A patient has been referred to outpatient physical therapy f…

A patient has been referred to outpatient physical therapy for right upper extremity lymphedema management. She is status post right mastectomy with lymph node removal. She has no significant past medical history.   QUESTION:  The patient’s level of lymphedema characterized by non-pitting edema that does not resolve with elevation, the skin has begun to toughen and fibrosis is present.  

A 58-year-old man presents to your outpatient physical thera…

A 58-year-old man presents to your outpatient physical therapy clinic for evaluation of his right lower extremity lymphedema. He developed this condition following treatment for prostate cancer, which included pelvic lymph node dissection and radiation therapy two years ago. On examination, the PT noted significant swelling of his right thigh and calf, with pitting edema and thickened skin. The patient’s gait is affected, and he reports difficulty finding shoes and pants that fit comfortably. He expresses frustration with his condition and mentions feeling self-conscious about the appearance of his leg.   QUESTION: Given this patient’s presentation, which of the following is the most appropriate next step in management?