Lymphedema
What is Lymphedema?
Lymphedema is the swelling of an arm, leg or other region of the body and occurs when lymph fluid is not drained properly which causes an abnormal accumulation.
Lymphedema develops when part of the lymphatic system has been removed, damaged or never develops properly. As the swelling increases, the tissues thicken or harden which causes further damage to the lymphatic system and affected tissues.
If left untreated, lymphedema may result in recurrent infections, wounds, range of motion limitations, decreased function of involved limb and other health related problems.
Types of Lymphedema
Primary Lymphedema
Primary Lymphedema results from congenital abnormalities that appear immediately at birth or during puberty (lymphedema praecox) and is most commonly seen in girls. This form can also develop in adults and is known as lymphedema tarda. Some forms of primary lymphedema are hereditary and can affect multiple limbs.
Secondary Lymphedema
Secondary Lymphedema results when there is an identifiable cause such as surgery, infection, trauma or lymph / venous insufficiency. It is most commonly caused by cancer related treatments such as surgical dissection and radiation therapy.
Signs and Symptoms
It is important to see your physician or physical therapist if you notice any persistent swelling. Important signs and symptoms to watch for include:
- History of lymph node removal or dissection
- Sensation of fullness or heaviness in limb(s)
- Tautness or a tight feeling in skin
- Decreased flexibility in hand, wrist, or ankle
- Tight fitting clothing in one specific area
- Tight fitting rings or other jewelry
- Discoloration, texture or temperature changes in skin
Treatment
Comprehensive Decongestive Therapy (CDT) is the most beneficial form of treatment to date. CDT is designed to reduce the amount of swelling in the affected limb and to help patients return to typical work and life activities.
Our staff will tailor lymphedema treatments to meet the needs of each patient and may include:
- Manual Lymph Drainage (MLD)
- Compression Bandaging
- Remedial Exercise
- Skin and Nail Care
- Instructions in Self-Care and Management
