Maria de Fatima Guerreiro Godoy

Godoy & Godoy Escola Internacional de Terapia Linfatica · Rehabilitation

Concepto de terapia linfático manual: Enfoque global El concepto de Terapia Linfático Manual surgió en la búsqueda de una maximización de los estímulos linfáticos, es decir, de la utilización de todos los estímulos conocidos, para obtener resultados con efectos sinérgicos. De esta forma, se buscó en la fisiología del estimulo linfático, una relació...

b>Aim : The present aimed study was to report the mobilization of body fluids after five days of intensive treatment for secondary lower limb lymphedema. Materials and methods : A crossover clinical trial was conducted involving the analysis of changes in intracellular and extracellular fluids in all extremities and the trunk in women with lower li...

Lymphedema is a clinical condition resulting from a failure in the drainage of the lymphatic system and the consequent formation of edema and is a chronic progressive condition; its development is an active dynamic process. Physiotherapy techniques are the most widely used method for such cases. However, novel concepts and treatment techniques have...

A novel type of cell underwent identification between 2005 and 2008 and was denominated the “telocyte” in 2010. In 2012, transmission electron microscopy revealed the presence of telocytes in the dermis. The aim of the present study was to report important changes in immunostained CD34 cells following the treatment of lower limb lymphedema using a...

Purpose The SARS-CoV-2 disease predisposes infected individuals to thrombosis, the underlying mechanisms of which are not fully understood. The balance between pro-coagulant factors and natural coagulation inhibitors in critically ill patients with Covid-19 is fundamental to the prevention and treatment of complications. The aim of the present stud...

Background: The manual lymphatic drainage (MLD) technique used during the early stages following surgical treatment of breast cancer can help prevent the progression of clinical lymphedema. Objective: The objective of this study was to evaluate the effectiveness of manual lymphatic therapy (MLT) (Godoy method) in reducing the development of lymp...

Background and objective Thrombosis is one of the significant challenges associated with cardiovascular diseases and a prominent cause of death globally. This study aimed to determine the monthly and overall mortality rates by sex and age group in patients hospitalized with coronavirus disease 2019 (COVID-19) and the prevalence of deep vein thrombo...

The present research aimed to report the treatment of primary congenital lymphedema using the Godoy method with a 17-year follow-up period. A 2-month-old male patient with bilateral primary congenital lymphedema of the lower limbs was sent to the Clinica Godoy-Brazil for specialized treatment. The physical examination revealed bilateral lower limb...

The aim of the present case study was to report the 3-year follow-up of a male patient with lipedema and subclinical systemic lymphedema evaluated using multi-segment bioimpedance. The report describes the case of a 53-year-old male with a history of oncological surgery involving lymph node clearance in the right inguinal region followed by radioth...

The aim of the present study is to report the indirect evaluation of cervical stimulation considering the effect of the duration of the stimulus on the control of intraocular pressure in a patient with bilateral glaucoma with important ocular edema. A 47-year-old woman reported the onset of pain and bilateral tearing in the eyes at 35 years of age...

BACKGROUND: elastic stockings and bandages constitute the main compression mechanism indicated for the treatment of chronic venolymphatic diseases. the aim of the present study was to investigate volumetric variations at two-week intervals of a 90-day assessment period in patients who underwent treatment for lymphedema using the godoy Method® follo...

The Godoy Method of cervical lymphatic therapy is the first treatment option as monotherapy for children and enables achieving normalization or near normalization of the affected limb as well as the maintenance of the results, which could assist millions of children throughout the world.

The aim of the present study is to report the indirect evaluation of cervical stimulation considering the effect of the duration of the stimulus on the control of intraocular pressure in a patient with bilateral glaucoma with important ocular edema. A 47-year-old woman reported the onset of pain and bilateral tearing in the eyes at 35 years of age...

Lymphatic drainage is the main form of therapy for lymphedema, as it affects the pathophysiology of this clinical condition. The two main objectives of lymphatic drainage are the formation and drainage of lymph. In recent years, Godoy & Godoy developed a novel concept of mechanical lymphatic drainage involving a device denominated RAGodoy®, which p...

Objective: The aim of the present study was to report the physiological stimulation of the synthesis of preelastic fibers in the dermis of a patient with fibrosis. Design: A clinical study was conducted involving the analysis of histological changes in preelastic fibers following treatment for stage II primary lymphedema for the clinical reversa...

Background: Fibrotic diseases pose a problem for overall health due to their chronic, progressive nature; the lack of a cure; and the fact that such conditions are largely refractory to current medical and surgical treatment practices. Objective: The aim of the present study was to report the physiological stimulation of synthesis and lysis of extr...

