Lymphoedema Support & Management
What is Lymphoedema?
Lymphoedema is a chronic condition, where there’s been malformation of (in the case of Primary Lymphoedema), or damage to a functioning lymphatic system (in the more common form, Secondary Lymphoedema), creating ongoing swelling of protein-rich fluid within our connective tissue in the affected area(s). Or there can also be Mixed Lymphoedema (resulting from venous disease, immobility, increased body mass index or Lipoedema).
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​Lymphoedema is classified from Stage 0 (Subclinical – where initial signs of swelling may not be apparent despite changes occurring), through to Stage 3 (where significant swelling, firm tissue fibrosis and marked skin changes are evident). Early signs are varied but can include transient visible swelling of a body area moving to more sustained pitting oedema, recurrent skin infections, a sense of heaviness or fullness in an affected area and/or inability to wear jewellery, clothing or shoes comfortably). Being sure that the cause of symptoms is from Lymphoedema requires a clinical assessment, to rule out other potential factors.
Given Lymphoedema can be progressive, it can have a significant impact on a person’s quality of life.
So, intentions for managing Lymphoedema is to identify early, prevent progression, reduce swelling, mitigate potential complications, and create an effective, personalised, maintenance plan.
It all starts with empowerment and education, and provision of well-coordinated evidence-based care, within a multidisciplinary team. This is done conservatively through what is known as Complex Physical Therapy.
The cornerstone of this approach is education, skincare, lymphatic drainage massage, scar management (as a result from oncology treatments), decongestive exercises, and use of compression.
Generally, this is delivered through a two-part process (more intensive at the beginning of treatment, then onto a maintenance phase that the person directs and manages as part of their ongoing daily life).
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​​More information about Lymphoedema can be found at Australasian Lymphology Association by clicking here
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​Keep an eye on what information and support the Lymph Info Trust here in New Zealand, is offering, by clicking here