Understanding Lymphoedema

A Comprehensive Guide to Lymphatic Swelling and Management

Vascular Surgery

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Last updated: Mar 24, 2025

What is Lymphoedema?

Lymphoedema is a chronic condition characterized by swelling (oedema) in body tissues caused by problems with the lymphatic system. This swelling most commonly affects the arms or legs, but can occur in other parts of the body.

Causes

Primary Lymphoedema

  • Inherited conditions affecting lymphatic development
  • Present at birth or developing later in life
  • Relatively rare

Secondary Lymphoedema

  • Cancer treatment (especially after lymph node removal)
  • Infection
  • Injury or trauma
  • Surgery
  • Obesity

Common Symptoms

  • Persistent swelling in affected limb(s)
  • Heavy, aching sensation
  • Restricted range of motion
  • Tightness in skin or joints
  • Recurring infections
  • Hardening and thickening of skin

Diagnosis

  • Physical examination
  • Medical history review
  • Imaging tests (lymphoscintigraphy, MRI, CT)
  • Bioimpedance testing

Treatment Options

Conservative Management

  1. Compression Therapy

    • Compression garments
    • Bandaging
    • Pneumatic compression devices
  2. Exercise

    • Gentle exercises
    • Swimming
    • Specialized lymphoedema exercises
  3. Skincare

    • Regular moisturizing
    • Careful wound management
    • Infection prevention

Specialized Treatments

  • Manual Lymphatic Drainage (MLD)
  • Complete Decongestive Therapy (CDT)
  • Surgery (in severe cases)

Self-Management Tips

  • Maintain healthy weight
  • Protect affected areas from injury
  • Exercise regularly
  • Wear compression garments as prescribed
  • Monitor for signs of infection

When to Seek Medical Help

  • Sudden increase in swelling
  • Signs of infection (redness, warmth, pain)
  • Development of wounds
  • Decreased mobility

Prevention Strategies

  • Regular exercise
  • Maintain healthy weight
  • Protect skin from cuts and burns
  • Follow post-surgery guidelines
  • Regular medical check-ups

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