Introduction Critical limb ischemia is the most severe form of peripheral arterial disease. The anatomic and clinical severity of the disease is often heterogeneous and the choice of treatment is affected by different clinical and patient-related factors. The aim of the present study was to evaluate the mortality rate in a period of 1 year followin...

Background: Current evidence points to a state of hypercoagulability (consequence of hyperinflammation) as an important pathogenic mechanism that contributes to the increase in mortality in cases of COVID-19. The aim of the present study was to investigate the influence of deep-vein thrombosis on mortality patient's infected with SARS-CoV-2. Meth...

Introduction Breast cancer-related lymphedema (BCRL) is a complication of treatment for breast cancer. The aim of the present study is to report a form of intensive treatment for BCRL. Method A crossover study was conducted involving the evaluation of the change in the volume of the upper limbs of 45 women with BCRL who underwent the intensive Godo...

Background Among the multiple complex pathophysiological mechanisms underlying Covid-19 pneumonia, immunothrombosis has been shown to play a key role. Objective The aim of the present study was to assess the monthly prevalence of deep venous thrombosis in a university hospital that admitted 5159 patients with Covid-19 in the medical ward and inten...

Objective: Chest pain and swelling are routinely reported in women after breast cancer treatment and are often not valued by health professionals. In general, these patients suffer and without many effective solutions. The aim of the present study was to report the results of a novel technique for the treatment of chest pain related to breast canc...

Aim: The aim of this study was to evaluate the effect of adjustments to a compression stocking on reductions in leg volume during walking in patients with lymphedema. Method: Fourteen women and three men suffering from leg lymphedema with ages between 21 and 68 years old (mean 45.68 years) were randomly enrolled in this study. Evaluations were m...

Low-level laser therapy (LLLT) has been used as an effective, safe, and noninvasive treatment for wound healing. This paper reports the case of a 78-year-old female who had suffered trauma to the anterior tibial region of the leg. The injury continued to worsen for a month, along with an increase in pain, even with medical treatment involving antib...

Introduction: Lymphedema is a specific type of edema that affects regions of the body in a chronic, progressive manner. Aim: The aim of the present study was to describe the therapeutic evolution of more than ten years of treatment for primary congenital lymphedema using the Godoy and Godoy method. Method: Ten children with primary congenital lymph...

Aim: The aim of the present study was to evaluate the prevalence of subclinical and clinical systemic lymphedema in patients with lipedema and different body mass index (BMI) values. Method: A cross-sectional study was conducted to determine the prevalence of subclinical systemic lymphedema and clinical lymphedema of the lower limbs detected by...

Background and objective Lymphedema is a clinical condition resulting from a failure in the drainage of the lymphatic system and the consequent formation of edema. The aim of the present study was to report the results of five days of intensive treatment for lymphedema and the maintenance of such results at the first follow-up evaluation. Method A...

Purpose: Lymphedema is a specific type of edema with a chronic, progressive nature. The aim of the present study is to report clinical findings related to edema and its location in children with primary lymphedema. Methods: Sixty-eight children with congenital primary lymphedema were evaluated at the Godoy Clinic in São Jose do Rio Preto, Brazil...

Abstract: Lymphedema is a specific type of edema stemming from a failure in the formation or drainage of lymph. This condition can be congenital or acquired. The clinical treatment of genital lymphedema involves compression mechanisms of the penis. In acquired cases, the individual is born with the lymphatic system intact, but this system is damage...

Background: The surgical treatments of breast cancer associated or not with axillary drainage and radiotherapy constitute the main cause of secondary upper limb lymphedema. Obesity is a particularly aggravating aspect in patients with lymphedema. Novel concepts of subclinical systemic lymphedeman and clinical systemic lymphedema have recently been...

Purposes: The aim of the current study was to evaluate epidemiological data on amputations of upper extremities. Methods: The main causes of upper extremity amputations performed in the period from January 1998 to January 2008 in Hospital de Base, São José do Rio Preto were retrospectively evaluated in a descriptive and quantitative cross-sectio...

The aim of the present study is to evaluate the prevalence of subclinical systemic lymphedema in patients with lymphedema following treatment for breast cancer and the association with the body mass index (BMI). A cross-sectional study was conducted to determine the prevalence of subclinical systemic lymphedema using bioelectrical impedance analysi...

The epidemiological classifications of primary lymphedema based on age at emergence and the severity of the edema are fundamental to the transmission of information about this condition. In the secondary type, the lymphatic system is intact at birth but is injured during the course of life, causing a deficiency that leads to lymphedema. However, ye...

