Lymphedema Care in Santa Barbara
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
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.
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.
Step 3: Decongestive Exercises/Activities
A customized activity program is designed to further assist in fluid reduction.
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 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:
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.
National Lymphedema Network (NLN) Position Papers