question-icon

What Is The Prognosis For Lymphedema?

default
Posted on Mon, 2 Feb 2015
Question: Hi, I've just been told I have acquired Lymphedema, what are my prognosis? Can I overcome it after treatment? I have had lower leg swelling for a year now, Had PT treatment for 2 weeks, and now wear Elvarex Jobst, foot to hip garment 12 hrs. daily, switching to a different garment at night. In XXXXXXX 2014 had 2 minor stints inserted into groin and had the Large Vein (Saphris?) closed groin to knee. Now what is to happen or that I can do to speed up healing and not have any damage to my arterial system. I Cancer, in my 2nd. yr of remission. My e-mail is YYYY@YYYY . I'm 74 yrs. old, and good health otherwise.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Lymphedema is not lethal, just collateral damage to cancer

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Lymphedema refers to swelling that generally occurs in one of your arms or legs. Sometimes both arms or both legs swell.

Lymphedema is most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling.

There's no cure for lymphedema. But it can be managed with early diagnosis and diligent care of your affected limb.

There's no cure for lymphedema. Treatment focuses on reducing the swelling and controlling the pain. Lymphedema treatments include:

Exercises. Light exercises in which you move your affected limb may encourage lymph fluid drainage and help prepare you for everyday tasks, such as carrying groceries. Exercises shouldn't be strenuous or tire you but should focus on gentle contraction of the muscles in your arm or leg. A certified lymphedema therapist can teach you exercises that may help.
Wrapping your arm or leg. Bandaging your entire limb encourages lymph fluid to flow back toward the trunk of your body. The bandage should be tightest around your fingers or toes and loosen as it moves up your arm or leg. A lymphedema therapist can show you how to wrap your limb.
Massage. A special massage technique called manual lymph drainage may encourage the flow of lymph fluid out of your arm or leg. Be sure to have it done by someone specially trained in the technique.

Massage isn't for everyone. Avoid massage if you have a skin infection, active cancer, blood clots or congestive heart failure. Also avoid massage on areas of your body that have received radiation therapy.

Pneumatic compression. A sleeve worn over your affected arm or leg connects to a pump that intermittently inflates the sleeve, putting pressure on your limb and moving lymph fluid away from your fingers or toes.
Compression garments. Long sleeves or stockings made to compress your arm or leg encourage the flow of the lymph fluid out of your affected limb. Wear a compression garment when exercising the affected limb.

Obtain a correct fit for your compression garment by getting professional help. Ask your doctor where you can buy compression garments in your community. Some people will require custom-made compression garments.

Complete decongestive therapy (CDT). This approach involves combining therapies with lifestyle changes. Generally, CDT isn't recommended for people who have high blood pressure, diabetes, paralysis, heart failure, blood clots or acute infections.
In cases of severe lymphedema, your doctor may consider surgery to remove excess tissue in your arm or leg to reduce swelling.

Nut shell, lymphedema is just a collateral damage in your cancer treatment. It is not lethal and slight changes which you are already doing will suffice. How ever the cancer needs to be monitored and followed up regularly.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Is The Prognosis For Lymphedema?

Brief Answer: Lymphedema is not lethal, just collateral damage to cancer Detailed Answer: Thank you for asking I read your question and i understand your concern. Lymphedema refers to swelling that generally occurs in one of your arms or legs. Sometimes both arms or both legs swell. Lymphedema is most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling. There's no cure for lymphedema. But it can be managed with early diagnosis and diligent care of your affected limb. There's no cure for lymphedema. Treatment focuses on reducing the swelling and controlling the pain. Lymphedema treatments include: Exercises. Light exercises in which you move your affected limb may encourage lymph fluid drainage and help prepare you for everyday tasks, such as carrying groceries. Exercises shouldn't be strenuous or tire you but should focus on gentle contraction of the muscles in your arm or leg. A certified lymphedema therapist can teach you exercises that may help. Wrapping your arm or leg. Bandaging your entire limb encourages lymph fluid to flow back toward the trunk of your body. The bandage should be tightest around your fingers or toes and loosen as it moves up your arm or leg. A lymphedema therapist can show you how to wrap your limb. Massage. A special massage technique called manual lymph drainage may encourage the flow of lymph fluid out of your arm or leg. Be sure to have it done by someone specially trained in the technique. Massage isn't for everyone. Avoid massage if you have a skin infection, active cancer, blood clots or congestive heart failure. Also avoid massage on areas of your body that have received radiation therapy. Pneumatic compression. A sleeve worn over your affected arm or leg connects to a pump that intermittently inflates the sleeve, putting pressure on your limb and moving lymph fluid away from your fingers or toes. Compression garments. Long sleeves or stockings made to compress your arm or leg encourage the flow of the lymph fluid out of your affected limb. Wear a compression garment when exercising the affected limb. Obtain a correct fit for your compression garment by getting professional help. Ask your doctor where you can buy compression garments in your community. Some people will require custom-made compression garments. Complete decongestive therapy (CDT). This approach involves combining therapies with lifestyle changes. Generally, CDT isn't recommended for people who have high blood pressure, diabetes, paralysis, heart failure, blood clots or acute infections. In cases of severe lymphedema, your doctor may consider surgery to remove excess tissue in your arm or leg to reduce swelling. Nut shell, lymphedema is just a collateral damage in your cancer treatment. It is not lethal and slight changes which you are already doing will suffice. How ever the cancer needs to be monitored and followed up regularly. I hope it helps. take good care of yourself and dont forget to close the discussion please. Regards Khan