Lymphedema Therapy & Treatment NYC [Complete Decongestive Therapy]

Lymphatic System

The lymphatic system serves as one of the body’s most vital systems, as it maintains fluid levels within the body and supports the immune response. It is composed of an extensive network of lymph vessels, lymph nodes, and organs, that run throughout the body.  

When the lymphatic system is damaged, blocked or abnormally developed, lymph fluid may buildup in the affected body part, resulting in a chronic condition known as lymphedema.

Types of Lymphedema

There are two types of lymphedema:

• Primary lymphedema is in inherited condition, caused by the abnormal development of the lymphatic system. Symptoms typically appear during infancy, puberty, or during/after pregnancy. 

• Secondary lymphedema is the most common type of lymphedema, caused by damage to the lymphatic system. The lymphatic system may be damaged or blocked because of trauma, obesity, cancer treatment, surgery, radiation therapy and infection. 

Cancer Treatment & Lymphedema

Cancer treatment is the most common cause of lymphedema in the US. Cancer-related lymphedema occurs as a result of surgery, radiation therapy and/or the removal of lymph nodes.

When the lymphatic system is damaged by these cancer treatments, the remaining healthy lymphatic pathways may become overwhelmed over time, resulting in a backup of fluid in the affected body part.

Lymphedema may develop within days, months, or years after the completion of cancer treatments. Thus, if you are at risk of lymphedema, it is important to be aware of the signs and symptoms, so that you can consult with a Certified Lymphedema Therapist if something feels off.

Where does lymphedema develop?

Lymphedema usually affects the arms or legs, but it can also develop in any part of the body.

During and after cancer treatments, lymphedema can develop in:

• Breast cancer history – the breast, chest, underarm, and/or arm.

• Pelvic or lower extremity cancer history – the abdomen, genital area, in one leg and/or both legs.

• Head and neck cancer history – the neck and/or face. 

Signs & Symptoms 

• Feeling of heaviness, fullness, tightness in the at-risk body part 

• Visible swelling 

• Decreased movement and/or flexibility 

• Decreased visibility of your veins, tendons, and wrinkles 

• Clothing and jewelry feel too tight

• Fibrosis: hardening and/or thickening of the skin

• Pitting edema: Indentation of the skin with applied pressure

• Increased swelling on hot/humid days or after physical exertion

It is important to keep in mind, that swelling is not always the first sign of lymphedema. Thus, if you are experiencing any one of the above symptoms and your medical history puts you at risk of lymphedema, we strongly recommend consulting with our Certified Lymphedema Therapist. 

Lymphedema Diagnosis

Lymphedema is diagnosed with a physical examination and thorough history of your symptoms; there is no standard diagnostic test for lymphedema. Therefore, if you are at risk of developing lymphedema, it is important to promptly consult with a Certified Lymphedema Therapist if you develop any signs and symptoms.

Treatment for Lymphedema

Unfortunately, without proper treatment and management, lymphedema will progress, leading to several secondary complications. These may include increased swelling, skin hardening, recurrent wounds and infections, and limited movement.

While lymphedema is a life-long condition, it can be effectively managed with Complete Decongestive Therapy (CDT). CDT is the gold standard treatment for lymphedema, and it is only performed by a Certified Lymphedema Therapist (CLT).

Many studies have proven the effectiveness of CDT for reducing swelling, pain, impaired mobility, and poor function. 

Complex Decongestive Therapy (CDT)

CDT consists of 5 essential elements and your CLT will provide you with an individualized treatment plan, including:

1. Compression Therapy: Compression therapy is the most important component of CDT. Multi-layered compression bandages are first used to reduce swelling and improve skin changes. While wearing compression garments are then used to maintain the size and swelling of the affected area.

2. Manual Lymphatic Drainage: Manual lymphatic drainage is a specialized light massage technique that enhances lymphatic flow and the movement of lymphatic fluid out of the affected body part.  

3. Remedial Exercises: Due to the pumping action created by your muscles contracting as your exercise, lymph flow is enhanced. Your CLT will provide you with a personalized exercise plan to improve your mobility, flexibility and lymphatic flow. 

4. Skin Care: One of the biggest concerns with lymphedema is the risk of infection and cellulitis. Thus, having a good skin care routine is essential for preventing lymphedema flare-ups and other complications. 

5. Patient Education: Since lymphedema is a life-long condition, education regarding self-care and self-management is paramount. Your CLT will help you successfully manage your lymphedema by providing continuous education and support.