From the Guidelines
Yes, someone who has recovered from lymphedema should continue seeing a specialist periodically, even when symptoms are under control, as lymphedema is a chronic condition without a complete cure. Lymphedema is a condition that requires ongoing monitoring to prevent recurrence and manage potential flare-ups. According to the most recent and highest quality study, 1, referral to a certified lymphedema therapist for continued surveillance and monitoring is recommended. This is crucial because lymphedema can worsen over time, and early intervention for any changes helps prevent complications like infections or further tissue damage. The specialist provides expertise in recognizing subtle changes that might indicate a need for treatment adjustments before symptoms become severe. Some key aspects of ongoing care include:
- Assessing limb measurements and evaluating compression garment fit
- Adjusting treatment plans as needed
- Maintaining daily self-care practices, such as:
- Wearing compression garments
- Performing manual lymphatic drainage exercises
- Practicing meticulous skin care
- Maintaining a healthy weight Regular specialist visits, initially scheduled every 3-6 months and potentially decreasing to annual visits if the condition remains stable, are essential for managing lymphedema and preventing complications. As stated in 1 and 1, lymphedema may occur immediately after treatment or develop after many years, and radiation treatment may cause or exacerbate lymphedema, emphasizing the need for ongoing monitoring and care. Therefore, it is essential for individuals who have recovered from lymphedema to continue seeing a specialist periodically to ensure optimal management of the condition and prevention of potential complications.
From the Research
Lymphedema Management
- Lymphedema is a chronic disease that is never fully cured, and its management requires ongoing treatment to reduce symptoms and prevent complications 2.
- The goal of treatment is to reduce the volume of fluid in the affected area and improve quality of life, which can be achieved through complex decongestive therapy, compression garments, and other interventions 3, 4.
Importance of Ongoing Care
- Even after recovery, it is essential to continue seeing a specialist to monitor the condition and prevent recurrence or complications 2.
- Ongoing care may include maintenance therapy, such as compression garments, exercises, and skin care, to maintain the reduction in swelling and prevent further complications 2, 5.
Treatment Options
- Complex decongestive therapy, which includes manual lymphatic drainage, compression bandaging, and exercises, is an effective treatment for lymphedema 2, 5.
- Surgical options, such as lymphovenous bypass, may also be considered in some cases 3, 4.
- Adjuvant treatments, such as intermittent pneumatic compression and drug treatment, may also be useful in managing lymphedema 2.
Considerations for Patients with Comorbidities
- Patients with heart failure and lower limb edema can benefit from manual lymphatic drainage, which has been shown to decrease limb swelling without affecting hemodynamic parameters 6.
- However, other treatments, such as intermittent sequential pneumatic therapy and multilayered bandages, may be contraindicated in patients with heart failure due to potential increases in right atrial, pulmonary arterial, and pulmonary wedge pressures 6.