Treatment FAQ

what is the treatment for lymphedema of the leg?

by Peter Waters Published 2 years ago Updated 2 years ago
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Treatment of lymphedema includes treating swelling and prevention of infections. Exercise, compression garments and pumps, manual lymph drainage, meticulous skin care, therapy and a healthy lifestyle can all help control your swelling.Jun 15, 2020

Procedures

... develops after cancer treatment. Lymphedema is caused by obstructions in the passage of lymph fluid caused by surgery, radiation therapy, or cancer growth. The feelings of tightness or heaviness; swelling in legs, arms, or other body parts; aching ...

Therapy

What Is The Best Treatment For Lymphedema?

  • Decongestive Lymphatic Therapy. ...
  • Compression Bandages & Garments. ...
  • Skin Care. ...
  • Exercises. ...
  • Specialized Massage Techniques. ...
  • Weight Control & Maintenance. ...
  • Pneumatic Compression Devices. ...
  • Surgery. ...
  • Physiological Procedures. ...
  • Excisional Procedures. ...

Self-care

  • If you have a high BMI (body mass index) it’s ideal to include forms of exercise (and nutrition) that will help you reduce your body weight. ...
  • Resistance training may be the best choice of exercise for reducing lymphedema. ...
  • Yoga. ...
  • Supervised exercise programs appear to be more beneficial to lymphedema patients than you might expect. ...

More items...

Nutrition

Lymphedema can also occur about 4 to 6 weeks after surgery or radiation and then go away over time. The most common type of lymphedema is painless and may slowly develop 18 to 24 months or more after surgery. It does not get better without treatment.

How do you treat lymphedema in legs?

What is the best treatment for lymphedema?

What are the best exercises for lymphedema?

Does lymphedema ever go away?

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What is the best way to treat lymphedema in the legs?

TherapyExercises. Gentle contraction of the muscles in the arm or leg can help move the excess fluid out of the swollen limb.Manual lymph drainage. ... Compression bandages. ... Compression garments. ... Sequential pneumatic compression.

Will lymphedema go away on its own?

Lymphedema can start soon after treatment for cancer. This can be called acute, temporary, or short-term lymphedema. It usually starts within days, weeks, or a few months (up to a year) after treatment, is usually mild, and goes away on its own or with some mild treatments.

Is walking good for lymphedema in the legs?

Exercises. Gentle exercises, such as walking, are a great way to help the fluids in your body move a little better. Try to go for a walk every day, if you can.

What is the most common treatment for lymphedema?

Treating lymphoedema These include wearing compression garments, taking good care of your skin, moving and exercising regularly, having a healthy diet and lifestyle, and using specialised massage techniques. Read more about treating lymphoedema and preventing lymphoedema.

What should you not do with lymphedema?

Avoid trauma or injury to the affected area. Avoid heavy lifting with the affected arm. No new tattoos in the affected area. Do not wear tight clothing, bands, shoes, or jewelry on the affected area.

What happens if lymphedema goes untreated?

Left untreated, lymphedema can worsen and cause severe swelling and permanent changes to the tissues under the skin, such as thickening and scarring.

How do you get rid of lymphedema fast?

Treatment options may include:Exercise. Exercise helps to restore flexibility and strength, and it improves drainage. ... Bandage. Wearing a customized compression sleeve or elastic bandage may help to prevent an accumulation of fluid.Arm pump. ... Diet. ... Keep the arm raised. ... Infection Prevention.

What foods to avoid if you have lymphedema?

Limit Certain Foods Some foods can exacerbate lymphedema symptoms because of the way they are processed and the additives or high salt content they contain. These foods include added sugars — specifically fructose — refined grains, chemically modified fats and most animal and dairy products.

What causes lymphedema to flare up?

Lymphedema occurs when the lymph vessels are not able to adequately drain lymph fluid, usually from an arm or leg. The most common causes of lymphedema include: Cancer. If cancer cells block lymph vessels, lymphedema may result.

