From the Guidelines
Proper skin care is crucial for managing lymphedema, and daily gentle cleansing with mild, pH-balanced soap and lukewarm water is recommended. This approach is supported by the principles outlined in the management of skin and soft tissue infections 1. The goal of skin care in lymphedema is to prevent dryness, cracking, and infections, which can worsen the condition or lead to cellulitis.
Key aspects of skin care for lymphedema include:
- Daily gentle cleansing with mild, pH-balanced soap and lukewarm water
- Thorough but gentle drying, especially between skin folds
- Applying a low-pH moisturizer like Eucerin, CereaVe, or Aquaphor daily to prevent dryness and cracking
- Avoiding moisturizers with fragrances, alcohol, or lanolin that may irritate sensitive skin
- Inspecting the skin daily for cuts, scrapes, burns, insect bites, or signs of infection
It's also important to note that patients with lymphedema are at a greater risk for developing cellulitis, especially if not promptly treated with antibiotics 1. Therefore, if signs of infection are noticed, it is essential to contact a healthcare provider immediately. Additional measures to manage lymphedema include keeping the affected limb elevated when possible, wearing prescribed compression garments during the day, protecting the skin from extreme temperatures, avoiding tight jewelry or clothing that could restrict lymph flow, and using electric razors instead of blades to prevent cuts.
The importance of meticulous skin care and early treatment of skin infections in the context of lymphedema is further emphasized in guidelines for managing conditions that may involve lymphedema, such as cardio-facio-cutaneous syndrome 1. By prioritizing skin care and taking preventive measures, individuals with lymphedema can reduce the risk of complications and improve their quality of life.
From the Research
Skin Care for Lymphedema
- Skin care is an essential component of lymphedema management, as it helps prevent infection and promotes overall skin health 2.
- The goals of skin care in lymphedema include standardizing terminology, synthesizing available information, and creating best practice recommendations 2.
- Skin disorders associated with lymphedema have been classified into five categories, with descriptions, photographs, and treatment recommendations available 2.
Importance of Skin Care
- Skin care is a crucial defense against infection in patients with lymphedema, as the immune system is compromised 2.
- Effective skin care can help reduce the risk of infection and promote wound healing 3, 4.
- Patients with lymphedema should be educated on the importance of skin care self-management, including risk-reduction strategies and self-care techniques 5, 6.
Components of Skin Care
- Skin care is one of the four cornerstones of lymphedema management, along with exercise, lymphatic massage, and compression 6.
- Components of skin care may include manual lymph drainage, skin and nail care, and risk-reduction precautions 3.
- The use of advanced programmable intermittent pneumatic compression (IPC) devices may support successful home management of lymphedema by addressing some of the barriers to effective skin care 4.
Challenges and Considerations
- Patients with lymphedema may face challenges in maintaining effective skin care self-management, including psychosocial factors such as financial burden and physical restraints 6.
- The transition from Phase-I to Phase-II care can be challenging for patients and clinicians, and poor patient compliance with home care regimens can contribute to losing gains achieved in the clinic 4.
- Effective bandaging and lymphatic drainage treatment are critical to successful outcomes in lymphedema management 4.