Lymphedema Treatment & Management
The lymphatic system is a network throughout our bodies that is made up of lymph nodes and vessels, which store, filter, and carry lymph, a protein-rich fluid. It is part of the body’s immune system and can mobilize disease-fighting cells (lymphocytes) to fight infection and the growth of tumors.
Lymphedema is the build-up of fluid in soft body tissues when the lymph system is damaged or blocked.
Lymphedema occurs when the lymphatic system is damaged or blocked. Fluid builds up in soft body tissues and causes swelling. It is a common problem that may be caused by cancer and cancer treatment. Lymphedema usually affects an arm or leg, but it can also affect other parts of the body. Lymphedema can cause long-term physical, psychological, and social problems for patients.
What causes lymphedema?
Lymphedema can occur after any cancer or cancer treatment that affects the flow of lymph through the lymph nodes, such as surgery to remove or dissect the lymph nodes or radiation therapy targeted at the lymph nodes. Lymphedema happens more commonly with breast cancer, but can also develop after melanoma, throat cancer, genitourinary, and gynecological cancer treatments. It may develop within days or many years after treatment. Most lymphedema develops within three years of surgery.
Though lymphedema occurs most frequently in the first two years after treatment for cancer, it can develop at any point in time. It is important to receive early education and intervention for lymphedema. Left untreated, lymphedema can worsen and cause severe swelling and permanent changes to the tissues under the skin, such as thickening and scarring. It is important that lymphedema is diagnosed and managed upon onset of symptoms to enhance quality of life
Lymphedema treatments
Treatment plans are determined by the stage and cause of the condition. Plastic surgeons perform a number of reconstructive surgical interventions including vascularized lymph node transfer, lymphovenous bypass, and a type of liposuction to reduce swelling. Nonsurgical techniques focus on Complete Decongestive Therapy (CDT). CDT includes Manual Lymphatic Drainage (MLD), multi-layer bandaging, compression garments, and therapeutic exercises. The goal is to redirect fluid into working lymph nodes so the fluid can drain, reducing buildup and limb volume. Self-management includes compression garments, pneumatic pumping devices, skin care, and lifestyle modifications.