[Translate to Englisch:] Lymphödem

Lymphedema

Definition

The lymphedema describes a swelling of legs and arms that occurs because of a native or acquired transport defect of the lymphatic vessel system. An example is the excessive swelling of the ankle due to being overweight or extended periods of sitting.

Symptoms

A lymphedema makes the legs or arms feel heavy to the point painful tension. Pressure to the edema can cause visible bumps for minutes. The feet are also often affected by swellings. In the night the results are far more definitive than in the morning. In the advanced stage there can be reddenings, hardenings of the tissue and passage of water at the legs.

Diagnosis

The diagnosis consists of a clinical view, detailed interview with the patient and an examination by a specialized doctor (e.g. doctor with the focus on phlebology, lymphology or angiology). Additionally an ultrasound examination can depict

an expanded lymph cleft. In rare cases an X-ray can show a defect of the drainage of the lymph vessel system.

Therapy

A lymphedema is treated with a steady compression therapy to end the damming. Typical therapy involves a good amount of exercise (e.g. walking, swimming) and wearing compression stockings (during the day). Depending on the results, the patient may need temporary compression bandages or even an additional lymphatic drainage. The surgical removal of the lymphedema is not possible as a matter of principle. A therapy with water pills is not fitting, it even leads to an aggravation of the symptom.