The goal of lymphedema therapy is to restore function, reduce physical and psychological suffering, and prevent the development of cellulitis (Infection).
Initiate therapy for lymphedema as early as possible before extensive, irreversible fibro sclerotic changes occur in the interstitium. Strict compliance with treatment techniques is essential,
In secondary lymphedema, the underlying etiology (ie neoplasm, infection) should also be properly treated, in order to relieve the lymphatic obstruction.
Physical therapy and compression
The first-line treatment for lymphedema is complex physical therapy. This treatment is aimed at improving lymphedema with manual lymphatic drainage, massage, and exercise. It advocates the use of compression stockings (at a minimum of 40 mm Hg) multilayer bandaging, or pneumatic pumps. Leg elevation is essential.