Lymphoedema is a chronic clinical condition with no cure. However, novel therapy concepts developed in recent years aim to bring the affected limb within or close to the limits of normality. Elephantiasis is the most advanced stage of this condition, but the results of therapy can be maintained with continued treatment. The aim of the present study...

Introduction: Lymphoedema is a progressive, chronic, clinical sign of an abnormal accumulation of macromolecules in the interstitial space that causes a buildup of fluids. Aim: To evaluate specific data of bioimpedance such as impedance and reactance in the evolution of lymphoedema treatment. Materials and Methods: A prospective quantitative study...

Venous insufficiency is related to aging. Edema, pathological evolution of venous insufficiency, favors the appearance of venous ulcers as the main complication. Leg ulcers can be treated with compression, the Unna's boot being one of them, and noncompression therapies (conventional dressing). Bioelectrical impedance analysis accurately measures th...

The aim of the study was to report an improvement in clinical lymphedema in a patient who went from morbid obesity to overweight following bariatric surgery. A 52-year-old female patient reported having undergone bariatric surgery with a body mass index (BMI) of 51.2 kg/m², losing 40 kg and arriving at her current BMI of 37.1 kg/m². She would previ...

ABSTRACT Introduction: Lymphedema of the upper limbs is one of the complications in breast cancer treatment and is associated with risk factors such as axillary surgery, obesity and infection and is chiefly correlated with postoperative radiotherapy and the number of lymph nodes resected. Objective: The objective of the current study was to evaluat...

Abstract Lymphedema is a clinical condition that results from the buildup of macromolecules in the interstitial space leading to an accumulation of fluids. The objective of the present study is to correlate intracellular and extracellular fluid variations by comparing patients with lymphedema and different body mass indexes (BMIs): between 25 and 3...

Objective: To analyze the literature related to the types of therapies for venous injuries with emphasis on use of the Unna boot, and to investigate and discuss the main aspects related to its use compared to other techniques. Method: Integrative review of the literature of the last five years through searches in the following databases: VHL, LILAC...

Objective: To analyze the literature related to the types of therapies for venous injuries with emphasis on use of the Unna boot, and to investigate and discuss the main aspects related to its use compared to other techniques. Method: Integrative review of the literature of the last five years through searches in the following databases: VHL, LI...

The aim of the present study was to evaluate the therapeutic response to intensive treatment for lymphedema in different body mass index (BMI) ranges (25 to 30, 30 to 40 and > 40 kg/m2). A cross-sectional study was conducted involving 59 patients with grade III lower limb lymphedema (elephantiasis) who arrived consecutively at the Godoy Clinic in S...

BACKGROUND: There is no consensus on a single therapy for the treatment of lymphedema, and thus a combination of therapies is recommended. The aim of this study was to evaluate the effectiveness of diosmin with hesperidin as monotherapy to reduce breast cancer-related lymphedema as assessed by bioimpedance. METHODS: Thirteen patients aged from 46-5...

Background Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids. Aim The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas. Method Thirty-three patients with sever...

The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in...

Objective The present study was aimed at evaluating the use of mechanical and manual lymphatic therapy as a treatment for lymphedema resulting from orthopedic surgery that became painful after an episode of erysipelas. Case Report A 70-year-old male patient suffered direct trauma resulting in a compound fracture of the tibia and fibula of the left...

Objective The aim of the present study is to report on the reduction of edema of lymphedematous arms just by treating the lower limbs. Methods A 16-year-old girl reported that she has started having right lower limb edema at the age of three. At age 13, she performed a lymphoscintigraphy that confirmed the diagnosis of primary lymphedema of the fo...

Introduction: Pain associated with lymphedema is common, but it is rarely a limiting factor. The aim of the present study is to report the effect of five days of intensive treatment of a patient with sequelae of poliomyelitis associated to an infection that progressed to lymphedema and six months of intense pain. Case summary: A 65-year-old patient...

Introduction : Erysipelas is an acute skin infection of a streptococcal-related aetiology. Penicillin is the first-line antibiotic in the treatment of erysipelas; however, a number of other antibiotics are used. Aim of the research : To evaluate the clinical response of erysipelas to clindamycin in hospitalised patients. Material and methods : A...

Manual lymph drainage has become the mainstay in the treatment of lymphedema for decades now. Five evolving variants have been described by Godoy & Godoy over the years: i) manual lymph drainage using rollers; ii) self-applied manual lymph drainage using rollers; iii) manual lymph drainage using the hands (manual lymphatic therapy); iv) mechanical...