What type of doctor removes lymphedema?

MSK reconstructive surgeons are highly skilled at preventing and treating lymphedema through specialized techniques.

Can lymphedema fluid be drained?

To begin with, you may receive specialised massages called manual lymphatic drainage (MLD) – usually carried out by a specialist therapist – to move fluid from the swollen areas into working lymph nodes, where it can be drained.

Is there a surgery procedure for lymphedema?

Surgical treatment options for lymphedema include Lymphatic Bypass Procedures, where lymphatic vessels are connected and drained into the body's venous system and Vascularized Lymph Node Transfer, where lymph nodes are harvested from one part of the body and surgically implanted in the affected area to rebuild a failed ...

How to treat lymphedema in legs?

Nonsurgical treatments for lymphedema in the legs include: 1 Wrap: A bandage or compression garment can help reduce swelling and get lymph fluid moving back up from your legs toward your heart. People with lymphedema may wrap their leg with a bandage or wear compression stockings during waking hours, particularly during exercise. It’s also a good idea to use compression at night, too, if possible. 2 Exercise: Specific, gentle lymphedema exercises for the legs can help improve lymph fluid drainage. A lymphedema therapist can teach you how to do these exercises. 3 Pneumatic pump: A pneumatic pump for the legs is similar to a long blood pressure cuff that fits over the entire leg and applies pressure in waves up the leg. The pressure encourages fluid to flow back toward the heart. A lymphedema pump is most often used in combination with another treatment, rather than alone. 4 Massage: Lymphedema massage can encourage lymph drainage and loosen any soft tissue tightness that may be contributing to fluid blockage.

Why is it important to treat lymphedema?

It’s important to begin lymphedema treatment as soon as possible to prevent the condition from worsening. Untreated lymphedema can lead to skin thickening and scarring, which can be permanent. Figuring out a treatment plan and lifestyle adjustments can help you move forward and live well.

How to help lymphedema at night?

It’s also a good idea to use compression at night, too, if possible. Exercise: Specific, gentle lymphedema exercises for the legs can help improve lymph fluid drainage. A lymphedema therapist can teach you how to do these exercises. Pneumatic pump: A pneumatic pump for the legs is similar to a long blood pressure cuff that fits over ...

What causes lymphedema in the legs?

Common causes of secondary lymphedema include: Injury: A traumatic sports injury or a deep cut can damage lymph nodes and vessels and increase the risk of lymphedema. Surgical injury or removal of lymph nodes can also cause lymphedema in the legs.

How to get lymph fluid back up from legs?

Wrap: A bandage or compression garment can help reduce swelling and get lymph fluid moving back up from your legs toward your heart. People with lymphedema may wrap their leg with a bandage or wear compression stockings during waking hours, particularly during exercise.

What is it called when lymph fluid doesn't drain?

But lymph fluid can become blocked and develop into abnormal swelling when the fluid doesn’t drain properly. This condition is called lymphedema, which commonly occurs in the legs but can develop anywhere that lymph nodes and vessels are located.

What is a pneumatic pump?

Pneumatic pump: A pneumatic pump for the legs is similar to a long blood pressure cuff that fits over the entire leg and applies pressure in waves up the leg. The pressure encourages fluid to flow back toward the heart. A lymphedema pump is most often used in combination with another treatment, rather than alone.

How to treat lymphedema?

Treatment focuses on reducing the swelling and controlling the pain. Lymphedema treatments include: Exercises. Light exercises in which you move your affected limb may encourage lymph fluid drainage and help prepare you for everyday tasks, such as carrying groceries.

How to help lymphedema in arm?

A certified lymphedema therapist can teach you exercises that may help. Wrapping your arm or leg. Bandaging your entire limb encourages lymph fluid to flow back toward the trunk of your body.

What is pneumatic compression?

Pneumatic compression. A sleeve worn over your affected arm or leg connects to a pump that intermittently inflates the sleeve, putting pressure on your limb and moving lymph fluid away from your fingers or toes. Compression garments.

