Lymphoedema Rehabilitation

Lymphoedema Rehabilitation: what approach is taken?

Lymphoedema is a chronic condition in which fluid accumulates in the tissues because of impairment of the lymphatic system; it usually presents with swelling, a feeling of heaviness and firmness in an arm or a leg. Physiotherapeutic management of lymphoedema involves an individually tailored combination of techniques such as manual lymphatic drainage, compression bandaging or garments, guided exercise and skin care. The aim of a correct treatment plan is to bring the symptoms under control; left untreated, the condition can progress.

Areas of assessment and treatment

• Manual lymphatic drainage massage
• Multilayer compression bandaging and compression garments
• Pneumatic compression device
• Guided exercises specific to lymphoedema
• Advice on skin care and infection prevention
• An individually tailored follow-up plan

The cause of the swelling is established first

Not every swollen arm or leg is lymphoedema. The time of onset, any history of surgery, the condition of the skin and accompanying illnesses are assessed. In new, marked and one-sided swelling, other causes such as vascular problems must be excluded. Measurements may be recorded for comparison during follow-up.

From sessions to self-care

Compression, skin care and appropriate activity advice are adapted to daily life. The size and pressure of the garment are determined individually; a tight product is not chosen at random. Change in swelling, the fit of the garment and skin problems are monitored. Redness, increased warmth and fever require prompt assessment for infection.

What is assessed at the first consultation?

Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.