Lymphedema is a condition in which excess protein-rich fluid (lymph) collects in tissues and causes swelling (edema).  This accumulation of protein-rich fluid occurs because the lymphatic system has been damaged or altered and can no longer adequately drain excess lymphatic fluid from the affected part of the body.  When left untreated, the affected limb swells excessively causing the skin to break open and develop ulcerations.  These ulcerations can allow bacteria which is commonly found on normal skin; to enter the body and cause serious suppurative infections and systemic disease.

 

 

 

Who is at risk for Lymphedema?

 

Anyone who has undergone surgery where lymph nodes were removed or has received radiation treatment in areas close to lymph nodes is at risk of developing lymphedema.  These types of treatments can affect the delicate lymphatic system by clocking the lymph vessels.  Lymphedema can result in chronic swelling of the arm or leg.  Factors that increase the risk of developing lymphedema include: obesity, recurring infections of the arm or leg, and prolonged immobility of the arm or leg.  Because the lymphatics effectively respond to bacteria, minor cuts and scratches can become entry points for bacteria that may lead to significant infection. 

 

 

How do we treat Lymphedema?

 

At The Vein Clinic ( A Division of The Centers for Minimally Invasive Surgery) we provide comprehensive services that will be tailored to your particular medical and lifestyle needs.  The primary components of our program include:

 

• Physician Evaluation - There are many different conditions that cause swelling of an arm or leg.  During a thorough evaluation, we will determine whether any additional tests are needed before beginning treatment.  Your physician will discuss with you any special preferences or considerations that need to be included in developing your personal lymphedema control program.

 

• Lymphedema Therapy - Complex Decongestive Therapy (CDT) is a highly successful technique used to control lymphedema.  CDT combines a gentle massage technique designed to stimulate activity and repair in the lymphatic system, compression bandaging, therapeutic exercises to promote muscle and joint motions, and careful skin care.

 

• Compression Therapy - This is one component of lymphedema care where the extremity is wrapped with specialized bandages.  These are changed on a bi-weekly or weekly basis to control the swelling. 

 

• Fitness Instruction - Aerobic and strength training can help control lymphedema, maintain your preferred weight and improve a sense of well-being.  Because over exertion may cause worsening of lymphedema, it is important that your lymphedema team develop a fitness plan to meet your current needs. 

 

Some of the photographs above are courtesy of the Cleveland and Mayo Clinics.