Lymphedema

Lymphedema Delray Beach & Boca Raton, Fl

Do you have Puffy Ankles?

About Edema

Edema is a collection of fluid in the spaces between cells of the body. Fluid leaks out of damaged cells. The fluid can not be simply drained with a needle and may not improve if you take ‘water pills’ (diuretics).

Types of Edema include:

  • Idiopathic– no known cause.
  • Localized- fluid retention in a particular part of the body. It is usually due to injury or an allergic reaction.
  • Generalized- affects the whole body. It usually causes puffy ankles after standing for awhile. This may be due to an underlying heart condition.
  • Pulmonary– fluid on the lungs, usually due to heart disease
  • Chronic Venous Insufficiency– Chronic venous inssuffienceny (CVI) is a condition that occurs when the venous wall and / or valves in the leg veins are not working effectively, making it difficult for blood to return to the heart from the legs.
  • Lymphedema- often occurs after surgery, such as the removal or damage to the lymph nodes as part of cancer treatments, or due to infected tissues.

 

Have you been given a diuretic “water pill” to reduce swelling?

Diuretics, while often prescribed, usually make the lymphedema/edma worse. Diuretics are able to draw off the water content of the edema while the protein molecules remain in the tissue spaces. These proteins continue to draw water to the edematous areas as soon as the diuretic loses its effectiveness. These accumulated proteins also lead to a higher concentration of proteins in the edema fluid and cause the tissues to become even more fibrotic and indurated. When a person is diagnosed with lymphedema/edema, it is NOT a metabolic.

 

Have you been told to wear compression stockings…BUT?

  • The compression stockings are too difficult to put on and take off.
  • They are too hot on the legs especially during the summer.
  • They are uncomfortable to wear (too tight, pinching etc.)
  • They look ugly.
  • They are too expensive.
  • The stocking slip and cause wrinkles

 

Dina Palermo

Dina Palermo

Director of Program, OTR/L-CLT

At One to One Physical Therapy our Certified Lymphedema Therapists are also Certified Fitters and Trainers for you compression needs. Proper sizing and fitting are key to getting the maximum benefit from your compression garment to prevent to re-accumulation of fluids in your limb(s).