Comprehensive Care for Your Lymphatic Health

Lymphedema Prevention Program

Empower Your Wellness Journey Today

About the Program

What You Need to Know for Effective Prevention

Breast cancer-related lymphedema is a condition that can result from surgical, radiation, or taxane-based chemotherapy treatments. It can lead to abnormal swelling and discomfort in one or both arms. There is no cure for chronic breast cancer-related lymphedema. Once it develops, it requires lifelong management.

When it is caught early, it can be treated and stopped before it gets worse and becomes a lifelong condition. Our new technology, the SOZO® Digital Health Platform, provides an L-Dex® score to help detect lymphedema before you feel noticeable swelling. This early alert allows us to work with you to take steps to stop lymphedema from getting worse, or to avoid getting it at all.

Frequently asked questions

We're here to help! Contact us if you have any questions that we haven't answered here.

Why should I get tested?

Cancer-related lymphedema is a condition that can be caused by cancer treatment. If left untreated, lymphedema can lead to painful swelling, infection, and hospitalization. It requires lifelong management and interferes with activities like work and caring for your family. Studies show that if lymphedema is detected early, it can be treated and prevented from getting worse. The opportunity to prevent lymphedema is before you experience noticeable swelling.

Our Prevention Approach

Reduce your lymphedema risk

Breast cancer-related lymphedema of the arms develops in stages. When it is caught early, it can be treated and stopped before it gets worse and becomes a lifelong condition. Our new technology, the SOZO® Digital Health Platform, provides an L-Dex® score to help detect lymphedema before you feel noticeable swelling. This early alert allows us to work with you to take steps to stop lymphedema from getting worse, or to avoid getting it at all.

Heart of Gold Physical Therapy in Santa Barbara is the only rehabilitation healthcare provider to offer this screening tool between Mission Hope Cancer Center in Santa Maria and City of Hope Cancer Center in Duarte, California.
<p>Reduce Your Risk</p>

Reduce Your Risk

Early Detection and Intervention Reduces Rates of Chronic Lymphedema

The NCCN Clinical Practical Guidelines in Oncology State Early Detection/Diagnosis of Lymphedema is Key for Optimal Management because Stages 0 and 1 are Reversible, whereas Stages 2 and 3 are Less Responsive to Treatment

SOZO with L-Dex

Reduce your lymphodemia risk

The L-Dex score helps us assess whether you are developing lymphedema BEFORE you feel noticeable swelling. For best results, patients receive a baseline measurement before cancer treatment begins and are then tested regularly after treatment. If your L-Dex score increases above normal levels, we will evaluate you for early signs of lymphedema. If you don’t get a pre-treatment baseline score, we can still use the L-Dex test to help detect lymphedema early. The SOZO device is used to measure your L-Dex score. It looks like a scale, but it has places for you to put your hands and feet. You will not feel the SOZO test and it only takes 30 seconds to complete.

Program Guidelines by the American Society of Breast Surgeons

Prospective Surveillance of Breast Cancer Related Lymphedema using Bioimpedance Spectroscopy

First 3 Years from Diagnosis

Test every 3 months

Years 4-5 from Diagnosis

Test every 6 months

Years 6 and on

Test every 12 months

<p>Early Detection and Care</p>

Early Detection and Care

At-Home Compression Therapy for Early Lymphedema

If your healthcare provider finds signs of early lymphedema, they may prescribe at-home treatment with compression garments.  Studies show that wearing your compression garments for 4 weeks for 12 hours per day can stop lymphedema from getting worse.