The aim of this study was to evaluate perimetric reductions in the clinical treatment of cellulite (aesthetics) using the Godoy method in a randomized retrospective clinical trial. The medical records of 150 patients treated for cellulite in the period from 2006 to 2011 in the Clinica Godoy were revisited. Treatment comprised manual and mechanical...

Background and Purpose Mental disability is often characterized by significant limitations in adaptive skills. When this condition is associated with lymphedema, treatment requires greater commitment of the care team. The objective of this study is to report the treatment of lymphedema using only one therapeutic technique, a low-stretch grosgrain s...

Idiopathic cyclic edema is a type of generalized edema that mainly affects women. Diagnosis is made by the patient’s clinical history and an evaluation of the accumulation of weight during the day. The objective of this study is to report the clinical control of lymphedema associated with idiopathic cyclic edema using calcium dobesilate. A 55-year-...

The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient. Methods. Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twenty-one lymphedematous lower limbs were evaluated in Cl´ınica...

Aim . The aim of this study is to report on the use of cervical stimulation as monotherapy to reduce swelling and normalize the size of limbs in two children with lymphedema of all four extremities. Case Presentation . One child also had hemifacial edema. In both cases, the mothers were trained to perform cervical stimulation under professional sup...

Background: Lymphedema is one complication of breast cancer treatment and there is no consensus that identified one single therapy in the treatment of lymphedema; therfore an association of methods is recommended and one of these is exercising. The aim of this study was to evaluate the utilization of exercising with a facilitating device along wit...

Genital lymphedema in men can affect the penis and/or scrotum, causing deformity and causing sexual limitations, social isolation, poor quality of life and recurrent subcutaneous infections due to difficulties in hygiene. There are few studies in the literature emphasizing the treatment of penile fibrosis after penoscrotal lymphedema. The purpose o...

Background: One of the dreaded complications after the treatment of breast cancer is lymphedema. Therapies used in the treatment of breast cancer such as surgery, radiotherapy, hormone therapy and chemotherapy may be adversely affected by obesity. Aim: The objective of this study was to use bioimpedance to assess abdominal fat in women with brea...

Este libro tiene como objetivos describir de forma simple y clara una nueva técnica de drenaje linfático. Describe paso a paso el desarrollo y la evolución de la técnica como las secuencias de sus maniobras. Él es fruto de la evolución de la técnica de drenaje linfático manual descripta por Godoy & Godoy en 1999. Sin embargo, en los últimos años, l...

O câncer de mama é uma enfermidade que continua avançando e desafiando a evolução da medicina. A incidência e sua mortalidade mostram que o desafio continua em todas as classes sociais, porém a abordagem preventiva pode melhorar o prognóstico. A decisão terapêutica e as intercorrências consistem na primeira etapa de enfrentamento desse desafio. D...

The aim of this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome. A 24-year-old female patient reported that her family had observed edema in her right leg and port wine stains from birth. For ten years, they consulted with different specialists in the region but the prognosis did not chan...

The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over several years. One leg evolved with significant e...

The aim of this work was to study on a new low-elastic textile that fulfilled the criteria of fabrics for the manufacture of compression garments to treat lymphedema. The evolution of Godoy & Godoy compression sleeves was performed by following the patients treated for arm lymphedema. Sixty-six patients with ages ranging from 35 to 83 years and a m...

Aim. The objective of the current study was to evaluate the reduction of edema and pain with the use of elastic stockings. Method. The effect of walking on a treadmill for 50 minutes in the evening wearing elastic compression stockings on pain and edema was evaluated in a prospective randomized crossover clinical trial. In Assessment 1, the legs of...

The aim of this study is to report a case of factitious lymphedema of the arm and related lymphoscintigraphic aspects. The case of a 36--year--old patient is reported who started to present with pain, in the 3 rd finger of the right hand three years prior to this report, which she associated with her work. Joint effusion was identified and treated...

Objective: the objective of this study was to evaluate lymphedema reduction in lower limbs using grosgrain socks (inelastic) as an isolated form of treatment. Method: 13 consecutive patients with lymphedema in the lower limbs treated with grosgrain socks were evaluated in prospective clinical assays for volumetry in the Godoy Clinic in 2012. There...

Aim: The aim of this study was to evaluate epidemiological data and mortality of patients with anaerobic infections submitted to amputations. Methods: In retrospective study of cohort were evaluating patients who underwent amputations due to anaerobic infections in the period from January 1998 to January 2008 were evaluated in a retrospective, quan...

Objective: the objective of this study was to evaluate lymphedema reduction in lower limbs using grosgrain socks (inelastic) as an isolated form of treatment. Method: 13 consecutive patients with lymphedema in the lower limbs treated with grosgrain socks were evaluated in prospective clinical assays for volumetry in the Godoy Clinic in 2012. There...

