The lymphatic system is compromised of lymphatic vessels and nodes. It acts as the body's filtering system. It drains fluid from the tissue and back into the bloodstream while collecting waste products and large protein molecules. The lymphatic system provides immune cells which fight infection.
Currently, one million Canadians are living with lymphedema yet it remains under-recognized, underfunded and access to qualified care remains limited.
Lymphedema is a chronic form of swelling due to various causes which impairs the lymphatic system.
Secondary lymphedema is commonly caused by cancer-related procedures such as lymph node removal and or radiation. It can also occur due to obesity, various traumas, or an impaired circulatory system. Secondary lymphedema in essence presents in the localized region of the impaired lymphatics.
Primary lymphedema is a congenital form of lymphedema, therefore individuals are born with an abnormality of the lymphatic system. Primary lymphedema is subdivided into various categories resulting in onset at various stages of life. Primary lymphedema essentially involves the lower extremity; however, it can be present in other areas of the body.
Currently, there is no cure for lymphedema. It is essential anyone living with or at risk of developing lymphedema seek a Combined Decongestive Therapist to receive instruction on how to control and manage their lymphedema.
Alongside obvious swelling, lymphedema can cause pain, burning, tightness, and heaviness. Disfigurement and immobility can occur with some progressive conditions. Clothing and/or footwear may need to be modified. Social anxiety can develop. Financial strain is frequently experienced.
Initially, a consultation/assessment is scheduled. Education regarding how to control and manage their lymphedema with manual lymphatic drainage treatments, skin care, exercise, bandaging, and/or compression use is provided. Awareness of cautionary risks such as cellulitis is discussed in detail. Baseline measurements are taken. A follow-up appointment is scheduled so the client can experience treatment and receive instruction on self-massage. A treatment plan is then established as per the client's presentation and suitable to their individual needs.
The aim is to establish independence and strive for improved quality of life. To ensure the client is aware that what care they provide at home is just as important as what care we provide in the office. In fact in some ways greater as their self-care keeps them going in the right direction between office visits.
Do not wait for swelling to occur before you seek assistance. A false sense of security can develop if you note no visible swelling. Changes will occur internally prior to becoming evident externally. Initiating treatment prior to an obvious sign of swelling at a subclinical stage is optimal.
NOTE: Combined Decongestive Therapy can also assist Lipedema and Lipolymphedema.
Have you had radiation treatment?
Have you had lymph node dissection?
Do you have chronic swelling?
You may be at risk.
Learn about risk reduction and how to control and manage lymphedema. For additional information, please call
College of Massage Therapists of Ontario
Registered Massage Therapists Association of Ontario
Lymphedema Association of Ontario