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.
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:
Acupuncture with internal herbal medicine
Manual lymphatic drainage — boosting lymph circulation to reduce swelling
Compression therapy (usually bandaging)
Exercise — to further aid circulation and maintain joint range
Living with lymphedema — daily tips
Avoid blood pressure measurement or blood draws on the affected limb
Avoid excessive heat (hot baths, prolonged sun)
Avoid lifting heavy loads
Protect the skin from cuts, sunburn and insect bites
Consult a professional and wear a compression garment before flying
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.