Lymphedema is a health condition that involves the retention of fluid in localized areas of the body, leading to swelling of tissues. Various areas of the body can be affected by lymphedema and are at an increased risk of infection as a result of the condition.

The early and chronic symptoms of lymphedema have been separated into two sections below, as they are quite distinct. In early stages, the skin usually remains soft while containing the swelling, whereas significant changes occur in later stages.

Affected Areas

It is most commonly the limbs and extremities that are affected by lymphedema including the:

• Arms
• Legs
• Fingers
• Toes

Additionally, the breast, chest and shoulders are commonly involved in breast cancer survivors that have undergone treatment for cancer. This may present several months of years following the therapy.

Early Symptoms

The severity of lymphedema can vary dramatically between patients, depending on the degree of swelling and other symptoms. In some cases, the changes are mild and are barely noticeable for patients, whereas in other cases dramatic changes affect the use of the limbs involved.

Symptoms of acute lymphedema may include:

• Feeling of heaviness, tightness or fullness
• Restricted range of motion and flexibility
• Aching or discomfort

In mild cases, patients may notice that it is more difficult to fit into clothing than usually, particularly sleeves, pants or a bra. Additionally, accessories such as a ring, watch or bracelet may feel tighter than usual. The skin usually remains soft and elastic in the early stages and raising the affected area often helps to relieve swelling and associated discomfort.

It is also common for people with lymphedema to experience recurring infections, due to the changes in the lymphatic system.

Chronic Symptoms

When lymphedema continues for an extended period of time with insufficient treatment, the symptoms can become more severe and chronic changes to the skin around the affected area may become noticeable.

Symptoms of chronic lymphedema may include:

• Skin discoloration and reddening
• Fibrosis – hardening or thickening of skin
• Verruca hyperplasia
• Hyperkeratosis
• Papillomatosis
• Elephantiasis and deformity

When lymphedema is present for a number of years, the skin can adapt to the changes in size and cause permanent deformity to the area.

Differential Symptoms

It is important to recognise that edema that results from venous insufficiency is a separate health condition from lymphedema and is associated with different symptoms.

However, when this health condition goes untreated, it may progress to a combined disorder that involves both the venous and the lymphatic system. The standard treatment for such cases is the same as treatment for lymphedema.

References

• http://www.mayoclinic.org/diseases-conditions/lymphedema/basics/symptoms/con-20025603
• http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/lymphedema/whateverywomanwithbreastcancershouldknow/lymphedema-with-breast-cancer-signs-of-lymphedema
• http://www.nhs.uk/Conditions/Lymphoedema/Pages/Symptoms.aspx

Further Reading

• All Lymphedema Content
• What is Lymphedema?
• Lymphedema Causes
• Lymphedema Diagnosis
• Lymphedema Treatment

Written by

Yolanda Smith

Yolanda graduated with a Bachelor of Pharmacy at the University of South Australia and has experience working in both Australia and Italy. She is passionate about how medicine, diet and lifestyle affect our health and enjoys helping people understand this. In her spare time she loves to explore the world and learn about new cultures and languages.