I'm 40 and the swelling came out of the blue from upper calves to toes on both legs. What can I do to keep swelling down?
What is the reason for lymphedema? Is it following injury, or surgery? Compression stockings is a good option. Avoid standing in one position for a long time, and keep the leg elevated whenever possible. You need to figure out what is the underlying problem.
Published on Jul 11, 2012
Compression stockings is the main treatment for lymphedema. A venous duplex ultrasound should be performed to rule out deep vein thrombosis and venous insufficiency.
Published on Jul 11, 2012
Compression socks are beneficial. Periodic daily leg elevation and exercises may help, but usually has limited value in patients with true lymphedema. Massage therapy may be beneficial. It would be important to determine the cause of the lymphedema at your age. Consultation with a physician who has a specific interest in lymphedema would be helpful. Further evaluation and possible treatment at a lymphedema clinic, if available, may be useful.
Published on Jul 11, 2012
Lymphedema is a disorder of the lymphatic system. In this case, in your legs. Normally, lymphedema does not develop suddenly. It has more of a gradual onset over years. Normally in people who suffer with lymphedema, I recommend life-long compression stocking wear and sometimes I send my patients for lymphedema physical therapy. If you actually do not have lymphedema, then the treatment would depend on what you actually have.
Published on Jul 11, 2012
The recommendation should come from the physician that made your diagnosis of lymphedema. They may refer you to a lymphedema clinic for further recommendations.
Published on Jul 11, 2012
Wearing compression support is a must. Consulting with a specialist who treats lymphedema is recommended.
Published on Jul 11, 2012
Calf-length compression hose and leg elevation when possible are the first line of treatment.
Published on Jul 11, 2012
I assume that the diagnosis was made after excluding venous disease. Surgery is not indicated. Non operative measures include salt restriction, the use of graduated compression socks or stockings, and sequential pumps.
Published on Jul 11, 2012
We do not recommend "sleeves" for compression as they are only for active running. You should be measured and fitted by a certified compression fitter as early in the morning as possible. Hose should be applied early in the day (when you get up is best).
Did your lymphedema specialist recommend a strength of hose? Have you had an ultrasound of the venous system to rule out possible venous insufficiency as you talk about blue veins?
Published on Jul 11, 2012
The first thing to do is to try to find a reason for the swelling and this may include a venous duplex scan and even a CAT scan. There are many causes of swelling — sometimes it can even be unexplained, but frequently there is an underlying reason. If the swelling is truly due to lymphedema, then the treatment would be consistent exercise, keeping the weight down and wearing compression hose and the compression sleeves.
Published on Jul 11, 2012