Lower Extremity Lymphedema

Lower Extremity Lymphedema: A Patient’s Guide

Lymphedema is a chronic condition characterized by the buildup of lymph fluid in the soft tissues, typically resulting in persistent swelling of the legs or feet. This occurs when the lymphatic system-the body's "drainage system"-is damaged or blocked, preventing fluid from moving out of the limb properly.

Common Causes

Lymphedema is categorized into two types:

• Primary Lymphedema: A rare, inherited condition caused by the malformation of the lymphatic system at birth.
• Secondary Lymphedema: Much more common, this is caused by damage to the lymph nodes or vessels. Leading causes include:
  • Surgery: Often following the removal of lymph nodes for cancer
  • Radiation Therapy: Which can scar lymph
  • Infection: Severe cellulitis or parasitic
  • Chronic Venous Insufficiency: When veins in the leg fail to pump blood back to the heart, putting extra strain on the lymphatic system.
  • Trauma: Severe injury or burns to the

Symptoms to Watch For

• Persistent Swelling: Often starting in the foot and progressing up the
• Heavy or Aching Feeling: The limb feels weighted down or
• Skin Changes: The skin may become thickened, hardened (fibrosis), or take on a "woody" texture.
• Pitting: When you press on the swollen area, an indentation remains for several
• Reduced Flexibility: Difficulty moving the ankle or knee due to fluid
• Frequent Infections: Recurrent bouts of redness and warmth (cellulitis).

Conservative Treatment Options

While lymphedema is a lifelong condition, it can be managed effectively through Complete Decongestive Therapy (CDT).

• Manual Lymph Drainage (MLD): A specialized, light-pressure massage technique used to move fluid out of the swollen limb and toward healthy lymph nodes.
• Compression Garments: Elastic stockings or wraps that provide graduated pressure to keep fluid from accumulating.
• Skin Care: Meticulous hygiene and moisturizing to prevent cracks in the skin that could lead to infection.
• Exercise: Specific movements designed to use the "muscle pump" of the calf and thigh to assist fluid movement.

Advanced Management: Compression Pumps

When standard manual therapy and garments are not enough, healthcare providers often prescribe a Pneumatic Compression Device (PCD), commonly known as a compression pump.

How it Works

The device consists of a sleeve or "garment" that fits over the leg and is connected to a programmable pump. The sleeve inflates and deflates in a specific sequence, mimicking the natural flow of the lymphatic system to move fluid toward the torso where it can be processed by the body.

Technology Spotlight: Tactile Medical Lower Body Solutions

Our practice utilizes advanced systems like the Flexitouch Plus from Tactile Medical.

• Full-Leg Treatment: Unlike basic pumps, these lower body solutions are designed to treat the entire leg, including the trunk and groin, ensuring fluid is not simply pushed from the foot to the thigh but is moved entirely out of the limb.
• At-Home Convenience: Designed for easy, daily use in the comfort of your own home, reducing the need for frequent clinic visits.
• Customized Therapy: The system can be programmed to address specific areas of localized swelling or fibrosis.

Patient Outcomes & Expectations

Lymphedema management is a long-term commitment, but patients who utilize advanced compression technology often see significant improvements:

Quick Tips for Daily Life

• Elevate Your Legs: Whenever possible, keep your legs above the level of your
• Avoid Constriction: Don't wear tight jewelry or socks with restrictive elastic
• Monitor for Infection: If you notice sudden redness, heat, or fever, contact your doctor
• Stay Hydrated: Drinking water helps the body flush out waste and manage fluid

Schedule an appointment with Dr Sandhu today to discuss your options!

2120 N. MacArthur Blvd
Irving, TX 75061
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