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Lymphoedema and Pneumatic Compression Therapy

Lymphatic system insufficiency: pump-based pneumatic massage and decongestive therapy.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Lymphoedema and Pneumatic Compression Therapy?

Lymphoedema is a chronic accumulation of protein-rich interstitial fluid in tissue caused by lymphatic system insufficiency.

Causes: post-mastectomy, post-cancer radiotherapy, surgical lymph-node dissection, congenital lymphatic system abnormality and filariasis.

Pneumatic compression devices have multi-chamber sleeves that work in sequential pattern (proximal to distal); they support manual lymphatic drainage and become a part of complete decongestive therapy.

Symptoms

Indications: post-mastectomy upper limb lymphoedema
Indications: post-pelvic surgery lower limb lymphoedema
Indications: post-deep vein thrombosis chronic venous insufficiency
Indications: heart-failure-related extremity oedema
Caution: active deep-vein thrombosis (DVT)
Caution: severe heart failure (NYHA III-IV)
Caution: skin infection (cellulitis)

Risk Factors

Post-mastectomy axillary lymph-node dissection
Pelvic radiotherapy and pelvic surgery
Obesity (BMI >30) and overweight
Cellulitis history (recurrent infection)
Chronic venous insufficiency and varicose veins
Long-term immobilisation
Heart failure and renal failure

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Pneumatic compression must be applied under physiotherapist or lymphoedema specialist supervision
  • DVT, infection and severe heart failure must be excluded
  • Daily session: 30-60 min, 5 days a week and weekly review
  • Combined therapy: complete decongestive therapy (CDT)

Treatment Methods

01
Pneumatic compression device (sequential, 30-60 mmHg)
02
Manual lymphatic drainage (MLD, 30 min)
03
Compression bandaging or stockings (Class II-III, 30-40 mmHg)
04
Skin care and infection prophylaxis (moisturiser)
05
Regular exercise (water sports, walking)
06
Weight management and salt restriction

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.