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Lymphedema.

Stanley G Rockson¹

¹Stanford Center for Lymphatic and Venous Disorders, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA. srockson@cvmed.stanford.edu

Current Treatment Options in Cardiovascular Medicine

|March 15, 2006

Summary

Decongestive lymphatic therapy, including manual drainage and bandaging, is key for reducing limb volume. Compression garments and liposuction are best used after maximal volume reduction is achieved.

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Area of Science:

Medicine
Therapeutics
Lymphatic System

Background:

Lymphedema management relies on decongestive measures.
Therapeutic strategies must address acute volume reduction and long-term maintenance.

Purpose of the Study:

To outline current best practices in lymphedema therapy.
To differentiate treatment goals and appropriate interventions.

Main Methods:

Manual lymphatic drainage
Low-stretch bandaging
Exercise and skin care
Application of compressive elastic garments
Intermittent pneumatic compression devices

Main Results:

Decongestive techniques are primary for acute volume reduction.
Elastic garments should be used only after maximal decongestion.
Intermittent pneumatic compression is an adjunct, not a replacement.
Pharmacologic and molecular therapies are under investigation.
Liposuction is a promising surgical option for select patients.

Conclusions:

A phased approach to lymphedema therapy is essential.
Conservative decongestive methods form the foundation of treatment.
Surgical options like liposuction offer benefits for specific individuals.

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