","volume":"30","author":"Kalichman L","year":"2010","journal-title":"Rheumatol Int"},{"issue":"3","key":"ref90","first-page":"260","article-title":"Randomised pilot study for quantification of benefit from the patient\u2019s point of view of deep oscillation treatment in primary wound healing","volume":"152","author":"Reinhold J","year":"2014","journal-title":"Z Orthop Unfall."},{"issue":"2","key":"ref91","first-page":"87","article-title":"Treatment of peripheral lymphedema by concomitant application of magnetic fields, vibration and hyperthermia: a preliminary report","volume":"35","author":"Ohkuma M","year":"2002","journal-title":"Lymphology"},{"key":"ref92","first-page":"33","article-title":"The sound wave lymphatic drainage","volume":"15","author":"Ricci M","year":"2005","journal-title":"Eur J 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