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Women can develop lymphedema, a form of swelling of an extremity, after breast surgery or other trauma. There are two kinds of lymphedema. Primary lymphedema is inherited. Secondary lymphedema results from injury to the lymphatic channels caused by surgery, radiation, infection or trauma. The affected limb swells and is at risk for current infection.

Lymphedema symptoms could include the following:
• Persistent swelling or a full sensation in the arm or leg
• Feeling of tightness to the skin
• Decreased flexibility in the hand, wrist or ankle
• Difficulty fitting into clothes
• Tightness in a ring, wristwatch or bracelet
• Rash, red blotches and itching in the affected limb
• Discoloration

If left untreated, lymphedema can lead to pain and discomfort, decreased movement and fibrous tissue changes (hardness). If treatment begins early (within one to three months), lymphedema can be managed. This condition can be brought under control by good care and some healthy lifestyle changes.

Treatment for this disease can include manual lymph drainage, compression bandaging, use of a pump, instruction on skin care and patient and family education. The goal is to decrease the swelling in the arm or leg and to help regain function.

Customized treatment – Complex decongestive therapy has been proven to help lymphedema sufferers. It involves the following:
• Decongestive massage – a light massage technique
• Compression bandaging
• Proper skin care instructions
• Self-bandaging techniques
• Exercise/movement routine
• Customized home management program

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