Aim: The aim of this study was to evaluate epidemiological data and mortality of patients with anaerobic infections submitted to amputations. Methods: In retrospective study of cohort were evaluating patients who underwent amputations due to anaerobic infections in the period from January 1998 to January 2008 were evaluated in a retrospective, quan...

The objective of current study was to evaluate if day‐to‐day activities can exert an influence on the treatment of patients that use elastic stockings. Working pressures during day‐to‐day activities were evaluated. Five male and five female individuals, with ages varying from 36 to 47 years old, participated in the study. They were requested to con...

treatment of patients that use elastic stockings. Working pressures during day‐to‐day activities were evaluated. Five male and five female individuals, with ages varying from 36 to 47 years old, participated in the study. They were requested to continue with routine day‐to‐day activities during the evaluation period. Sigvaris® 30/40 mmHg elastic st...

The objective of this study was to evaluate pain in women with breast cancer-related lymphedema and the characteristics of aggravating factors and coping mechanisms. The study was conducted in the Clinica Godoy, São Jose do Rio Preto, with a group of 46 women who had undergone surgery for the treatment of breast cancer. The following variables were...

The objective of the present study was to evaluate the effect of elastic compression stockings on volumetric variations of lymphedematous limbs between mechanical lymph drainage sessions. Eleven patients with Grade II leg lymphedema, regardless of etiology, were evaluated in a randomized clinical trial. The ages ranged from 47 to 83 years old with...

The case of a 72-year-old female patient with elephantiasis is reported. The patient was submitted to two surgeries to remove the edema. After surgery, the leg again evolved to elephantiasis and eventually she was referred to the Clinica Godoy for clinical treatment. Intensive treatment was carried out (6 to 8 hours per day) and the patient lostmor...

The objective of the current study was to assess whether Venosan elastic stockings have a synergistic effect on the maintenance of results after Mechanical Lymphatic Therapy. Eleven patients with grade II lymphedema of the legs, regardless of cause, were evaluated in the Clinica Godoy between September and November 2012. The participants’ ages rang...

The objective of this study is to describe a new compression mechanism in the treatment of lymphedema of the penis and scrotum and the ensuing sexual rehabilitation. The patient, a 58‑year‑old man, had edema of the penile and scrotal region as a result of surgery of the pancreas and spleen and chemotherapy. The patient complained of pain, discomfor...

Case Description. This report describes the evolution, necessary adaptations, and complications in the treatment of a 9-year-old child with primary congenital lymphedema. Description of Intervention.The clinical treatment of lymphedema was started in the first year of the patient’s life and for five years she was only treated using the Godoy & Godo...

The objective of this study was to evaluate pain in women with breast cancer-related lymphedema and the characteristics of aggravating factors and coping mechanisms. The study was conducted in the Clinica Godoy, S˜ao Jose do Rio Preto, with a group of 46 women who had undergone surgery for the treatment of breast cancer.The following variables were...

Aim: The aim of this study was to evaluate lymphedema post-breast cancer surgery in a small town in Brazil. Design: Study census-type populational of the town of Palmares Paulista, Brazil in the period from September 2008 to May 2009. Method: The prevalence of lymphedema post-breast cancer surgery was evaluated in 1583 women. Home visits were made...

The objective of this study was to evaluate the transport of radiotracers in lymphatic collectors during manual lymphatic therapy. The legs of four male and two female patients with leg lymphedema were assessed using lymphoscintigraphy before, during and after manual lymphatic therapy. The ages of the patients, treated in Hospital de Base in Sao Jo...

Aim: The aim of the current study was to evaluate fluid mobilization during the intensive treatment of leg lymphedema. Methods: The mobilization of intracellular and extracellular fluids in the lower and upper extremities and trunk was evaluated with the intensive treatment of leg lymphedema in a prospective study. Mobilization of fluids was ass...

O objetivo do presente estudo é relatar o tratamento intensivo do linfedema, após câncer de mama, em paciente com perda da força muscular do membro. Relata-se o caso de uma paciente de 51 anos de idade, que evoluiu com linfedema pós-tratamento do câncer de mama, com mastectomia + esvaziamento axilar + quimioterapia e radioterapia. Após procurar a C...

O objetivo do presente estudo é relatar o tratamento intensivo do linfedema, após câncer de mama, em paciente com perda da força muscular do membro. Relata-se o caso de uma paciente de 51 anos de idade, que evoluiu com linfedema pós-tratamento do câncer de mama, com mastectomia + esvaziamento axilar + quimioterapia e radioterapia. Após procurar a C...