How to find obstructions in lymphatic system?

Ultrasound can help find obstructions. Radionuclide imaging of your lymphatic system (lymphoscintigraphy). During this test you're injected with a radioactive dye and then scanned by a machine. The resulting images show the dye moving through your lymph vessels, highlighting blockages.

What tests can be done to check lymphedema?

If the cause of your lymphedema isn't as obvious, your doctor may order imaging tests to get a look at your lymph system. Tests may include: MRI scan. Using a magnetic field and radio waves, an MRI produces 3-D, high-resolution images. CT scan.

How to get lymph fluid out of arm?

Long sleeves or stockings made to compress your arm or leg encourage the flow of the lymph fluid out of your affected limb. Wear a compression garment when exercising the affected limb. Obtain a correct fit for your compression garment by getting professional help.

How to treat a swollen arm?

Do your best to prevent complications in your arm or leg. Clean your skin daily, looking over every inch of your affected limb for signs of trouble, such as cracks and cuts. Apply lotion to prevent dry skin. Take care of your whole body.

What is the best treatment for lymphedema?

One of the natural lymphedema remedies is eating anti-inflammatory foods, juices and supplements. Things like vegetables ,fruits and fish high in Omega 3’s are always good. Limiting high-sodium and processed foods is extremely important as they encourage more retention of fluid and swelling.

How to get rid of lymphedema in the legs?

When you are sitting, try not to cross your legs. Propping yourself up with cushions/pillows in bed. Lymph drainage is improved in an upright position. Wearing loose-fitting clothes. If you have lymphedema you should find shoes that are covered and are loose like mesh shoes, lace ups or Velcro that are easy to adjust.

How to treat swollen legs?

A CLT (certified lymphedema therapist) can assess your condition and develop a lymphedema treatment plan that includes the following steps: 1 Elastic stockings that will fit properly and offer compression to the extremities. 2 Bandages that should be wrapped very tightly around the leg whereas loosely wrapped towards the trunk, hence encouraging lymph flow out of the affected leg. This is effective to cure swollen legs. 3 Pneumatic compression devices that are stockings with pumps that offer tight compression for the affected leg/limb. 4 Massaging techniques called lymphage drainage massages can also be very helpful. 5 Exercises that stimulate the swollen leg (s) muscles are also a good step towards alleviating lymphedema.

What happens if lymph fluids are blocked?

Any blockage occurring in the lymph vessels or their inability to carry away the lymph fluids from the tissues causes lymphedema or localized swelling.

What is the lymphatic system?

The lymphatic system is a specialized vessel network (called lymph vessels) running throughout the human body whose primary aim is collecting additional lymph fluids with lipids, waste products and proteins from the tissues. The fluid is later transferred to the lymph nodes that help in filtering waste products.

How to stop swollen legs from bleeding?

Avoid heat on your leg. Do not apply heat or ice, like applying ice wraps or heat pads to your swollen legs.

How do you know if you have lymphedema?

If you are suffering from lymphedema you may notice the following symptoms: Swelling. A feeling of heaviness or tightness in your limb (s) Reduced flexibility or weakness. Discomfort and pain. Shiny, tight, red or warm skin. Hardened and thicker skin with no indent when you press.

What is the goal of lymphedema treatment?

The goal is to maintain clean and well-moisturized skin to ward off infection.

What is primary lymphedema?

Primary lymphedema is lymphedema that happens on its own, not caused by another condition or injury. It can occur in children born with impaired or missing lymph nodes. Globally, a common cause of lymphedema is an infection by Wuchereria bancrofti roundworms. This is known as lymphatic filariasis.

Why do my arms swell up after a surgery?

Lymphedema is a condition that causes one or more of your arms or legs to become swollen due to a buildup of lymph fluid. This often occurs in people who’ve had a surgery during which their lymph nodes were damaged or removed.

What is lymphatic drainage?

