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In the complex system of lymph production
transport, concentration and filtration, disorders can develop which have
serious consequences. Lymphedema is the most common of these disorders.
Lymphedema is a chronic disease with tendency to progression. It can affect all
parts of the body, but most often the limbs are affected. When lymphedema
develops, protein rich-fluid accumulates in the tissue. The interstitial tissue
will swell and harden over time. When this happens the limb will become heavy, achy, and
painful to touch. If left untreated the more severe situations can become
irreversible. Management of this condition is imperative.
Causes of Lymphedema:
• Damage to Lymph production
• Damage to Lymph transport
• Damage to Lymph Node
Lymphedema congenital condition such as hyperplasia or
hypoplasia of the lymph capillaries or vessels. Secondary Lymphedema is often
the result of cancer surgery but the lymph system can also be damaged or destroyed by other
surgical procedures.
Treatments of Lymphedema:
Phase 1: This consists of intensively draining the
affected limb with Manual Lymph Drainage (MLD) performed by a professionally licensed
therapist. During MLD the patient undergoes a special massage that drains the
lymph fluid, usually performed at a clinic on an outpatient basis. During this
treatment the patient uses special short stretch bandage with foam to contain
the limb until down to a manageable state or back to the limbs original size.
Phase 2: This consists of maintaining and managing the results achieved in
Phase 1. When the patient is ready to be released by the therapist, the patient
transitions into a compression garments instead of bandages. The MLD process is
taught to the patient, so self massage can be continued to manage the patients
progress.
Another consideration depending on the patient’s doctor, therapist
and physical condition can be the use of a lymphedema pump. (Please make sure
your doctor is involved with all decisions on your treatment options)
Precautions:
• Limbs with impaired lymph flow are prone to bacterial infection
so tend to any breakage in skin such as scratches, paper cuts, and burns. Use
antibacterial ointment as soon as you see an opening in the skin.
• Do not
spend excessive time in the sun
• Do not take excessively hot showers or spend
time in a hot tub
• Do not allow medical staff to use the limb for IV or blood
pressure
• Always tell medical professionals that you have lymphedema and which
limb is affected (Bracelets are available)
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