Lymphedema

• Avoid injury to the arm or leg, since even a small infection can trigger lymphedema.
• Treat any cuts, burns, bites or scrapes immediately.
• Wear gloves when gardening or doing yard work.
• Wear high-factor sun block or long-sleeved clothing to avoid sunburn.
• Use insect repellent when outside.
• Use an electric shaver or cream for hair removal; do not use a razor.
• Whenever possible use the arm without lymphedema when checking blood pressure or for blood tests.
• Maintain an active lifestyle and healthy weight.
• Begin a weight-loss program if you are overweight.
• Call your doctor right away if you have fever, redness, tenderness, or warmth of the affected area. These can be the first signs of lymphedema.
• Do not use saunas.
• Check your limb daily for signs of lymphedema or small injuries that could lead to the condition.
• When cleared by your doctor, do the recommended exercises to regain a full range of motion of your arm or leg.

Lymphedema Treatment

If you think that you have lymphedema, ask your doctor to refer you to Cooper Physical Therapy, where a lymphedema therapist will evaluate you, give you information, and create a treatment plan. This plan may include one or more of the following:

• Skin care: Good hygiene and proper moisturizing can help prevent injury and infection.
• Manual lymphatic drainage: a gentle form of massage that helps mobilize the fluid and direct it to other pathways. Sometimes massage is taught to patients or family members to carry out at home.
• Exercise: You may be instructed in stretching exercises to loosen the tissues in the region or specialized exercises to help move the fluid out. You will be given written instructions for these exercises.
• Bandaging: This is a precise technique using cotton low-stretch bandages to apply constant pressure on the limb. Bandaging is usually done in combination with other methods.
• Compression garments: These are elastic fabric garments similar to a girdle or support stocking. They apply pressure to the arm or leg to help move fluid out and keep new fluid from collecting.