Lymphedema Treatment

By Ann Haynes, PTA

La Plata Physical Therapy, Inc.

. http://laplatapt.com/

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Lymphedema Treatment

By definition of lymphedema is “the accumulation of lymph in soft tissue with accompanying swelling.” Lymphedema tends to occur, most commonly, with removal or damage to your lymph nodes associated with cancer treatments but can occur with other conditions as well, such as, a trauma, chronic venous insufficiency, obesity and more.

Lymphedema, according to National Cancer Institute, occurs most often after the result of axillary treatment due to breast cancer. Research is showing that the percentage of deaths from cancer are thankfully decreasing due to prevention (decreased use of tobacco products), early detection (self-exams, regular testing, knowledge of what to look for) and better treatment, but people are still diagnosed.

Sometimes with treatment side effect lymphedema occurs. Lymphedema itself is not curable but it is managed with the commitment of patient and therapist, pre- and post-treatment.

Treatment of lymphedema consists of manual lymph drainage and bandaging. Manual lymph drainage is performed by a certified therapist and is a light touch massage that stimulates the healthy lymph nodes and assists the lymphatic system in moving the lymph fluid out of the affected extremity.

After MLD is performed, wraps/bandages are put in place to continue the treatment while patient is at home. These two acts are continued daily until measurements of the limbs plateaus. Treatment time frame could last anywhere from 2-4 weeks depending on severity. Once measurements plateau, the maintenance phase begins the maintenance phase includes self-MLD and compression garments.

Regarding garments, patients are encouraged to see a trained professional for proper measurements in order to ensure exact fit. Another tool that is out there are pumps, such as Flexitouch. These pumps are beneficial but not required during maintenance phase to keep swelling down. The maintenance phase is critical for if not followed reductions gained during treatment could be lost.

If diagnosed with lymphedema, treatment is imperative. If left untreated, complications could arise such as infections, loss of mobility, pain and cosmetic. Early diagnosis coupled with treatment can help people suffering from lymphedema maintain their quality of life.

Minus the bandages, lymphedema treatments are covered by Medicare, most managed care organizations, and private commercial carriers.