| Lymphoedema
The Lymphatic System
Lymph is a colourless fluid which forms in the body
naturally. It normally drains back into the blood
circulation through a network of vessels and lymph
nodes. The nodes act as a filter and play an important
part in the removal of waste products and helping
improve the body’s defence against infection.
If the drainage routes through the lymphatic system
become blocked or damaged, lymph accumulates and swelling
(oedema) occurs. Lymphoedema can lead to changes in
the tissues such as fibrosis (hardness) and an increased
risk of infection. The swelling then becomes even more
difficult to control.
Primary and Secondary Lymphoedema
Primary Lymphoedema is usually determined from birth
and may be due to the underdevelopment of the lymphatic
system. It can affect infants or children and men or
women at any age.
Secondary Lymphoedema can occur in the treatment of
cancer following surgery or radiotherapy. It can also
occur as a result of infection, severe injury or burns.
Managing Lymphoedema
A treatment programme should ideally include Manual
Lymphatic Drainage (MLD), multi-layer bandaging, where
appropriate, provision of compression garments, skin
care and exercise.
Treatment is usually arranged as an intensive course
of around 10 daily treatments over a period of two to
three weeks. This may be followed by a regular session
of MLD once or twice a week.
After an intensive course of treatment a thorough report
is sent to the GP or medical consultant.
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