Lymphedema Treatment Program

What is Lymphedema?

Lymphedema is chronic swelling in a portion of the body. The swelling is due to an accumulation of protein rich fluid in the tissue spaces under the skin. Lymphedema may occur days, months, or years after cancer treatment or the onset of any obstruction to the lymphatic system.

The good news is that the symptoms of lymphedema can respond well to treatment and the condition is manageable. With proper care and treatment, lymphedema does not have to result in disfiguring swelling or recurrent infections.

What does Lymphedema look like?

Swelling of the at-risk limb may be mild at first and may appear as a tightness of the skin. You may notice your clothing fits tighter, you can’t wear your ring or watch, or your shoes are tighter. Your limb may feel heavy and full. You may experience swelling in your trunk, chest, groin or axilla. Your symptoms may come and go. DO NOT IGNORE THEM! Call your health care provider.

What causes Lymphedema?

 There are two types of lymphedema:

• Primary lymphedema is caused by a defect in the lymph system. It is usually inherited and may affect several areas of the body.
• Secondary lymphedema occurs after surgery, injury, disease, or radiation therapy which results in a damaged lymph system.
  

Is there hope?

Absolutely! The Palm Beach Health Network offers treatment for lymphedema by certified Physical Therapists. This effective treatment is known as complete decongestive therapy (CDT). The four components of CDT are:

• Manual lymphatic drainage: Specialized gentle massage performed by the lymphedema therapist designed to re-route fluid.
• Compression bandaging: After the fluids have been re-routed, the lymphedema therapist wraps the extremity with gradient pressure low stretch wrap.
• Skin Care: Keeping the skin clean and well-conditioned is key to improving the lymphatic drainage.
• Exercise: You will be provided with exercises to enhance the fluid flow through muscle contraction.
  

Treatment Goals

• Reduce the volume of fluid in affected area and stabilize reduction
• Prevent infection
• Improve function
• Enable self management of condition
• Soften skin texture and improve skin health
• Improve quality of life through effective control of swelling
  

Even a mild case of lymphedema should be treated to decrease and prevent the risk of poor mobility, infection, pain, and for cosmetic reasons. If you suspect you have lymphedema, contact your physician for a referral.