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Lymphoedema E-mail
Written by Dr. Batti   
Wednesday, 11 July 2007
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Lymphoedema
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Dandelion leaf, burdock root and horse chestnut are popular alternative remedies for lymphoedema, writes Dr Bhatti

Lymphoedema refers to swelling that occurs most often in either one or both of the arms or legs. The swelling occurs when a blockage in your lymphatic system prevents the lymph fluid in your arm or leg from draining. As the fluid accumulates, the swelling continues.

Our lymphatic system is crucial in keeping our bodies healthy. It circulates protein-rich lymph fluid throughout our bodies, collecting bacteria, viruses and waste products. The lymphatic system carries these through lymph vessels, which lead to lymph nodes. The waste is then filtered out by lymphocytes - infection-fighting cells that live in your lymph nodes - and ultimately flushed out of the body.

It is not easy to cure lymphoedema, but lymphoedema can be controlled with diligent care of the affected limb. Symptoms of lymphoedema include: swelling of the arm or leg including fingers or toes; a feeling of heaviness or tightness in arms or legs; restricted range of motion in limbs; aching or discomfort; recurring infections in affected limb and hardening and thickening of the skin.

Lymphoedema is characterised as either primary or secondary. Primary lymphoedema occurs on its own whereas secondary involves another disease or condition. Primary lymphoedema is an inherited condition caused by problems with the development of lymph vessels in the body. Secondary lymphoedema may be caused by damage to lymph nodes, for instance through surgery or radiation treatment for cancer. Cancer cells themselves can cause restriction of lymph flow, as can an infection or parasites. Lymphoedema in your arm or leg can lead to serious complications, such as elephantiasis (hardened skin) or lymphangiosarcoma, which is a rare form of soft tissue cancer.

Treatment for lymphoedema concentrates on minimising the swelling, controlling the pain and prevention. Very light exercise that encourages lymph flow is encouraged. Wrapping the affected area with bandages can encourage lymph fluid to flow out of the affected area. (Always consult a healthcare practitioner before attempting bandaging or any self treatment.) Compression garments can be bought and work along the same principle. Measures that help reduce lymphoedema include: avoiding heat on limbs; elevating arms or legs; avoiding tight clothing and anything that constricts limbs. Keep skin clean and check daily for skin breakages that may lead to infection.



 
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