Secondary lymphedema
Secondary Lymphedema is a condition characterized by the accumulation of lymph in certain parts of the body, leading to swelling. This condition is referred to as "secondary" because it occurs as a result of another disease or condition that damages the lymphatic system, such as surgery, radiation, infection, or trauma.
Causes
Secondary lymphedema is caused by damage to the lymphatic system. This can occur due to a variety of reasons, including:
- Surgery: Surgical procedures, especially those involving the lymph nodes, can cause damage to the lymphatic system.
- Radiation therapy: This treatment for cancer can damage the lymphatic system, leading to lymphedema.
- Infection: Certain infections can cause damage to the lymphatic system, leading to lymphedema.
- Trauma: Injuries that damage the lymphatic system can lead to lymphedema.
Symptoms
The primary symptom of secondary lymphedema is swelling in the affected area. Other symptoms can include:
- A feeling of heaviness or tightness in the affected area
- Restricted range of motion
- Aching or discomfort
- Recurring infections
- Hardening and thickening of the skin
Diagnosis
Diagnosis of secondary lymphedema involves a physical examination and a review of the patient's medical history. Additional tests may be performed to rule out other conditions.
Treatment
Treatment for secondary lymphedema focuses on reducing the swelling and controlling the pain. This can include:
- Physical therapy: This can help to reduce swelling and improve mobility.
- Compression garments: These can help to reduce swelling by applying pressure to the affected area.
- Medication: Certain medications can help to reduce swelling and control pain.
- Surgery: In some cases, surgery may be necessary to treat secondary lymphedema.
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Contributors: Prab R. Tumpati, MD