If you’ve been diagnosed with lymphedema by your primary care provider and have a treatment plan, you’re most likely aware of the management techniques. But it’s always nice to have a refresh of the information — and a way to share it with friends and family accompanying you on your healthcare journey. Kirsten Eastman, Manager of Rehabilitation and Occupational Health at APD, provides 9 ways for patients with lymphedema to reduce swelling and prevent complications.
One: Exercises. It’s important to keep your body fluids moving as optimally as possible. “Gentle contraction of the muscles in the arm or leg can help move the excess fluid out of the swollen limb,” Eastman said. “Even gentle walking will help.”
Aerobic exercise, such as walking or swimming, will also help move lymph fluid out of problem areas and lower the swelling. Exercise should begin at a very low level, increase gradually over time, and take place under the care of a lymphedema therapist.
Two: Manual lymph drainage. Trained therapists use light pressure to move the trapped fluid in the swollen limb toward an area with working lymph vessels.
“People should avoid manual lymph drainage if they have a skin infection, blood clots, or active cancer in the affected limb,” Eastman said.
Three: Avoid tight clothing. Try not to wear anything — from jewelry to waistbands to socks and shoes — that might leave marks on your skin.
Four: Eat right. “What you eat can help you manage lymphedema. Focus your diet on whole foods, eating lots of vegetables and some fruits daily,” Eastman said. Limit high-sodium or highly processed foods, which will only contribute to more fluid retention and swelling.
Five: Compression bandages. A physical or occupational therapist can show you how to correctly use low-stretch bandages to wrap the entire limb and encourage lymph fluid to flow back toward the trunk of the body.
Six: Compression garments. Close-fitting elastic sleeves or stockings can compress the arm or leg to encourage lymph fluid drainage. “These garments often require a prescription and you may need to be measured by a professional to ensure proper fit,” Eastman said.
Seven: Encourage fluid flow. Experts recommend keeping your legs uncrossed and changing your sitting position at least every 30 minutes.
Eight: Skin care. With fluid being trapped in your tissues, you are more prone to skin infections. Healthy skin is important, so keep your skin, hair, and nails clean. Other ideas:
- Keep your skin well moisturized with natural products like coconut oil and shea butter.
- Use gloves when gardening and doing other outside work.
- Keep your feet and toes clean and dry, wearing breathable cotton socks.
Nine: Ask for help. Regularly consult with your primary care provider, physical therapist, occupational therapist, or holistic health provider. They can regularly assess your symptoms and provide guidance on managing symptoms.
“Treatments should always be done under the direction of your medical team,” Eastman said. “Your providers will work together to develop an individual treatment plan and support you throughout.”