Lymphedema

Lymphedema is a collection of fluid called lymph in the tissues of the body. Normally, this fluid flows through the lymph system. If that system isn't working as it should, fluid can build up in the affected area and cause lymphedema. This happens most often in an arm or leg.

Symptoms of lymphedema include feeling as though your clothes, rings, wristwatches, or bracelets are too tight. You may have a feeling of fullness in your arms or legs and less flexibility in your wrists, hands, and ankles.

Treatment focuses on managing lymphedema. This may include wearing compression garments to help reduce swelling and special massage to help drain lymph fluid from the area. It also includes self-care, such as watching closely for changes, protecting yourself from injury, and maintaining a healthy weight. Surgery is an option in some cases.

• Wear a compression stocking or sleeve as your doctor suggests. It can help keep fluid from pooling in an arm or leg. Wear it during air travel.
• Prop up the swollen arm or leg on a pillow anytime you sit or lie down. Try to keep it above the level of your heart. This will help reduce swelling.
• Avoid crossing your legs if they are swollen.
• Get some exercise on most days of the week. Increase the intensity of exercise slowly. Wear your compression stocking or sleeve during exercise.
• See a health professional, such as a physical therapist, who has been trained in lymphedema management. They can teach you how to do self-massage to help fluid move around. You also can learn what activities are best for you.
• If you have had treatment to your underarm area:
  • When possible, avoid having blood drawn from that arm.
  • When possible, avoid having a blood pressure cuff placed on that arm. If you are in the hospital, make sure your nurse and other hospital staff know of your condition.
• Avoid skin infection or injury.
  • Wear gloves when gardening or doing other activities that may lead to cuts on your fingers or hands.
  • Do not walk barefoot. Wear comfortable and supportive shoes that fit properly.
  • Use sunscreen and insect repellent when outdoors to protect your skin from sunburn and insect bites.
  • Ask your doctor how to treat any cuts, scratches, insect bites, or other injuries that may occur.