Lymphedema Care in Santa Barbara

Effective Solutions for Lymphedema Management

Specialized Care for Swelling Relief

weights held out

Restorative therapies tailored to your needs

Comprehensive Lymphedema Care

Your lymphatic system is made up of lymph vessels (like veins) and lymph nodes located in the neck, armpits, abdomen, and groin.  Lymphatics are integral in immune function and circulation.  Lymphatic vessels collect lymph fluid that is made of water, proteins, and waste products from the tissue space.  Lymph fluid is transported to the regional lymph nodes for filtration, and continues into the bloodstream and back to your heart.

When this normal transportation of lymphatic fluid is disrupted, a backup of fluid occurs, and can lead to swelling.  This swelling is called lymphedema.  Clinical lymphedema is a chronic, life-long disease that is manageable, although does not yet have a cure.

There is higher risk of developing lymphedema following surgery, radiation, or removal of lymph nodes.  Symptoms may develop within a few weeks or even years after these procedures, or not at all.  Some types of cancer have a higher incidence of secondary lymphedema, including: breast, melanoma, and pelvic cancers (prostate, bladder, anal, rectal cancer, cervical, ovarian, uterine, vaginal, vulvar, regional sarcoma).

Treatment for Clinical Lymphedema

Complete Decongestive Therapy (CDT) is the gold standard of treatment once lymphedema becomes chronic.  There are surgical procedures performed by specialists that can supplement this treatment, as well.

CDT is safe and non-invasive.  It consists of two phases:

Phase 1: Decongestion

<p class="zfr3Q CDt4Ke " dir="ltr" role="presentation"><span class="C9DxTc ">A gentle, superficial massage technique that stimulates healthy lymph nodes and facilitates movement of lymphatic fluid back into the circulatory system.&nbsp;&nbsp;</span></p>

Step 1: Manual Lymphatic Drainage (MLD)

A gentle, superficial massage technique that stimulates healthy lymph nodes and facilitates movement of lymphatic fluid back into the circulatory system.  

<p>Your therapist will recommend a form of compression.&nbsp; It may be a medical compression garment or require compression bandaging.&nbsp; Bandaging involves specialized short stretch wraps applied to the affected limb and worn day and night until the limb volume is reduced to its full potential.&nbsp; The bandaging is changed 3-5x/week during this period, averaging two weeks in duration.&nbsp;&nbsp;</p>

Step 2: Compression Therapy

Your therapist will recommend a form of compression.  It may be a medical compression garment or require compression bandaging.  Bandaging involves specialized short stretch wraps applied to the affected limb and worn day and night until the limb volume is reduced to its full potential.  The bandaging is changed 3-5x/week during this period, averaging two weeks in duration.  

<p>A customized activity program is designed to further assist in fluid reduction.</p>

Step 3: Decongestive Exercises/Activities

A customized activity program is designed to further assist in fluid reduction.

<p>Self care education can optimize the initial therapy phase and limit risk of infection.</p>

Step 4: Education, skin/nail care

Self care education can optimize the initial therapy phase and limit risk of infection.

Phase 2: Maintenance

This phase includes fitting for a compression garment for daily wear, self manual lymphatic drainage, activity routine, self care and weight management.  In some cases, a compression pump may be recommended.

Frequently asked questions

Frequently Asked Questions about Lymphedema

Localized swelling of the body caused by abnormal accumulation of lymph fluid.

Lymphedema Develops in Stages

 

At-Home Monitoring for Lymphedema

Warning signals of a “stressed” lymphatic system:

Heaviness

A feeling of sluggishness or weight in the body.

Achiness

Persistent discomfort, especially in the limbs.

Numbness

Reduced sensation in certain areas.

Tingling

A pins-and-needles sensation, often in the extremities.

Fatigue

Ongoing tiredness that isn't relieved by rest.

If you notice any of these symptoms contact us as soon as possible

Get a Compression Garment Fitting

If you feel any of these symptoms in a limb or body part, reduce general activity and contact your oncologist and a certified lymphedema therapist as soon as possible.  

Early intervention is the best way to prevent sub-clinical signs of lymphedema from advancing to a non-reversible state.