You are treating a patient with a history of lower extremity lymphedema with left knee pain after a fall. Upon initiating the treatment session, the patient reports she feels her lymphedema has progressed and her compression garment is no longer fitting. She asks you to wrap her left leg with compression wraps to control the edema. The evaluating physical therapist did not include lymphatic treatment in the evaluation, and you have no additional training in lymphedema treatment. What action would be most appropriate for you to take?

1. You should wrap the lower extremity with long-stretch compression bandages to facilitate the reduction of edema and advise the patient to wear them until bedtime and then remove
2. You should notify your supervising physical therapist and refer the patient back to him/her for evaluation of lymphatic symptoms before initiating any treatment for the lymphedema
3. You should recommend the patient continue with the use of her compression garment and apply a neoprene sleeve over the top for added compression
4. You should perform manual lymphatic drainage (MLD)

Solution to be posted in a few days