Lymphoedema Treatment

Written By Lotte May
Founder of Comfort Crate & Cancer Advocate

It is comforting to know that despite lymphoedema being a chronic condition, there are proven techniques to reduce its side effects. To prevent lymphoedema from progressing, it is essential to recognise the stages early and implement management techniques that can even lower your "ranking" or stage over time.

The Four Stages of Lymphoedema

Stage 0: The Latent Stage
There are no visible signs of swelling on the outside, but the lymphatic system has been impaired. You may notice the affected area feels heavy, achy, or tight.

Stage 1: Mild Swelling
Fluid begins to build up and swelling becomes noticeable. At this stage, elevating the limb usually helps the fluid drain. You may experience pitting oedema, where pressing the skin leaves a temporary indentation.

Stage 2: Moderate Swelling
Elevation alone rarely relieves the swelling. The tissues begin to undergo changes, such as the formation of subcutaneous fat or fibrosis (hardening of the skin). As the skin hardens, pitting may no longer occur.

Stage 3: Lymphostatic Elephantiasis
This is the most advanced stage, characterised by extensive swelling and significant skin changes, such as thickening, wart-like growths, and deep skin folds. The skin becomes very fragile and is at a high risk for poorly healing wounds and infections.

Lymphoedema Management Techniques

• Specialist Skin Care: Crucial for preventing cellulitis and keeping skin flexible and resilient.
• Compression Therapy: Using specialist garments or Multi-Layer Bandaging (MLLB) to provide pressure that helps move fluid out of the limb.
• Movement: Gentle exercise is helpful, but only if it’s an activity your body is used to. Sudden, intense activity can actually increase swelling.
• Manual Drainage (MLD): A specialised massage technique used by therapists to physically redirect lymph fluid.

Learn more about protective routines: 'Lymphoedema & Skincare Guide'

Further Reading and Support (Unique UK Resources)

• Macmillan: Managing Lymphoedema Symptoms
  A comprehensive UK guide on how to access NHS lymphoedema clinics and what to expect during your first assessment.
  
• Physiopedia: Understanding Manual Lymphatic Drainage
  A technical look at the science behind MLD and how it helps redirect fluid in the UK clinical setting.

About the Author: Lotte May is a stage 4B Hodgkin Lymphoma survivor and founder of Comfort Crate. She uses her research background to provide patients with evidence-based tools for side effect management. Read more about her mission here.

Medical Disclaimer: This information is for support and guidance only. It does not replace the advice of your medical team.