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Raymond Lam — TCM & Physiotherapy Registered Chinese Medicine · Physiotherapy
Physiotherapy

Lymphedema Treatment

Complete decongestive therapy — manual lymphatic drainage, compression, acupuncture and exercise.

Lymphedema Treatment

What is lymphedema?

Lymphedema is swelling caused by abnormal build-up of lymph fluid in the subcutaneous tissue. Any damage to the lymphatic system can cause it — usually in an arm or leg, but also in the breast, head or neck.

Two main causes

  • Secondary lymphedema (most common): from surgery or radiotherapy, e.g. after lymph-node clearance for breast or cervical cancer, disrupting fluid drainage.
  • Primary lymphedema: from abnormalities of the lymph vessels or nodes, often genetic, presenting in infancy, adolescence or after age 35.

Self-check — don’t ignore these signs

  • Swelling of part or all of a limb
  • Heaviness, tightness, restricted movement; deepened skin folds, thickening, hardening or an “orange-peel” texture
  • Clear fluid leaking from the skin, or small blisters

Stages

  • Stage 0: no visible swelling, but the limb may feel heavy or tight.
  • Stage I: swelling, usually worst at day’s end, relieved by elevation; pressing leaves a dent.
  • Stage II: elevation no longer reduces swelling; skin may harden and thicken (fibrosis); higher infection risk.
  • Stage III: swelling affects joint movement; skin becomes leathery; fluid may leak.

Treatment

Treatment varies with the stage. Stages 0–I are generally managed with limb positioning, compression garments and exercise. For more severe stages (II–III), a qualified therapist provides Complete Decongestive Therapy, including:

  1. Acupuncture with internal herbal medicine
  2. Manual lymphatic drainage — boosting lymph circulation to reduce swelling
  3. Compression therapy (usually bandaging)
  4. Exercise — to further aid circulation and maintain joint range

Living with lymphedema — daily tips

  1. Avoid blood pressure measurement or blood draws on the affected limb
  2. Avoid excessive heat (hot baths, prolonged sun)
  3. Avoid lifting heavy loads
  4. Protect the skin from cuts, sunburn and insect bites
  5. Consult a professional and wear a compression garment before flying
  6. Keep up self-care techniques and regular exercise

Lymphedema has no complete cure; ongoing management keeps its impact to a minimum. Results vary between individuals.

Wondering if this treatment suits you? Get in touch to enquire.