Lymphedema is a chronic swelling
Posted: Thursday, June 28, 2012 3:00 pm
Lymphedema is a type of chronic swelling that occurs typically in the arms or legs, but can also affect the head and neck in some individuals. It is caused by a malfunction of the lymphatic system that normally drains excess fluid from the limbs. This sometimes happens after radiation, chemotherapy or surgical procedures that involve removal of the lymph nodes. It can also occur following trauma or an infection, which can damage the lymph vessels.
Lymphedema can develop immediately after any of these events, but can also begin several years afterward as well. It is typically not painful, but can cause an achy or heavy feeling in the limb and make daily activities difficult.
There is no cure currently for lymphedema, but it can be controlled through a therapy program referred to as complete decongestive therapy. There are four parts to this program including:
1. Compression of the affected limb. Oftentimes, the limb will be wrapped with compression bandages first, then the patient will be fit with a permanent garment once the swelling has decreased.
2. A specialized form of massage, referred to as manual lymph drainage is used to route the fluid from the affected limb toward healthy lymph collectors and nodes in the other limbs, and encourage decongestion of the affected limb.
3. A light exercise program is recommended to assist with general mobility and light exercise does help the fluid to move out of the affected area more efficiently. Heavy weight lifting or very strenuous exercise is not recommended as it can increase swelling in the tissues.
4. Finally, skincare and protection of the limb are very important in preventing flare ups. The affected limb should be kept clean and moisturized to avoid cracks in the skin that could lead to infection.
A person with lymphedema should avoid getting injections or immunizations in the affected limb if possible as well. Controlling lymphedema does take a commitment to follow, but in the long run, can prevent complications such as infection or discomfort from occurring.
OSPTI offers complete decongestive therapy services, which are provided at the clinic. We can work with you in finding a treatment regimen that works for your daily life.
BECKY DOCKTER is an physical therapist at OSPTI in Breckenridge, Minn.
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