Lymphedema Therapy
Lymphedema is a chronic condition in which an abnormal accumulation of protein-rich swelling occurs, usually in an arm or leg. It occurs as a result of damage or malfunction within the lymphatic system, commonly after surgery, radiation therapy, or trauma.
Lymphedema Treatment
Lymphedema is a chronic condition in which an abnormal accumulation of protein-rich swelling occurs, usually in an arm or leg. It occurs as a result of damage or malfunction within the lymphatic system, commonly after surgery, radiation therapy, or trauma. The condition causes uncomfortable swelling, limited function and a higher risk of infections. There is no cure for lymphedema, however, it can be managed through swelling reduction.
Learn the Facts About Lymphedema
- Physical therapy is key in the prevention, detection, and management of lymphedema.
- Lymphedema is thought to affect nearly 3 million Americans.
- As many as 30% of cancer survivors develop lymphedema. They may not develop it right away so it may go undetected and untreated for a while.
- Primary lymphedema can be present at birth, develop at puberty, or in adulthood. Secondary lymphedema results from damage to the lymphatic system, such as with surgery to remove lymph nodes, radiation therapy, or in combination with venous insufficiency or other disorders.
- Lymphedema may also present with pain, reduced motion, or tightness in the affected body part.
Reduce the Risk of Lymphedema
Skin Care
Healthy skin helps protect your lymphatic system and reduces the risk of infection. Even small cuts or irritation can lead to complications, so daily care matters. Focus on keeping your skin clean, moisturized, and protected:
- Keep the limb clean and dry.
- Apply moisturizer daily to prevent chaffing and chapping.
- Take special attention to nail care, and do not cut cuticles.
- Wear sunscreen and insect repellent.
- Avoid limb constriction, such as a blood pressure cuff, on the affected side.
- Wear loose-fitting clothing and jewelry.
- Avoid punctures to the affected limb, such as blood draws and injections.
- Avoid skin injury, wear gloves when gardening, working with tools & chemicals.
- If skin punctures/scratches occur, wash with soap and water, apply antibiotic ointment, and watch for signs of infection.
- Watch for signs of infection, such as redness, warmth, rash, itching, fever, or flu-like symptoms, and contact your doctor immediately.
Taking a few minutes each day for skin care can go a long way in protecting your health and preventing complications.
Swelling Management
Consistently managing swelling helps prevent worsening symptoms and supports better long-term outcomes. Compression and routine care can make a meaningful difference day to day. Build these habits into your routine:
- Wear daytime compression garments.
- Garments should be well-fitting.
- Wear the garment during air travel and strenuous activity.
- Wear bandages at night to maintain compression.
Consistent swelling management helps your body function more comfortably and can reduce flare-ups over time.
Temperature
Extreme temperatures can trigger or worsen swelling and irritation. Being mindful of your environment helps protect sensitive areas and keeps symptoms more stable. Try to limit exposure to the following:
- Avoid extreme heat or cold, as they can cause irritation and swelling.
- Avoid prolonged exposure to hot tubs or saunas (greater than 15 minutes)
- Avoid placing the limb in temps over 102º F.
Being mindful of temperature changes can help you avoid unnecessary irritation and better control your symptoms.
Activity & Lifestyle
Staying active is important, but balance is key. Gradual progress and body awareness can help you stay safe while maintaining strength and mobility. Keep these guidelines in mind:
- Take frequent breaks with activity to allow for recovery.
- Gradually increase your activity level.
- Maintain optimal body weight and size.
- Monitor your limb for changes in size, texture, soreness, heaviness, and firmness.
A balanced approach to activity and lifestyle can help you stay active while protecting your body long term.
What is Complete Decongestive Therapy?
Complete Decongestive Therapy is a home program for lifelong management, improved flexibility of affected limb, swelling reduction, reduced cellulitic infections, improved skin conditions, and enhanced functional status. Request an appointment
Benefits of Manual Lymph Drainage
Improved lymph circulation, decreased swelling, relaxation, and special techniques that break down fibrotic/scar tissue.
Phase I Primary Goal: Drain
This phase typically lasts 2-6 weeks under the care of your Certified Lymphedema Therapist and involves compression through bandaging, skincare, and risk reduction; exercise to reduce swelling and regain mobility; and manual lymph drainage, a specialized massage to stimulate the lymphatic system and reduce swelling.
Phase II Primary Goal: Maintain
This phase is a home maintenance program for the lifetime management of lymphedema. Should you experience increased swelling during phase II, contact your doctor and Lymphedema Therapist to arrange a shortened version of phase I to reduce the swelling. The maintenance phase consists of compression through night bandaging and daytime compression, skincare and risk reduction, self-massage if needed, and exercise to maintain mobility and reduce swelling. A consistent routine is essential to prevent complications and protect long-term health.
FAQs
What are the symptoms and causes of lymphedema?
Common symptoms of lymphedema include swelling of a body part, typically an arm or leg, a sensation of heaviness or tightness, limited mobility, and changes in the skin. These lymphedema symptoms result from an abnormal accumulation of lymph fluid due to a compromised lymphatic system. Common causes of lymphedema include cancer treatments such as surgery or radiation, trauma, infection, or congenital conditions. Recognizing early signs and seeking care from a certified lymphedema therapist can support better long-term management.
What is Complete Decongestive Therapy, and how does it help?
Complete Decongestive Therapy (CDT) is the gold standard for lymphedema management. This multi-phase treatment includes manual lymph drainage, compression therapy, skin care, and therapeutic exercise. A specially trained, certified lymphedema physical therapist (PT) will personalize the program to reduce swelling, improve functional status, and support long-term recovery. If you notice increased swelling, CDT can provide targeted relief and restore comfort and mobility.
Who treats lymphedema, and is it covered by insurance?
Lymphedema is often treated by physical and occupational therapists who specialize in lymphatic disorders. A certified lymphedema therapist uses hands-on techniques, compression, and guided movement strategies to treat symptoms and reduce the risk of lymphedema worsening. While there is currently no cure for lymphedema, early intervention supports better outcomes. Many health care plans offer coverage for medically necessary physical therapy sessions for lymphedema management—contact your provider to confirm your benefits.
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