Lymphadema Management

What is Lymphedema?

Lymphedema is a potential complication following axillary node dissection or radiation resulting in swelling of the arm or leg. Approximately 10-20 percent of breast cancer patients who undergo mastectomy and/or radiation will develop this chronic but treatable condition. It can also occur in patients who have undergone treatment for prostate, uterine, cervical or other cancers.Lymphedema may also be a primary diagnosis where congenital defects in the system occur. lymphedema may also be brought on by multiple traumas to limb, such as infection, surgical procedures or fractures.
 

What is the Goal of Lymphedema Treatment?

• Decrease fluid volume in the affected limb
• Improve function
• Relieve pain
• Improve body image and sense of well-being
• Avoid potentially serious complications such as cellulitis or lymphangitis

What is the Treatment for Lymphedema?

Depending on the extent of lymphedema, treatment may include some or all of the following:

• Manual lymph drainage (a very gentle, area-specific type of massage)
• The use of multilayered bandages and/or compression garments
• Skin care education and lymphedema precautions
• Instruction in managing lymphedema on a day-today at home

For moderate to severe lymphedema, the best results are achieved with an aggressive treatment schedule (i.e.: 4-5 visits/week for 2-3 weeks, then 2 visits/week for 1-2 weeks).

The Department of Rehabilitation Services at Newton-Wellesley Hospital provides treatment by physical therapists certified in Lymphedema management. Treatment is covered by Medicare and all major insurers. A referral from a physician is necessary. For more information or to schedule an appointment, please call 617-243-6172.