Manual lymphatic drainage, which is targeted massage or manipulation of soft tissue, can aid in draining lymphatic fluid. Your CDT provider will likely massage you and also show you some techniques that you can perform on yourself to promote drainage.

What is the difference between primary and secondary lymphedema?

For example, up to 40 percent of those who undergo surgery for breast cancer will experience it, as this surgery usually involves a sentinel lymph node biopsy. This type of lymphedema is called secondary lymphedema. Primary lymphedema is lymphedema that happens on its own, not caused by another condition or injury.

How many people have lymphedema?

According to the World Health Organization. Trusted Source. , it’s responsible for causing lymphedema in over 15 million people worldwide. Lymphatic filariasis is one of the world’s leading causes of disability. Trusted Source. . No matter the origin, everyone with lymphedema experiences pain and discomfort.

How long do you have to wrap your body for lymphatic drainage?

Affected body parts usually need to stay wrapped up 24 hours a day — except during bathing.

What is primary lymphedema?

Primary lymphedema is a rare, inherited condition caused by problems with the development of lymph vessels in your body. Specific causes of primary lymphedema include: Milroy's disease (congenital lymphedema). This disorder begins in infancy and causes lymph nodes to form abnormally.

What are the complications of lymphedema in the arm?

Complications. Lymphedema in your arm or leg can lead to serious complications, such as: Infections . Possible infections that can result from lymphedema include a serious bacterial infection of the skin (cellulitis) and an infection of the lymph vessels (lymphangitis).

Why do my arms and legs swell?

Sometimes both arms or both legs swell. Lymphedema is most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling.

What causes lymph nodes to form abnormally?

Specific causes of primary lymphedema include: Milroy's disease (congenital lymphedema). This disorder begins in infancy and causes lymph nodes to form abnormally.

What is the lymphatic system?

Your body's lymphatic system is part of your immune system, which protects you against infection and disease. The lymphatic system includes your spleen, thymus, lymph nodes and lymph channels, as well as your tonsils and adenoids.

What to do if you have swelling in your arm?

Make an appointment with your doctor if you notice persistent swelling in your arm or leg. If you already have the diagnosis of lymphedema of a limb, see your doctor if there is a sudden dramatic increase in the size of the involved limb, as it may suggest a new process is occurring.

How to get rid of cancer on your arm?

For example, shave with an electric razor, wear gloves when you garden or cook, and use a thimble when you sew. If possible, avoid medical procedures, such as blood draws and vaccinations, in your affected limb. Rest your arm or leg while recovering. After cancer treatment, exercise and stretching are encouraged.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There is no cure for lymphedema. Treatments aim at reducing swelling and controlling the pain.
Procedures

Pneumatic compression: An inflatable sleeve puts pressure on the affected limbs to push lymph fluid away from that area.

Lymphedema surgery: Considered in case of severe lymphedema.

Therapy

Physical therapy:Simple exercises to help the movement of affected limbs and cope with everyday activities. Wrapping a bandage around the affected limbs.

Massage therapy:To help the fluid movement out of the limbs. Avoid massage in case of skin infections or blood clots.

Complete decongestive therapy (CDT):Includes a combination of therapies including lifestyle changes.

Self-care

Always talk to your provider before starting anything.

  • Wear compression garments
  • Practice recommended exercises to reduce stress
  • Take care of the cuts or cracks in the skin

Nutrition

Foods to eat:

  • Foods with high protein content like legumes, eggs, tofu and lean meat
  • Increase the intake of fresh fruits and vegetables

Foods to avoid:

  • Foods with high sodium content like canned Foods, cured meat, sauces and fast Foods
  • Processed dairy products like yogurt and ice creams
  • Carbonated beverages like soda
  • Processed grains like oat cereals, popcorn or salty crackers

Specialist to consult

Vascular surgeon
Specializes in the diseases of the vascular system and performs minimally-invasive catheter procedures, surgical reconstruction.

Coping and Support

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