What is Lymphedema?
Lymphedema is an abnormal swelling of the body, frequently in the arm or leg. It may arise because of an abnormality present from birth or due to disruption of the lymph system sometime later. The swelling is caused by fluids and other cells collecting in the limb because the body’s normal routes of drainage are compromised. This poor ability to clear the fluids may be due to the surgical removal of the lymph nodes and vessels, a trauma to any part of the lymph system (including injury, infection, or radiation), or a mechanical blockage in the system.
People with swelling related to other problems like Diabetes, Chronic Venous Insufficiency, or inflammation from surgery or injury can develop Lymphedema as a secondary problem. Lymphedema is not reversible and it can progress to more severe conditions. Fortunately, there are effective treatments available for long term management of the condition.
How is it treated?
Manual Lymphatic Drainage, a specialized type of massage, can be performed by an experienced Physical Therapist. The technique re-routes the lymph fluid into other healthy pathways.
Low stretch bandaging with appropriate padding and wrapping materials can create a pressure gradient to prevent the fluid from collecting in the limb. In this way, the fluid can gradually be cleared toward the trunk.
Home exercise and self-massage, along with good skin care and monitoring of the limb are important components to learn.
Compression garments help maintain the reduced size of the limb over time. They can also help minimize the increases in swelling which may occur after activity or plane flight. Garments are best tolerated when measurement takes place after reduction and is performed by an experienced fitter.
The Lymphedema Treatment Act(LTA) is a federal law passed on 12/23/2022 that went into effect on 1/01/2024 to improve insurance coverage for the medically necessary, doctor-prescribed compression supplies that are the cornerstone of lymphedema treatment. We are accredited with Medicare as a DME compression garment supplier which allows us to issue and bill doctor-prescribed compression supplies for Medicare Part B insured. A prescription for the item(s) is required for medical necessity and must be in hand at the time of receiving the compression supply. We are restricted by some insurance contracts for billing of compression supplies; our office manager can advise if we are contracted with your insurance for these supplies and what items may be covered. (*Note: We are not a retail store and do not sell our products off the shelf. We only dispense products to current and past patients. If you are interested in a compression garment, you must set up an appointment with one of our lymphedema specialists so they can determine the most appropriate compression option for you.)
Most PT’s who treat swelling disorders are certified in specialized techniques from one of several centers in the United States. Without appropriate treatment, the condition might not improve or could worsen significantly. Many of our providers have become certified lymphedema specialists, including John Majerus, Jodie Paschall-Majerus, David Weston and Jody “J’ McClenny.
To view videos on self bandaging and donning on and off a compression garment using various tools, click on the appropriate link below: