Lymphedema Treatment
Mishawaka
611 E. Douglas Rd., Ste. 140
Mishawaka, IN 46545
p: 574.335.6212
f: 574.335.0794
Plymouth
1919 Lake Ave., Ste. 111
Plymouth, IN 46563
p: 574.948.5320
f: 574.948.5476
We believe our communities deserve access to the best care possible. That’s why our expert team at locations in Mishawaka and Plymouth offers a comprehensive approach to help patients manage lymphedema.
About lymphedema
Lymphedema is an abnormal accumulation of lymphatic fluid, a clear, colorless fluid that removes bacteria, viruses and waste products from the body’s interstitial tissue. This causes swelling, most often in the arms or legs and occasionally in other parts of the body.
Lymphedema develops when lymphatic vessels are missing or impaired, when lymph vessels are damaged or when lymph nodes are removed. Left untreated, the fluid causes tissue channels to increase in size and number, reduces oxygen availability, interferes with wound healing and can result in infection.
Although lymphedema is a chronic and progressive condition, it can be treated and controlled.
Symptoms
- Swelling in the arms, hands, fingers, shoulders, chest or legs
- Swelling after an injury, infection or extended air travel
- Heavy sensation in arms or legs
- Skin tightness
- Decreased flexibility in the hand, wrist or ankle
- Difficulty fitting into clothing
Our therapists are trained and certified in complete decongestive therapy (CDT) and manual lymph drainage (MLD).
Our staff works closely with Michiana Hematology Oncology and is specially trained to provide treatment sensitive to the needs of oncology patients.
Types of lymphedema treated
- Upper extremity and chest wall swelling due to breast cancer
- Face and neck swelling due to head and neck cancer
- Lower extremity swelling due to primary or secondary causes such as ovarian, uterine, or prostate cancers
Treatment options
The most effective approach is CDT, which should be started as soon as possible after diagnosis. The length of the treatment, which consists of active and maintenance phases, depends on the severity and duration of the lymphedema.
Other therapies
- Manual lymph drainage (a form of light massage that moves lymph fluid through the body)
- Compression bandaging
- Exercise
- Skin care
- Elastic compression garment to be worn once the swelling is under control
- Education and home maintenance strategies
What happens when the active phase of CDT is complete?
Specially trained therapists will provide you with the self-care skills you need to continue your progress throughout the maintenance phase. You will take on the responsibility to manage your condition depending upon your body’s particular needs and response to therapy. You will always have a relationship with the clinic if future needs arise.
What happens when left untreated?
Cellulitis, a skin infection, or lymphagitis, a lymphatic vessel infection, or axillary web syndrome, a sclerotic reaction of lymphatic vessels, are possible complications of untreated lymphedema. All three of these conditions may cause pain, further swelling and additional damage to the lymphatics. These injuries increase the potential for future infections, pain and fluid build up.
What about sentinel lymph node biopsy?
For patients having sentinel lymph node biopsy (SLNB), the Mishawaka location offers a two-session program for education. The sessions cover prevention of swelling, skin care, exercise and other preventive measures. (This treatment is not covered by Medicare. Patients need an approved diagnosis.)