What is Lymphoedema?

Lymphoedema is the accumulation of excessive amounts of protein-rich fluid resulting in swelling of one or more regions of the body, usually limbs, caused by mechanical insufficiency of the lymphatic system.

  • Primary lymphoedema is the result of a congenital condition that affects how the lymph vessels where formed.
  • Secondary lymphoedema is the most common type developing due to damage to the lymphatic system as a result of surgery, radiation therapy or trauma where lymphatic system is damaged and compromised.

Signs and symptoms include:

  • Swelling arm or leg, including fingers or toes
  • Skin tightness
  • A feeling of heaviness
  • Restricted range of motion.
  • Aching and/or discomfort
  • Hardening and thickening of the skin (fibrosis)

Complete Decongestive Therapy for Lymphoedema

Lymphoedema is a chronic condition that cannot be cured but can be managed with ongoing manual lymph drainage, exercise, compression and appropriate skin care.

Manual Lymph Drainage (MLD)

MLD is a gentle, non-invasive manual technique used to stimulate the lymphatic system with the aim to enhance body fluid dynamics and facilitate oedema reduction.

MLD can be also beneficial for:

  • Phlebolymphoedema
  • Traumatic oedema
  • Postsurgical oedema
  • Arthropathy
  • Rheumatic diseases

Contraindications: MLD is contraindicated for certain diseases and conditions, therefore the full medical history is needed prior to any treatments. Absolute contraindications include: active malignant diseases, acute inflammation with Infection (caused by bacteria, viruses, fungi, chemicals, etc.), acute allergies, cardiac decompensation and thrombosis.

Exercise

The benefits of regular exercise for managing lymphoedema are many. Gentle stretching, resistance exercise and aerobic exercise stimulate lymphatic system and increase lymph flow, such as yoga, Tai Chi, walking, swimming, cycling, deep breathing, etc.

Compression  

Compression bandaging and compression garments are used to slow down or stop oedema and prevent progression of lymphoedema.

Skin care

Maintenance of skin integrity and management of skin problems are important to minimise the risk of infection. The general principles of skin care to preserve skin barrier function include:

  • Wash daily using pH neutral soap and dry thoroughly,
  • Monitor affected and unaffected skin for cuts, abrasions, or insect bites,
  • Apply moisturizers,
  • Avoid scented products,
  • Use vegetable-based products.

Low Level Laser Therapy

Low Level Laser Therapy is another viable treatment option for managing lymphoedema. The positive effects include promotion of lymphatic flow and stimulation of immune system.

General recommendations for managing lymphoedema:  

  • Exercise regularly
  • Achieve and keep normal body weight
  • Avoid injuries to oedema areas
  • Avoid heat
  • Do not overexert yourself
  • Disinfect even the insignificant wounds
  • Have any infections and unusual redness attended by medical doctor immediately
  • Keep the skin clean and moisturized

Ask our therapists for more information on lymphoedema management and available treatment options.