Lange Jahre galten Kompressionstherapie und manuelle Lymphdrainage als Kontraindikation bei Erysipel. Diese Einstellung hat sich gewandelt: Während die Lymphdrainage den Abfluss von Gewebeflüssigkeit fördert, unterstützt die Kompressionstherapie die Entstauung und beugt erneuten Infektionen vor. Gemeinsam optimieren die beiden Maßnahmen Heilung und Rezidivprophylaxe.
Abstract
For many years, compression therapy and manual lymph drainage were considered contraindications in the presence of erysipelas. This view has changed in recent years due to new findings and experience. Even in acute erysipelas, compression therapy is no longer regarded as a contraindication, but as an important therapeutic component that can be started at the same time together with antibiotics, taking into account the patient’s individual pain symptoms. Manual lymphatic drainage can also be used at an early stage when the antibiotic is responding (fever reduction, initial improvement in findings).
Schlüsselwörter
Erysipel - Kompression - manuelle Lymphdrainage - komplexe physikalische Entstauungstherapie - Penicillin
Keywords
erysipelas - compression - manual lymph drainage - complex physical decongestive therapy - penicillin