Our Partners

Real stories from our amazing patients

See what our patients say

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Kylene Kramer
Heart of Gold is absolutely wonderful! The practitioners are very knowledgeable, kind and compassionate! I was receiving post operative care and felt so supported during what felt like a really vulnerable time. I would recommend them to everyone. The communication and scheduling is also top notch. Truly one of the best services I’ve used in...
Read more on Google Reviews
Annie Heineman
I loved working with Michelle for my garments. She went above and beyond in order to make sure I received just what I needed. Her calm demeanor and abundance of knowledge of lymphedema helped make my experience excellent.
Read more on Google Reviews
Alicia McFarren
Michelle is a magician for lymphedema. She is knowledgeable and has a great bedside manner. I could not imagine going anywhere else for my treatment.
Read more on Google Reviews
Han Wey
I am so thankful for very knowledge, nice and very professional appointments with Michael She was so helpful to me... Fell so good , relax and less painful after every visit. Thank you.
Read more on Google Reviews
merlulu janssen
Heart of Gold Physical Therapy is amazing. I highly recommend it. I've learned so much about care of a limb with potential for lymphedema and the proprietor, Ms.Folsom, has effectively helped me with my situation after breast cancer where other physical therapy institutions did not have the expertise or "top-of-the-line" tools to mitigate my...
Read more on Google Reviews
Elizabeth Wagner
Michelle is very caring and easy to talk with about lymphedema. She is extremely knowledgeable and thoughtful with her ideas about treatment and care. I feel heard, cared for and helped!
Read more on Google Reviews
Lance Connor
Physical therapy treatment that I received at Heart of Gold Physical Therapy changed my life. The physio's approach, keep moving, don't stop and sit back, continues to provide very positive results more than 8 months after the consultation.
Read more on Google Reviews
Carol Patterson
Fabulous experience! Have recommended to others
Read more on Google Reviews
Wanda Thomas
My experience with Michelle and Heart of Gold Physical Therapy surpassed all expectations! Upon entering, I was greeted with genuine warmth, instantly putting any first-time massage nerves at ease. Michelle's expertise, professionalism, and compassion shone through at every moment. Each session not only provided physical relief but also left me...
Read more on Google Reviews
karyn walsh
Michelle is knowledgeable, a good communicator, and kind. I love working with her on my lymphedema. She is a good listener and helped me through my recovery after having 32 lymph nodes removed. She treated my scare tissue, cording, and swelling. I can’t say enough about the high level of professionalism and care that I received.
Read more on Google Reviews
Kylene Kramer
Heart of Gold is absolutely wonderful! The practitioners are very knowledgeable, kind and compassionate! I was receiving post operative care and felt so supported during what felt like a really vulnerable time. I would recommend them to everyone. The communication and scheduling is also top notch. Truly one of the best services I’ve used in...
Read more on Google Reviews
Annie Heineman
I loved working with Michelle for my garments. She went above and beyond in order to make sure I received just what I needed. Her calm demeanor and abundance of knowledge of lymphedema helped make my experience excellent.
Read more on Google Reviews
Alicia McFarren
Michelle is a magician for lymphedema. She is knowledgeable and has a great bedside manner. I could not imagine going anywhere else for my treatment.
Read more on Google Reviews
Han Wey
I am so thankful for very knowledge, nice and very professional appointments with Michael She was so helpful to me... Fell so good , relax and less painful after every visit. Thank you.
Read more on Google Reviews
merlulu janssen
Heart of Gold Physical Therapy is amazing. I highly recommend it. I've learned so much about care of a limb with potential for lymphedema and the proprietor, Ms.Folsom, has effectively helped me with my situation after breast cancer where other physical therapy institutions did not have the expertise or "top-of-the-line" tools to mitigate my...
Read more on Google Reviews
Elizabeth Wagner
Michelle is very caring and easy to talk with about lymphedema. She is extremely knowledgeable and thoughtful with her ideas about treatment and care. I feel heard, cared for and helped!
Read more on Google Reviews
Lance Connor
Physical therapy treatment that I received at Heart of Gold Physical Therapy changed my life. The physio's approach, keep moving, don't stop and sit back, continues to provide very positive results more than 8 months after the consultation.
