Lymphedema Treatment

Lymphedema is swelling of a body part, most often an extremity (arms and legs). Lymphedema is caused by the abnormal accumulation of lymphatic fluid. Although it is a progressive chronic condition, it can usually be controlled by quality care and attention.

Lymphedema symptoms can range from mild to severe:

• Swelling of part or all the arm or leg, including fingers or toes
• A feeling of heaviness or tightness
• Hardening and thickening of the skin
• Recurring infections
• Restricted range of motion

Primary lymphedema cases occur without any obvious cause and may be present at birth, in adolescence or develop after age 35. Primary lymphedema is considered rare. It most frequently occurs in females, and the most widely seen is lymphedema in legs.

Secondary lymphedema, the most common form of the condition, is caused by injury, scarring or excision of the lymph nodes. It usually occurs because of previous radiation exposure or from surgery on the lymph nodes. Occasionally, trauma or chronic lymph system infections can also cause secondary lymphedema.

We use complete decongestive physiotherapy (CDP), also called complex decongestive therapy, to treat lymphedema. Our treatment methods include:

Hygiene and Topical Skin Products

Meticulous hygienic care with or without antibiotics is essential. This treatment aims to eliminate bacterial and fungal growth, which can lead to repeated attacks of cellulitis and lymphangitis.

Manual Lymph Drainage

This technique empties and decompresses obstructed lymph vessels by rerouting the fluid into body segments where the lymph system functions properly. This therapy facilitates the unhindered flow of lymph fluid into the venous circulation, which allows the limb to return to normal or near normal.

Pneumatic Pumps

Manual lymph drainage is preferred to mechanical pneumatic pumping because it doesn’t damage remaining lymphatic vessels or their delicate valves.

Bandaging and Compression

Bandaging of the affected limb follows each manual lymph drainage session. This is important as it prevents the affected limb from refilling with stagnant lymph.

Remedial Exercises and Elevation

Corrective exercises with bandages in place are prescribed for every patient. This step activates the muscle groups and joints of the swollen limb. It results in increased lymph flow and further reduces limb swelling over time.