Understanding Lymphedema: Causes, Symptoms, and Effective Therapies.

Lymphedema is a condition characterized by the buildup of lymph fluid leading to swelling and discomfort. This condition can occur after surgery, radiation therapy, or injury and is more common after cancer treatments. While there is no cure for lymphedema, physical therapy with a Certified Lymphedema Therapist (CLT) plays a crucial role in managing symptoms and improving quality of life. 

The lymphatic system helps to remove extra fluid from the tissues outside of cells and move it to the kidneys and eventually out of the body as urine. Lymphedema occurs when the lymphatic system becomes impaired from surgery or radiation, most commonly. This buildup of swelling can lead to swelling, skin changes, and an increased risk of infections. Managing lymphedema is essential to alleviate physical symptoms and prevent infections.  

Physical therapy for lymphedema focuses on reducing swelling by promoting lymphatic drainage and preventing fluid accumulation in the tissues. A certified lymphedema physical therapist has significant training in lymphedema management and will design a tailored treatment plan that may include several key components:  

1. Manual Lymphatic Drainage (MLD): This gentle manual technique stimulates the lymphatic system and assists in moving fluid away from swollen area and towards the kidneys and blader. MLD helps to reduce swelling and prevent or improve skin changes.  The CLT will also teach the patient and their caregiver in how to complete MLD for home maintenance.   

2. Compression Therapy: Patients often use compression garments, such as compression wraps, sleeves or stockings, to help prevent fluid accumulation. A CLT physical therapist will guide the selection and proper use of these garments to ensure best fit.    

3. Exercise: Customized exercise programs can enhance lymphatic flow and improve overall fitness. The CLT will help to build the most appropriate exercise program for the patient and their goals. 

4. Education: An essential aspect of lymphedema physical therapy is educating patients about self-care techniques. Learning proper skin care, how to monitor for signs of infection, and strategies for managing daily activities can empower patients to take control of their condition. 

Physical therapy is the gold standard for lymphedema management, providing individuals with effective tools to control their swelling and improve their quality of life. If you or someone you know is struggling with lymphedema, a physical therapist who is certified in lymphedema therapy is a vital resource on your care team.  

If you are wondering if you would benefit from the care of a lymphedema specialist, schedule a free 15 minute phone consult with our certified lymphedema providers today! Click HERE to schedule.

• Jennifer Cumming, PT, MSPT, CLT, WCS