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the UPMC rehabilitation institute has more than 60 outpatient locations across the region dedicated physical and occupational and speech therapists create tailored treatment plans for patients to help them meet their goals and to get them back to doing what they love hi Im Charlie Batch joining me today is Lisa major a physical therapist shes here to talk about some of the specialized programs and services at the UPMC rehabilitation institute thank you for joining me today my pleasure Charlie lets start with lymphadema management so what is lymphadema and what causes it so lymphadema is actually swelling and its due to damage to the lymphatic system that can happen in any body part it could be an arm leg your trunk uh your chest your back uh generally we treat lymphadema in oncology survivors uh lymph Noe removal is often part of cancer treatment what does a treatment look like so lymphadema treatment consists of several different pieces first we do lymph drainage massage which is