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Lymphedema
What is lymphedema?
Lymphedema is a highly under-diagnosed condition that affects the lymphatic vessels, which are responsible for transporting protein-rich lymph fluid back into the circulatory system. When lymph vessels are unable to transport this fluid properly, a build-up occurs, resulting in swelling and the thickening of the skin.
Who is at risk?
Lymphedema is a condition characterized by swelling, usually in the arms or legs, due to the accumulation of lymphatic fluid. Several factors and conditions can increase the risk of developing lymphedema:
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Cancer Treatment: Individuals who have undergone surgery or radiation therapy for cancer, particularly breast cancer, melanoma, or gynecological cancers, are at higher risk. The removal of lymph nodes or radiation can disrupt the normal flow of lymphatic fluid.
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Genetic Factors: Some people are born with a genetic predisposition to lymphedema, a condition known as primary or congenital lymphedema. This can occur due to developmental abnormalities in the lymphatic system.
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Infections: Certain infections, such as cellulitis or filariasis (a parasitic infection), can damage the lymphatic system and lead to lymphedema.
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Trauma or Injury: Significant injury or trauma, such as fractures or severe burns, can damage lymphatic vessels and increase the risk of developing lymphedema.
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Chronic Venous Insufficiency: Individuals with chronic venous insufficiency (a condition where veins have trouble sending blood from the legs back to the heart) may be at increased risk for lymphedema.
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Obesity: Excess body weight can put additional pressure on the lymphatic system, potentially leading to lymphedema.
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Infections and Inflammation: Repeated infections or chronic inflammatory conditions affecting the lymphatic system can contribute to the development of lymphedema.
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Surgery: Any surgical procedure that involves the lymphatic system or significant soft tissue manipulation can increase the risk of lymphedema.
If you’re at risk or concerned about lymphedema, consulting with a healthcare provider for personalized advice and management strategies is crucial.
How can I tell if I have lymphedema?
A common indicator of lymphedema is indentations that do not immediately disappear after the skin has been depressed by the hand or fingers. This condition is usually found in the legs and arms; however, lymphedema can affect any region of the body. Many people with lymphedema are labeled over-weight, yet lymphedema is not about fat storage. Speak to your health care provider for further testing and diagnosis.
Lymphedema and Breast Cancer
After breast cancer treatment, such as mastectomy, lymph node dissection, radiation, localized swelling is normal, but you may be at risk of developing lymphedema. Lymphedema is swelling caused by the accumulation of lymph fluid, a chronic disorder in which lymph fluid fails to circulate properly. Compression garments are a comfortable and effective way to help control the disorder, encouraging the flow of fluid back into the system.