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Articles

Managing Lymphedema: Recognising Symptoms and Seeking Treatment

Woman putting on compression stockings on swollen feet affected by lymphedema
 

Lymphedema is a chronic condition characterised by swelling, most commonly affecting the arms or legs. If you have this condition, it can significantly impact your mobility and comfort as you go about your usual routines.

Although lymphedema isn't curable, early detection and consistent management can significantly improve your quality of life. Whether you've already been diagnosed or are beginning to notice symptoms, understanding the condition and your treatment options is the first step toward taking back control.

What is Lymphedema?

Lymphedema occurs when the lymphatic system becomes damaged or blocked, resulting in a buildup of lymphatic fluid in the tissues. The lymphatic system is responsible for draining excess fluid and supporting immune function.  When it doesn't work properly, your arms or legs will swell and you are at an increased risk of contracting an infection.

Causes and Risk Factors

Lymphedema can be:

  • Primary, caused by inherited or congenital issues with lymphatic development.
  • Secondary, resulting from damage to the lymphatic system, often due to surgery, radiation therapy, cancer, or severe infections.

Common risk factors include:

  • Cancer treatments, especially breast, pelvic, or prostate cancer surgeries
  • Radiation therapy
  • Obesity
  • Chronic venous insufficiency
  • Recurrent skin infections (cellulitis)

Recognising Symptoms

Early Symptoms of Lymphedema

Catching lymphedema early can prevent it from progressing to more severe stages. Early signs include:

  • A feeling of heaviness, tightness, or fullness in the limb
  • Mild swelling that comes and goes
  • Skin that feels firmer or less flexible
  • Aching or discomfort in the affected area

You may also notice your clothing, shoes, or jewellery feeling tighter in one area, although you haven't gained weight.

Progression of Symptoms

If left untreated, lymphedema can worsen, showing symptoms that may include:

  • Persistent, visible swelling in the limb or affected body part
  • Hardening and thickening of the skin (fibrosis)
  • Reduced mobility or flexibility
  • Recurrent infections, such as cellulitis
  • Skin changes, including thickened or warty patches

Treatment Options

Without treatment, lymphedema symptoms can affect your quality of life. That's why doctors advise patients to get early and consistent treatment. These are some of the treatments they may recommend:

Compression Therapy

Wearing compression garments, such as sleeves, stockings, or bandages, helps move lymph fluid out of the affected area. These garments must be appropriately fitted to be effective.

If your doctor advises it, you may also use pneumatic compression devices at home. These apply gentle pressure through air-filled sleeves to encourage fluid movement.

Manual Lymphatic Drainage

Manual lymphatic drainage (MLD) is a specialised massage technique, where your doctor stimulates the flow of lymph fluid, helping to reduce swelling and discomfort.

Your doctor may recommend a series of MLD sessions along with compression bandaging as part of Complete Decongestive Therapy (CDT).

Exercise and Physical Therapy

Targeted movement and low-impact exercises, such as walking, swimming, and stretching, can also support lymphatic flow and improve your limb function. A therapist can guide you in gentle strength training and range-of-motion exercises to reduce stiffness in the affected part of your body.

Lifestyle Adjustments for Management

In addition to clinical treatments, you can also make some lifestyle adjustments to improve your condition.

Skin Care and Hygiene

Keeping the skin clean, dry, and moisturised helps prevent infections. Avoid cuts, burns, or insect bites in the affected area, and treat any wounds promptly.

Regular skin checks are advisable as lymphedema increases your risk of cellulitis and other skin complications.

Diet and Nutrition

A healthy, balanced diet supports your overall wellness and helps you control your weight, a key factor in lymphedema control. Focus on:

  • Anti-inflammatory foods (e.g., fruits, vegetables, omega-3-rich foods)
  • Lean proteins and whole grains
  • Limiting salt intake, which can contribute to fluid retention

Hydrating yourself regularly is also essential for supporting lymphatic function.

Avoiding Triggers

Some everyday habits and environmental factors can aggravate lymphedema symptoms. Being aware of these triggers and knowing how to avoid them can help you manage the condition more effectively. Try to:

  • Avoid prolonged standing or sitting
  • Elevate the affected limb when resting
  • Stay cool and avoid extreme heat (e.g., hot baths, saunas)
  • Wear loose, breathable clothing
  • Refrain from wearing tight jewellery or carrying heavy bags on the affected limb

Get Professional Help for Lymphedema Symptoms

Lymphedema can be both physically and emotionally challenging, but you don't have to manage it alone. With early diagnosis, the right treatment plan, and ongoing support, many individuals go on to lead active and comfortable lives.

At Polaris Plastic Surgery, we offer personalised care plans tailored to your needs, combining medical expertise with modern therapies to help you manage your symptoms and improve your quality of life. 

If you're noticing signs of lymphedema or need support with ongoing symptoms, schedule a consultation with us today.

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