 | Sandra Rader, PT, is the coordinator for both the inpatient and outpatient lymphedema management programs at Wesley Rehabilitation Hospital. In addition to more than 22 years experience as both a clinician and educator, Sandra has been a certified lymphedema specialist for more than eight years. She can be reached through the hospital’s outpatient department at 316-729-1095. |
Health & Medicine
2006-03-01 10:28:00
What is lymphedema?
ANSWER: Lymphedema is a swelling in the arms or legs caused by the accumulation of lymphatic fluid in the body. This often occurs when venous and/or lymphatic vessels become restricted to the point that fluid does not flow freely through them. There are two types of lymphedema: primary and secondary. Primary lymphedema can occur secondary to lymph system abnormality in newborns or later in life. Secondary lymphedema may occur as a result of injury, scarring or excision of the lymph nodes. This latter type of the disease may occur following radiation, surgery or treatment for cancer. In addition to decreased flexibility or feelings of heaviness or discomfort, lymphedema can cause cosmetic deformity or repeated episodes of infection in the skin tissues. If left untreated, lymphedema can lead to the hardening of underlying soft tissue and overall bulkiness in the arms or legs. Because it also reduces the level of oxygen flowing to the tissues, it can interfere with wound healing as well. Treatment for lymphedema varies but the most effective and least invasive approach recommended by physicians today is Combined Decongestive Therapy. This type of therapy includes: hygiene/topical skin care to control infection and promote cleanliness, manual lymphatic drainage to release and empty obstructed lymph vessels, bandaging and compression to prevent lymph fluid from re-entering the affected arm or leg after the drainage session, and remedial exercise to activate muscle groups and improve the lymph flow in swollen arm or leg joints. This method of therapy has proven to maximize functionality and return patients to a better quality of life. In the United States, some 2.5 million people suffer from lymphedema. But there are a number of preventive measures one can take to decrease the risk of developing this condition. These precautions include avoiding extreme temperatures, preventing infections caused by punctures or injury to the skin and reducing the risk of blunt trauma caused by anything from lifting heavy objects to wearing tight fitting clothes. Certain lifestyle choices can also help prevent lymphedema. From practicing meticulous skin and nail care, to reducing alcohol and nicotine, to maintaining a healthy diet and exercise program, anyone can learn to reduce their risk of developing lymphedema.
