Lymphwell

Be well

what is lymphedema?

Lymphedema is a condition where patients experience fluid retention and swelling in their extremities, most commonly in the lower legs. The most common type of Lymphedema in the Western world is Phlebolymphedema. Phlebolymphedema is a mixed-etiology swelling due to chronic venous insufficiency (CVI) and lymphatic insufficiency. Specifically, this retained fluid is a substance known as lymph, a mostly clear fluid that carries white blood cells, proteins, and other materials throughout the body.

 

Because the lymphatic system is responsible for balancing fluid volume, Lymphedema or Phlebolymphedema is most commonly due to inability of the lymphatic system to adequately drain the interstitial fluid that accumulates in severe chronic venous hypertension. Often multiple factors are at play, including systemic disease (eg, congestive heart failure, cirrhosis, or nephropathy), which compounds the problem and leads to inability of the lymphatic system to drain interstitial fluids and macromolecules.  Likewise, lymphedema may be an inherited lifelong condition or develop later on due to damage or disease. In the US, acquired lymphedema is most commonly caused by cancer treatment that removes lymph nodes or otherwise damages the lymphatic system.

 

Lymphedema is typically a progressive issue, meaning that swelling gradually gets worse over time without proper treatment or control. Severe lymphedema can significantly impact a person’s health and general quality of life. Additionally, lymphedema can also be a symptom of other life-threatening conditions.

ABOUT

Lymphwell is proud to offer our services to find a real solution for every patient's need. We are passionate in providing the best practices in lymphedema, edema and wound care management that will ensure a steady recovery.

My doctor had tried everything in his arsenal including skin grafting. My doctor contacted Christina, she started her process and we noticed a change relatively quick.

John O'Malley

OUR SERVICES 
Lymphedema Treatment

 

Each patient’s treatment is based upon individual needs and medical history. Presently, the most effective approach recommended by physicians is combined decongestive therapy (CDT). CDT is a combination of skin care, manual lymphatic drainage, bandaging, remedial exercises, and compression garments. 

Complete Decongestive Therapy
​CDT is the main treatment for lymphedema. Experts who treat lymphedema consider CDT the “gold standard” of treatment. CDT has been shown to be safe and effective. The main goal is to reduce the size of the affected part and improve the skin.

Components of CDT

Active phase

1. Manual lymph drainage (MLD)
2. Multi-layer, short-stretch compression bandaging
3. Remedial exercise
4. Skin care
Maintenance Phase

1. Manual lymph drainage (MLD)

2. Compression garments- Day/night and bandaging

3. Remedial exercise

4. Skin care

Wound Care

Dedication to the highest standard of care matters especially in wound care. 

Compression Garments & Bandaging

Bandaging should follow each manual lymphatic drainage session with short stretch bandages to prevent lymph fluid from reentering the affected arm/leg. During treatment the patient should wear their bandages overnight and should be changed daily or every other day. 

Nail & Skin Care

Meticulous hygiene is recommended to decrease the amount of fungus and bacteria on the skin. Low pH moisturizers should be applied to keep skin from drying and cracking. Cracks and dry areas of the skin are entry points for bacteria and fungus, which can result in infections and wounds. 

MLD- Manual Lymphatic Drainage

 

Manual lymph drainage is an essential part of CDT. It is a specialized manual (hands-on) technique that appears to work by two mechanisms. It stimulates superficial lymphatic vessels to remove excess interstitial fluid and moves it through sub-epidermal (under the skin) fluid channels that form when lymphatics are damaged. 

Remedial Exercise 

Daily exercise is to completed with bandages on to fully benefit from treatment. Exercise is important as it facilitates muscle contraction against the resistance of the bandages, creating an effective pump, thus moves stagnant lymph fluid. 

Meet our Physical

Therapist 

We thank you for choosing Lymphwell to meet your healthcare needs. It is our privilege to see you.

-Talk soon!

CHRISTINA R. HANKINS

Christina graduated from Texas State University with a Masters in Physical Therapy. Creating 21 years of excellence; she is a Certified Wound Care Therapist & Lymphedema Specialist.  Christina has dedicated her professional career to advocating for lymphedema and wound care patients.

ADvocate

Over  3-5 million Americans are diagnosed with lymphedema.  Most physicians are taught about the lymphatic system approximately 1 hour or less   

Individual

While lymphedema is a non curable disease it is manageable.  Every patient's home program is different and it is our policy to tailor your home program to fit your needs.  

Tools

Compression bandages, wraps, and garments are needed for compression therapy

Memorable

We will be with you in every step to your recovery