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A model for self-management of chronic filarial lymphoedema with acute dermato-lymphangio-adenitis
  1. Jaimala Vijay Shetye,
  2. Anjali Suresh Jain,
  3. Sheral Thomas Kachpile and
  4. Ekta Nitin Patil
  1. Physiotherapy School & Center, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Sheral Thomas Kachpile; skachpile{at}


Secondary lymphoedema due to filariasis is a leading cause of morbidity in India. We present a case of a 54-year-old female with lymphatic filariasis for 18 years, with three to four episodes of acute dermato-lymphangio-adenitis (ADLA) every year. The patient had voluntarily restricted social interaction and community participation. A combination of interventions provided in 17 physiotherapy sessions over a period of 20 days showed notable improvement, by reducing limb volume and ADLA episodes and by improving limb shape, functional capacity and quality of life. Interventions included aerobic exercise, decongestion therapy with faradism under pressure and exercises with elevation. This gain was maintained throughout the 8 months of the pandemic. Patient education and counselling along with home programme of self-bandaging and self-limb hygiene played a major role in the recovery of the patient. Self-reliance in management was important because of the pandemic, which restricted the patient from attending the outpatient department.

  • physiotherapy (rehabilitation)
  • physiotherapy (sports medicine)

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  • Correction notice The article has been corrected since it is published online. The name in the acknowlegement section has been corrected from Dr. Radha Daptardar to Dr. Anuradha Daptardar.

  • Contributors AJ, SK and EP have equally contributed to documentation and writing and editing the manuscript. JS is the guarantor of the case report who accepts the responsibility for editing and analysing the manuscript, had access to data and decided to publish the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.