Lymphoedema
Lymphoedema is a condition where the accumulation of excessive amounts of protein-rich fluid in the tissue results in swelling of one or more regions of the body. Lymphoedema usually affects the limb(s) although it may also involve the trunk, breast, head and neck or genital area. Lymphoedema is due to a failure of the lymphatic system and occurs when the demand for lymphatic drainage exceeds the capacity of the lymphatic circulation.
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LYMPHOEDEMA
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CORPORATE ASSESSMENTS
There are Two Classifications of Lymphoedema:
Lymphoedema develops in a progressive manner and can be graded from mild to severe. Early identification of lymphoedema is important in optimising the treatment and preventing ongoing deterioration and skin changes
Primary
Due to a genetic malformation of the lymphatics. Onset of swelling may not present until adolescence or adulthood
Secondary
Due to removal of lymph nodes or trauma to the lymphatic vessels this may occur with surgery and/or radiotherapy related to cancer treatment, recurrent cellulitis, or following injury (trauma or surgery to other organs or structures in the body) or due to lymphatic filariasis.
Signs & Symptoms of Lymphoedema
Tightness
Jewellery, shoes or clothing may feel too tight – typically on one side, without an overall weight gain. The skin may feel tight or stretched in some areas.
Swelling
Some body parts may look bigger compared to the other side e.g fingers, legs etc. This may be subtle at first and commonly decreases overnight in the early stages of lymphoedema.
Aching
The area feels achy or heavy, especially towards the end of the day.
Cellulitis
People who develop lymphoedema are at a higher risk of getting a skin infection called cellulitis. Repeated bouts of cellulitis can occur before a diagnosis of lymphoedema is made.
Physiotherapy Management
Early diagnosis and treatment of lymphoedema can lead to better outcomes. Management of lymphoedema may include:
Manual Lymphatic Massage
Compression Therapy
Exercise
