Lymphoedema
What is Lymphoedema?
Lymphoedema is swelling secondary to a blockage in the lymphatic drainage system. This tissue swelling is an abnormal accumulation of protein rich fluid which is exceeding the capacity of the drainage system. The main symptom of lymphoedema is swelling and often discomfort/pain in the legs or arms. Lymphoedema can also be present in the trunk, breast, head/neck and genital area.
What is the Lymphatic System?
The lymphatic system is integral for our body’s function. This system acts as a source of drainage that manages and monitors the fluid levels in the body. It works as a part of your immune system, protecting the body from infections. It is made up of vessels, nodes, organs and tissues.
There are Two Classifications of Lymphoedema
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Often due to genetics and abnormal development of the lymph vessels. This, however, does not always present early on, and can present in adolescence or adulthood
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The most common classification. This swelling is secondary to damage of lymph nodes, for example from surgery or other trauma. Some other examples include damage following radiotherapy for cancer treatment, removal of lymph nodes or recurrent cellulitis.
Risk Factors:
Increased BMI (body mass index)
Poor mobility or decreased mobility
History of infections such as cellulitis
History of cancer surgery and/or radiation treatment
Wounds, trauma and tissue damage
Inflammatory changes
Chronic venous insufficiency
Early Signs and Symptoms:
Swelling of a limb or other part of the body (mostly distally) that doesn’t or is slow to resolve over night or with elevation
Pitting and shiny skin changes
Recurrent cellulitis
Aching, tightness, heaviness or stiffness in the body part affected
Poor movements of the area affected
Clothing and jewellery feels tight and may notice cutting in
It is important to have a comprehensive review to determine if you are presenting with lymphoedema or if the symptoms are due to another cause. Diagnosis comes from this history, alongside measurements such as the circumference of the limb, pitting, range of motion and changes in skin. Factors such as BMI can also assist in diagnosis.
Treatment for Lymphoedema:
GOOD NEWS! Lymphoedema can be decreased in severity and managed with appropriate interventions!
Complete Decongestive Therapy (CDT)
This is a multicomponent treatment, currently the gold standard for lymphoedema management
Includes manual lymph drainage (MLD), compression therapy, skin and nail care, exercise, nutrition and education
Why is bandaging and compression helpful?
These treatments help to decrease the swelling in the affected area. It helps to manage the lymphatic overload and break up fibrosis (thickening and scarring of connective tissue). There are multiple considerations made by your health professional before choosing a bandaging system that is right for you.
How can Neuro Junction Help?
Our therapists are equipped to help manage and treat patients with lymphoedema. Our occupational therapist Debbie has completed numerous courses in the treatment of lymphoedema and has gained accreditation with the Australasian Lymphology Association.
Our therapists can see you in your home or at our clinic for assessment and treatment.
For more Information visit: Australasian Lymphology Association
A great video explaining Lymphoedema and the Lymphatic System from The British Lymphology Society (BLS) https://www.thebls.com/pages/what-is-lymphoedema