Lymphatic drainage

The lymphatic system consists of lymph vessels and lymph nodes. They ensure that fluid is supplied and drained properly. There are valves in the lymph vessels that normally prevent the backflow of fluid toward the hands and feet.

Lymphoedema

Lymphoedema is a condition in which an abnormally large amount of proteins and fluid accumulates in a body part. A body part swells when the balance between the inflow and outflow of fluid is disturbed. This leads, to a greater or lesser extent, to symptoms such as swelling, pain, movement restrictions, and a general or local feeling of fatigue. This can then, in turn, lead to functional limitations, skin problems, and infections.

There are many possible causes for the development of lymphoedema. These include operations in which lymph nodes have been removed, radiotherapy, trauma, infections, varicose veins, medication use, or a congenital abnormality of the lymphatic system.

The oedema physiotherapist

When someone suffers from lymphoedema, an oedema physiotherapist can offer a solution. They have several options to treat the fluid accumulation and its consequences. Because lymphoedema is a chronic condition, the treatment is divided into two phases: the decongestion phase and the maintenance phase.

During the decongestion phase, the fluid accumulations are reduced as much as possible. The maintenance phase serves to maintain the result achieved.

Treatment

A treatment for lymphoedema consists of different components. These will always be combined to achieve the best result.

Special hand techniques stimulate the lymphatic system to work better and help to drain excess fluid. There is a large degree of systematics in this. First, the lymphatic system in healthy body areas is activated so that it can later absorb the fluid from the problem areas. Then, the fluid from the problem area is massaged to a place that processes the fluid.

Compression therapy is also part of the treatment. Here, pressure is used to counteract the accumulation of fluid. This is done with elastic stockings/gloves, tape, or bandages. These support the lymphatic system during the day and are considered maintenance treatment.

A special type of elastic tape—applied in a specific way—can also be used. This tape slightly lifts the skin, causing pressure differences. This creates a little more space for the lymph vessels to do their work better.

Physical activity is very important to support the lymphatic system. Because muscles contract and relax, they work as a pump. It is therefore good to stay active by walking, cycling, swimming, etc. In this way, you actively contribute to the treatment yourself.