Read more on Google Reviews
Carol Patterson
Fabulous experience! Have recommended to others
Read more on Google Reviews
Wanda Thomas
My experience with Michelle and Heart of Gold Physical Therapy surpassed all expectations! Upon entering, I was greeted with genuine warmth, instantly putting any first-time massage nerves at ease. Michelle's expertise, professionalism, and compassion shone through at every moment. Each session not only provided physical relief but also left me...
Read more on Google Reviews
karyn walsh
Michelle is knowledgeable, a good communicator, and kind. I love working with her on my lymphedema. She is a good listener and helped me through my recovery after having 32 lymph nodes removed. She treated my scare tissue, cording, and swelling. I can’t say enough about the high level of professionalism and care that I received.
Read more on Google Reviews
Kylene Kramer
Heart of Gold is absolutely wonderful! The practitioners are very knowledgeable, kind and compassionate! I was receiving post operative care and felt so supported during what felt like a really vulnerable time. I would recommend them to everyone. The communication and scheduling is also top notch. Truly one of the best services I’ve used in...
Read more on Google Reviews
Annie Heineman
I loved working with Michelle for my garments. She went above and beyond in order to make sure I received just what I needed. Her calm demeanor and abundance of knowledge of lymphedema helped make my experience excellent.
Read more on Google Reviews
Alicia McFarren
Michelle is a magician for lymphedema. She is knowledgeable and has a great bedside manner. I could not imagine going anywhere else for my treatment.
Read more on Google Reviews
Han Wey
I am so thankful for very knowledge, nice and very professional appointments with Michael She was so helpful to me... Fell so good , relax and less painful after every visit. Thank you.
Read more on Google Reviews
merlulu janssen
Heart of Gold Physical Therapy is amazing. I highly recommend it. I've learned so much about care of a limb with potential for lymphedema and the proprietor, Ms.Folsom, has effectively helped me with my situation after breast cancer where other physical therapy institutions did not have the expertise or "top-of-the-line" tools to mitigate my...
Read more on Google Reviews
Elizabeth Wagner
Michelle is very caring and easy to talk with about lymphedema. She is extremely knowledgeable and thoughtful with her ideas about treatment and care. I feel heard, cared for and helped!
Read more on Google Reviews
Lance Connor
Physical therapy treatment that I received at Heart of Gold Physical Therapy changed my life. The physio's approach, keep moving, don't stop and sit back, continues to provide very positive results more than 8 months after the consultation.
Read more on Google Reviews
Carol Patterson
Fabulous experience! Have recommended to others
Read more on Google Reviews
Wanda Thomas
My experience with Michelle and Heart of Gold Physical Therapy surpassed all expectations! Upon entering, I was greeted with genuine warmth, instantly putting any first-time massage nerves at ease. Michelle's expertise, professionalism, and compassion shone through at every moment. Each session not only provided physical relief but also left me...
Read more on Google Reviews
karyn walsh
Michelle is knowledgeable, a good communicator, and kind. I love working with her on my lymphedema. She is a good listener and helped me through my recovery after having 32 lymph nodes removed. She treated my scare tissue, cording, and swelling. I can’t say enough about the high level of professionalism and care that I received.
Read more on Google Reviews

Ready to Take Action?

Join our Lymphedema Prevention Program today and take the first step towards a healthier, more active life. Contact us now to schedule your consultation!

For more information, visit https://www.impedimed.com/patients/preventing-lymphedema

Shah C, Whitworth P, Valente S, Schwarz GS, Kruse M, Kohli M, Brownson K, Lawson L, Dupree B, Vicini FA. Bioimpedance spectroscopy for breast cancer-related lymphedema assessment: clinical practice guidelines. Breast Cancer Res Treat. 2023 Feb;198(1):1-9.

Ridner SH, Dietrich MS, Boyages J, Koelmeyer L, Elder E, Hughes TM, French J, Ngui N, Hsu J, Abramson VG, Moore A, Shah C. A Comparison of Bioimpedance Spectroscopy or Tape Measure Triggered Compression Intervention in Chronic Breast Cancer Lymphedema Prevention. Lymphat Res Biol. 2022 Dec;20(6):618-628.

Fu MR, et al. L-Dex ratio in detecting breast cancer-related lymphedema: reliability, sensitivity, and specificity. Lymphology 2013;46:85-96.