Lower-extremity Lymphedema

Lower-extremity lymphedema is chronic swelling of the leg due to impaired lymphatic drainage (primary congenital or secondary to surgery/radiation/filariasis/venous disease). Clinical: progressive unilateral/bilateral leg swelling, pitting early, nonpitting with skin changes, recurrent cellulitis. Treatment: complete decongestive therapy (manual drainage, compression); exercise; elevation; skin care; antibiotics for cellulitis; weight control; surgery in selected cases; screen for malignancy/filariasis.

Common Symptoms

Progressive leg swelling; skin thickening; recurrent cellulitis; by primary/secondary

Causes and Pathogenesis

Lymphatic hypoplasia/obstruction causes protein-rich interstitial accumulation and fibrosis.

Treatment

CDT (drainage/compression); exercise; elevation; skin care; antibiotics for cellulitis

Preventive Measures

Post-cancer care; treat filariasis; skin care; avoid limb trauma.

Department to Visit

It is recommended to visit the Vascular-surgery/Lymphedema clinic department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.