Lecture on Lymphedema

Introduction

• Presenter: Kelly, Physical Therapist specializing in oncology, rehab, and lymphedema.
• Focus: Explanation of lymphedema.
• Additional Resources: Subscribe for weekly videos, follow on Instagram, check website.

What is Lymphedema?

• A condition where fluid builds up causing swelling in body tissues.
• Common areas affected:
  • Arms
  • Legs
  • Head and neck area

Mechanism

• Blood circulates from heart through arteries and returns via veins.
• Lymphatic fluid separates from blood, filtered by lymph nodes.
• Lymph nodes located in head, neck, armpits, and groin.
• Fluid is filtered for harmful substances before returning to the heart.

Causes of Lymphedema

• Secondary Lymphedema: Damage to lymphatic system due to:
  • Surgery (e.g., cancer treatment)
  • Radiation
  • Infection
  • Trauma (e.g., fractures, severe injuries)
• Primary Lymphedema: Congenital or genetic factors causing abnormal lymphatic system development.

Symptoms

• Swelling in affected limb or body part.
• Heaviness or tightness in affected area.
• Stiffness or reduced range of motion.
• Skin changes (e.g., thickening or hardening aka fibrosis).
• Recurrent infections due to increased risk.

Management and Treatment

• Lymphedema is chronic with no cure but manageable.
• Complete Decongestive Therapy (CDT) is the gold standard treatment:
  • Phase One: Reduction Phase
    • Aims to decrease fluid and congestion.
    • Includes compression bandaging, manual lymphatic drainage, exercises, and skin care.
  • Phase Two: Maintenance Phase
    • Maintains control of swelling after reduction.
    • Uses compression garments/bandaging, manual lymphatic drainage, exercises, and skin care.
    • Other options: pneumatic compression pumps, kinesiology tape.

Additional Resources

• Lower Body Lymphedema Rehab Program:
  • In-depth treatment for leg lymphedema.
  • Includes visual demonstrations, handouts, and resources.

Importance of Professional Guidance

• Work closely with healthcare professionals (lymphedema therapists, doctors).
• Personalized treatment plans and self-care techniques.
• Early diagnosis and intervention are crucial for preventing complications and improving life quality.

Conclusion

• Encourages further engagement through website and upcoming videos.
• Importance of ongoing education and professional support.