Como você trata o linfedema nas pernas?

Although lymphedema is not completely curable, there are certain treatments through which symptoms can be controlled, and disease progression can be kept under control. Treatment may depend on the severity of the disease and the stage at which the condition exists.

Although lymphedema in the legs once developed cannot be cured, it is important to control symptoms to prevent further tissue damage and complications. Lymphedema is divided into 4 stages and the goal of therapy is to control the condition and stop its progression to the next stage. In addition, treatment also depends on the cause of the condition, ie whether the condition is primary or secondary. The volume of the patient’s organ is examined to determine the extent of the disease by examining the legs, arms and abdomen, and the chest wall.

Following are the treatment strategies adopted by medical professionals based on the severity of the disease:

Decongestive Lymphatic Therapy (DLT) to treat leg lymphedema

Decongestive Lymphatic Therapy or DLT is the most recommended treatment strategy for lymphedema as it comprises the main steps that help relieve symptoms. The initial phase of DLT is the reduction phase in which fluid is reduced and removed from the affected part. The next phase is a maintenance phase that helps maintain the amount of fluid. Following are the components of DLT-

Compression  – The purpose of using leg compression is to remove excess fluid. Compression is done with the help of compression bandages that aids in fluid removal through muscle movements. Socks and sleeves can also be worn for this purpose, transmitting pressure on the fluid.

Exercise  – Exercise also plays an important role in relieving the symptoms of lymphedema in the legs, as they have an effect on the muscles. Deep breathing is an effective exercise that helps increase lymph flow. In addition, raising the legs also helps in the flow of lymphatic fluid. Other exercises include stretching and strengthening exercises. Aerobics  also have an advantage in promoting lymphatic flow. Exercises involving the muscular system, such as cycling or swimming, may also be advised.

Massage  – Massage that is created especially for this condition is known as manual lymphatic drainage. It is made by a trained person and especially helpful when lymphedema occurs in the legs. When massage combined with compression, the results are good. The number of massage sessions depends on the amount of fluid collected in the underlying tissue.

Skin Care  – Skin care is an important strategy to prevent any infection as the collected lymph is considered favorable for bacterial growth. Infection can lead to complications and can sometimes result in fatal consequences.

Surgery To Treat Leg Lymphedema

When DLT does not provide adequate results and does not improve symptoms, your doctor may recommend leg lymphedema surgery. The type of surgery depends on the goal to be achieved. Surgery can be of the following types:

  1. Surgery that is done to connect the lymphatic vessels to the nearby circulatory blood system.
  2. Liposuction surgery   that is done to remove excess fat from the underlying tissue.
  3. Surgery, which is done to remove hardened and damaged skin tissue to reduce the risk of  cellulite  .

Adjuvant Therapy in the Treatment of Leg Lymphedema

In addition to managing lymphatic fluid, the therapy also targets the management of other symptoms such as leg pain and numbness. For this, analgesics and anti-inflammatory drugs are administered. To treat the infection, antibiotics are prescribed.

Conclusion

The most recommended strategy is Decongestive Lymphatic Therapy. This therapy has two stages. The initial stage is the reduction stage, while the next stage is the maintenance stage. If symptoms are not treated with decongestive lymphatic therapy, leg surgery is the next option. In addition, treatment is also supported by adjuvant therapy such as pain killers and antibiotics.

Eu sou o Dr. Ruby Crowder e sou especialista em medicina pulmonar e cuidados intensivos. Eu me formei na Universidade da Califórnia, em San Francisco. Eu trabalho no Hospital Geral de São Francisco e Centro de Trauma de Zuckerberg. Eu também sou professor associado de medicina na Universidade da Califórnia, em San Francisco.

Eu pesquisei a epidemiologia e o manejo da tuberculose em países de alta incidência e publiquei muitos remédios e artigos relacionados à saúde sobre o Exenin e em outras revistas médicas.

Finalmente, gosto de viajar, mergulhar e andar de mochila.

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