Lymphedema Services

Milliken Provides Upper Extremity Lymphedema Services

Refer a patient or schedule an appointment: 314-286-1669

What is Lymphedema?

Lymphedema is a chronic condition characterized by swelling of a limb caused by the accumulation of protein-rich fluid. It may result from a genetic condition or develop following trauma or cancer treatment. Lymphedema can cause a significant increase in limb size, increase susceptibility to infection, and impair the body’s ability to heal. As the condition progresses, changes in the skin and underlying tissues may also occur. 

Lymphedema can be managed with specialized therapy, compression garments, and, when appropriate, surgical intervention. 

Signs and Symptoms

• Swelling
• Tightness of the skin
• Feeling of heaviness, fullness, or fatigue in the limb
• Aching pain
• Hardening of the skin
• Reduced range of motion

Risk Factors

Risk factors include, but are not limited to, radiation therapy involving the lymph nodes or surgical removal of lymph nodes. 

Treatment:

The goal of therapy is to achieve the greatest possible reduction in swelling. This is accomplished through a combination of compression bandaging, Manual Lymphatic Drainage (MLD), and an individualized exercise program. 

Once maximum limb reduction has been achieved, you will be measured for compression garments. Your therapist will ensure that the garments fit properly and will provide instructions for their use and care. Compression garments are an important part of your long-term lymphedema management plan. Your therapist will discuss specific compression guidelines with you. In general, compression is recommended for 22–24 hours per day, as tolerated.

We recommend a follow-up every 6 months.

Reducing the Risk of Infection 

Lymphedema can increase the risk of infection, and an infection can, in turn, worsen lymphedema. Protecting your skin and practicing good hygiene are important steps in reducing your risk of infection. You can help lower your risk by following these tips: 

• Keep your skin clean, dry, and moisturized 
• Do not cut your cuticles 
• Protect your skin with sunscreen and bug spray 
• Avoid constriction and punctures to the affected limb (such as blood draw and blood pressure cuffs) 
• If skin damage occurs, care for the wound and use antibacterial ointments as indicated. 

If significant redness, warmth, or pain occurs in any area of your skin, especially when combined with fever or flu-like symptoms, contact your physician immediately. 

Refer a patient or schedule an appointment: 314-286-1669

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Central for Advanced Medicine location

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Washington University and Barnes-Jewish Orthopedic Center location