Skin changes in lymphoedema: pathophysiology and management options

Appropriate skin care and prevention of infection are important cornerstones of effective lymphoedema management, which can play a vital role in patient comfort and acceptance of swelling. Management of the patient or client with lymphoedema requires input from an appropriately qualified and skilled practitioner, however skin care is one area of care, which may be addressed by all levels of healthcare professionals involved in direct patient care. This article highlights the pathophysiology of both the skin and lymphatics in lymphoedema. It also aims to give the reader a practical understanding of potential skin problems and suggestions for how they may be identified and remedied.