Lymphedema — Pathophysiology, Appearance, Treatments and Association With Venous Disease

Lymphedema is a medical condition caused by blockages in the lymph system. Patients with lymphedema may experience swelling around major limbs, making movement uncomfortable or difficult. Lymphedema can occur at any age, so it’s vital to take preventative action against its symptoms.

What Is Lymphedema?

Lymphedema is the buildup or blockage of fluid in a person’s lymph system. The lymph system operates like veins, transporting lymph fluid throughout the body. Lymph fluid contains white blood cells and chyle fluid, both essential for fighting attack bacteria.

A healthy lymph system is a drainage route. With lymphedema, the lymph fluid can not drain properly because of outflow blockage creating high pressure in the lymphatic system. This buildup can damage your entire system and interrupt the flow of lymph fluid toward the heart.

Causes

Lymphedema is caused by anything that may block lymph fluid drainage. Some children experience primary lymphedema, which results from improper development of the lymph nodes and vessels. Other common risk factors and causes of lymphedema include:

  • Cancer and cancer treatment
  • Obesity
  • Rheumatoid arthritis
  • Tumors near lymph vessels
  • Scar tissue in or near lymph vessels

Lymphedema is common for post-treatment cancer patients because radiation can scar the lymph system. Breast cancer patients may experience lymphedema post-surgery due to lymph vessel damage. If you need life-saving cancer treatment, speak with your doctor about ways to prevent or reduce the risk of lymphedema.

Symptoms

Over time, people with lymphedema commonly experience swelling and stiffness throughout their legs, arms or chest. Depending on the severity of each case, lymphedema can look different for everyone. Common lymphedema symptoms include:

  • Swelling in arms or legs
  • Recurring infections
  • Tight or heavy feeling in muscles
  • Restricted motion
  • One limb appearing larger than the other
  • Difficulty seeing veins in hands or feet
  • Skin hardening

Associations With Venous Disease

Your lymph system is crucial for regulating movement and transporting white blood cells. Lymph vessels enter subclavian veins, where lymph drainage enters the bloodstream. This step is what brings lymph fluid toward your heart, and a disruption in your veins or lymph system could affect the other.

Some venous diseases can be risk factors for lymphedema. Chronic Vein Insufficiency (CVI) is caused by a buildup of blood in the veins and has similar swelling symptoms as lymphedema.

Extreme CVI cases can lead to lymphedema because the abnormal high pressure present in the venous system acts to compress the lymphatic system creating outflow obstruction.  

Managing Lymphedema Symptoms

Lymphedema can start small and worsen over time without proper treatment. Though there is no official cure for lymphedema, it’s possible to live a happy, healthy life while managing your symptoms.

One way to treat symptoms is through gentle exercise. Lymphedema in the legs or arms can make movement painful, so raising the limbs above the heart can assist drainage. If you have lymphedema, avoid any strain on the swollen limb, like getting a blood pressure test or vaccination.

Preventative maintenance is one of the most effective measures to take against lymphedema. Keeping your doctor updated with any symptoms or worsening conditions can help you mitigate the risk of a severe case. Generally, it’s best to avoid blocking your body’s lymph movement as much as you can.

Preventative actions against complications of  lymphedema include:

  • Keeping skin and nails clean
  • Changing sitting positions throughout the day
  • Wearing loose jewelry and clothing
  • Uncrossing legs while sitting
  • Treatment for Lymphedema

There is no one-size-fits-all cure for lymphedema, but there are many ways to treat and manage your symptoms. Lymphedema treatment aims to control any swelling by releasing the blockage in your lymph system. If there is a deeper root cause like CVI, tumors or rheumatoid arthritis, your physician may treat these conditions first.

The best way to combat lymphedema symptoms is through specialized physical therapy. Your physician may also prescribe an antibiotic for a related infection. As with any medical treatment, your lymphedema care plan will be unique to your needs. You can relieve your lymphedema symptoms with a dedicated team on your side and any of the following treatments:

  • Pressure sleeves and stockings: Also known as compression garments, these sleeves and socks are best for excessive arm or leg swelling. The compression controls and pushes the lymph fluid into circulation to release the internal blockage.
  • Compression devices: Compression pumps activate an inflating and deflating sleeve on a cycle. The sleeve’s pressure moves fluid throughout the limb and decreases the chances of infection or future swelling.
  • Lymphatic massage therapy: Lymphatic therapists use massage therapy to gently guide lymph fluid throughout the body. Also known as Manual Lymphatic Drainage (MLD), this movement encourages lymph to travel through healthy vessels and reduce buildup.
  • Exercise: Careful exercises stimulate your body’s ability to transport lymph fluid within your system. Exercise is usually part of any treatment plan, as it is a crucial way to get the body moving.
  • Skin care: Though this may already be part of your routine, skin care allows you to prevent your symptoms from worsening. Keep skin and nails clean to reduce the risk of bacterial infection.
  • Complete Decongestive Therapy (CDT): Patients will likely need to try more than one form of lymphedema treatment. Complete decongestive therapy manages symptoms by using all the tools at your disposal, including compression, massage and exercise.
  • Surgery: Severe cases of lymphedema may require surgery. Surgeons may remove, replace or treat your lymph nodes and vessels through a careful procedure, depending on your needs. Speak with your doctor if you think you may be a candidate for surgery.

Get the Treatment You Need at Central Florida Vein and Vascular Center

At Central Florida Vein and Vascular Center, we treat lymphedema patients with productive solutions. We offer the relief you deserve through personalized treatment plans and medical care.

Enhance your quality of life and improve your circulation with high-end treatment from our experts. Discover how to feel happier and healthier with lymphedema treatment near you.

Call us at 407-545-3385 or 352-658-5547 to learn more, or contact us online with questions!

Ocoee / Health Central

10000 W. Colonial Dr. #495
 Ocoee, FL 34761

(407) 293-5944 | Fax: (407) 293-7355
Hunters Creek / The Loop

1130 Cypress Glen Circle
 Kissimmee, FL 34741

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The Villages

1503 Buenos Aires Blvd. #123
 The Villages, FL 32159

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