Lymphedema Therapy
Lymphedema Treatment
Lymphedema treatment aims to reduce pain, swelling, and other symptoms through a combination of specialized therapies and exercises. These treatments are provided by a Certified Lymphedema Specialist in an outpatient setting. The earlier lymphedema is treated, the better the results.
What is Lymphedema?
Lymphedema is swelling in the arms or legs, usually caused by the removal or damage of lymph nodes. The lymphatic system is responsible for collecting excess fluid, proteins, and other substances (called "lymph") from body tissues and returning them to the bloodstream through the lymph nodes. Swelling, or "edema," occurs when lymph accumulates in body tissues.
Lymphedema results in persistent swelling due to a blockage in the lymphatic system. It can be hereditary but is most commonly caused by blockages from infection, cancer, or scar tissue from radiation therapy or lymph node removal. Many people undergoing cancer treatment, or those who have in the past, may not have been offered the option to see a Lymphedema Therapist.
Signs and Symptoms:
- Swelling in the arms, legs, shoulders, hands, fingers, or chest
- Aching or heaviness in the affected limb
- Weakness in the arm or leg
- Joint pain or stiffness
- Reduced joint mobility
- Skin that feels tighter, harder, or thicker
- Indentations (or "pitting") that take time to fill in after pressure is applied
If you notice any of these symptoms, contact your physician for a referral to our Lymphedema Specialist. Your doctor will review your medical history, medications, and perform a thorough examination to determine if you have lymphedema.
What to Expect During Lymphedema Treatment at ATS:
- You will be assessed by an Occupational Therapist specifically trained and certified in Lymphedema Therapy.
- Your therapist will evaluate your strength and range of motion, and take measurements of both the affected and unaffected areas, which will be monitored throughout treatment.
- A customized treatment plan will be created for you, beginning with education on how the program works, your specific diagnosis, and how to manage and prevent lymphedema. For mild swelling, treatment may include compression garments, exercise, and elevation of the affected limb. For more severe swelling, the therapist may use interventions like manual lymphatic drainage, a gentle form of massage that helps improve lymph flow. Treatment sessions may include massage, skin care, compression bandaging, education, and a home exercise program tailored to your needs.
- Once the limb size has decreased to the desired level, your therapist will help you manage the condition on your own with education, an exercise program, and updated compression garments.
Lymphedema, Breast Cancer, and OT:
Approximately one-third of women who undergo axillary lymph node dissection during breast cancer treatment develop lymphedema. Lymphedema Therapy, both pre- and post-breast cancer, can reduce swelling, improve outcomes, and increase survival rates.
Benefits of Lymphedema Therapy for Breast Cancer Patients:
- Increase postural endurance
- Improve overall function
- Decrease the risk of lymphedema
- Increase aerobic activity
- Improve shoulder range of motion
- Aid in developing a lifelong physical activity program
