Which doctor treats lymphedema?
Lymphedema is a disease in whose therapy many different doctors are involved. The first symptoms are often noticed by the patient’s family doctor. After oncological operations, the treating oncologists can also diagnose lymphedema in follow-up examinations.
Treatment is sometimes carried out in specialist lymphology clinics and by the patient’s family doctor. If an operation is added, a surgeon is called in. In the case of parasite-related elephantiasis, a tropical medicine specialist may be necessary.
The lymphedema prophylaxis
The so-called primary prophylaxis includes all measures that can be taken to directly prevent lymphedema. These include abstaining from nicotine and losing weight in cases of severe overweight. Regular exercise also promotes the transport of lymph fluid.
After operations in the groin, tight belts should not be worn and physiotherapy is also useful after breast cancer operations. Secondary prophylactic measures refer to measures to prevent a relapse and the formation of new oedemas after a successful therapy. This includes the wearing of compression stockings or compression bandages.
Certain gymnastic exercises and swimming can also improve lymph transport. Tight clothing should be avoided. Affected areas of the body should be protected from overheating and cold.
The water temperature when showering or bathing should be lukewarm. Injuries and insect bites should also be avoided, as both increase the formation of lymph fluid. The skin care should not contain perfumes, as possible allergic reactions also lead to an increase in lymph formation.
Is lymphedema curable?
The cause of lymphedema cannot be eliminated and therefore it is not really possible to speak of a cure. However, the symptoms can almost completely disappear if diagnosed early and treated immediately. ́ Propylaxis measures, such as wearing compression stockings, often have to be continued for life.
In some cases, surgical measures may limit further treatment. However, those affected should take certain precautions. Long periods of standing and long car journeys should be avoided and certain sports can have a protective effect. From the second stage onwards, complete elimination of the edema is usually no longer possible. Especially in the third stage, elephantiasis (massive swelling of body parts due to lymph congestion), the severely damaged skin and surrounding tissue can no longer be healed.
