Lymphedema

Lymphedema is the abnormal accumulation of protein-rich fluid in the interstitium which causes swelling. This swelling often takes place in an arm or leg but can effect any area of the body. Lymphedema causes chronic inflammation and in time the stagnant fluid can trigger fibrosis and adipose tissue proliferation of the effected areas. Lymphedema is chronic and is associated with an increased risk of cellulitis.

There are 2 classifications of lymphedema-

Primary Lymphedema develops due to abnormal development of the lymphatic system and may be present at birth or may develop later in life.

Secondary Lymphedema has a know cause such as lymph node removal, radiation, trauma, infection, chronic venous insufficiency and obesity.

Lipedema

Lipedema syndrome most commonly effects the legs and is the bilateral enlargement of adipose (fat) tissue. Lipedema almost exclusively effects women. It often appears during puberty but can also be triggered by other hormonal changes. Someone with lipedema may have a disporportionately larger lower body compared to their upper body. To learn more about lipedema visit the Lipedema Foundation website and or The Lipedema Project website.

Chronic Venous Insufficency

Chronic Venous Insufficiency (CVI) is commonly combined with lymphedema. CVI is caused by faulty valves in the veins of the legs. This failure of the valves allows for backwards flow of the blood in the veins which in turn causes pooling in the lower extremities. Overtime this pooling causes increased swelling in the lower legs and feet. CVI can be managed with compression stockings and MLD.