Lymph, also known as lymphatic fluid, is extra fluid collected from tissues, cells, and other substances. Lymph also carries lymphocytes, which are infection-fighting blood cells. Lymph is transported through the lymphatic system, and it is important for immunity and getting rid of cellular waste.
Lymphedema is a condition of the lymphatic system, and it can cause issues in your body, especially in the legs and arms. If you have it, you should search for physical therapy for lymphedema, as it can be effective in reducing pain, swelling, and other symptoms.
What Lymphedema Is
Lymphedema occurs when there is lymphatic system blockage, which results in the accumulation of lymph. Lymphedema is most commonly seen in patients who have or have had cancer. Cancer tumors may block lymphatic flow, radiation may have caused scarring of the lymph vessels, or nodes may have been removed. Factors that increase lymphedema risk include rheumatoid arthritis, obesity, and older age.
There are various symptoms and signs of lymphedema:
- Swelling of the leg, arm, or extremities
- Reduced range of motion
- A tightness feeling
- Hardening of the skin
- Frequent infections
How It Can Affect Your Life
If you have lymphedema, your symptoms may range from mild to severe. Movement can be difficult, especially if you have swelling in one or both of your legs. You skin may change color or thicken to a texture similar to elephant skin. If the swelling is very bad, you may notice lymph leakage through the skin. In severe cases, you may be at risk of life-threatening skin infections or sepsis, which is an emergency-related blood infection.
Having lymphedema can be very painful. If it significantly limits movement, you may not be able to work or function in daily activities. The sooner you seek treatment, the better the outcome, so start searching for physical therapy clinics in your area.
Why You Will Need a Physical Therapist
When looking for a physical therapist near me, find one that specializes in lymphedema. This healthcare professional has learned therapies and techniques that:
- Reduce pain
- Decrease swelling
- Increase strength
- Increase flexibility and range of motion
- Restore function
When you meet with the physical therapist, he or she will discuss your symptoms and evaluate your range of motion. The therapist will design a treatment plan that is customized for your situation.
Most of the initial sessions will focus on draining and moving the lymph away from the affected areas. This may include massage-like techniques, which use light pressure to help the lymph move. Compression garments and bandages are effective, as is sequential pneumatic compression. If movement is not too difficult, you may also incorporate exercises into the session, as muscle contraction helps to move the accumulated liquid. Additional therapeutic exercises may include stretching and range of motion.
Your therapist may use certain modalities, such as electrical stimulation or ultrasound. If there is scarring, scar mobilization or soft tissue mobilization may be used. The PT may also give you recommendations to do at home, such as better body mechanics, skin care, posture changes, and ways to maintain the reduced edema.
