Lymphedema management Edmonton

Lymphedema is persistent swelling that is managed rather than cured, most often after lymph node removal or radiation for cancer. The program at our southeast Edmonton clinic combines manual lymphatic drainage by a Vodder-trained therapist with compression advice, exercise, skin care and home self-care skills.

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What to Expect From Lymphedema Management Edmonton

Lymphedema is persistent swelling, most often in an arm or leg, caused by a lymphatic system that cannot drain fluid properly — commonly after lymph node removal or radiation for cancer, but also after surgery, injury, infection or from birth. It does not resolve on its own and it is managed rather than cured. Lymphedema management at Vertex combines manual lymphatic drainage by a Vodder-trained therapist with compression advice, exercise, skin care and the self-management skills that keep the swelling controlled between appointments. Diagnosis is made by your physician; the clinic works from that.

Lymphedema Management At Vertex Physiotherapy In Edmonton

What the Lymphedema Management Program Includes

The intensive phase, where swelling is reduced, may involve several sessions a week; the maintenance phase is much lighter and relies on what you do at home.

  • Manual lymphatic drainage (MLD): gentle, specific hand movements that redirect fluid toward working lymphatic pathways
  • Compression: advice on bandaging and garments, and referral for fitting where needed
  • Exercise: specific movements that use muscle pumping to move fluid, plus general fitness
  • Skin care and infection prevention, because cellulitis is the main risk with lymphedema
  • Measurement of limb volume so changes can be tracked
  • Teaching self-drainage and daily routines so you are not dependent on appointments

How Lymphedema Management May Help After Cancer Treatment

Most lymphedema seen at the clinic follows breast cancer treatment, though it occurs after treatment for other cancers too. Early assessment — ideally before swelling appears or as soon as it does — makes it easier to manage. If you have had lymph nodes removed and notice heaviness, tightness or swelling, do not wait for it to become established.

The program is coordinated with your oncology team and physician, and with the cancer rehabilitation physiotherapy offered at the clinic where fitness and strength are also goals.

How Lymphedema Management Relates to Other Causes of Swelling

Lymphedema after orthopaedic surgery, injury, vein problems or lipedema is also managed here, with the plan adjusted to the cause. Some swelling is not lymphedema at all; where the diagnosis is unclear, the therapist will suggest you see your physician before treatment starts.

See also lymphatic drainage massage for general lymphatic work that does not involve diagnosed lymphedema.

Common Questions About Lymphedema Management

No, but it is manageable. With a consistent routine of compression, exercise, skin care and periodic manual drainage, most people keep the swelling controlled and the limb functional.

It is very light, slow and directional, following the lymphatic pathways rather than working the muscles. It is not a deep or relaxation massage, and pressure that would suit those would be wrong for lymphedema.

For most people with established lymphedema, yes; compression is what holds the gains from manual drainage. The therapist advises on the type and helps you get properly fitted garments.

Yes, and you should. Supervised progressive exercise, including resistance training, is safe with lymphedema and helps control it. The therapist sets a program that suits your limb.

Manual lymphatic drainage delivered by a massage therapist is billed under the massage benefit on most plans. Compression garments are often covered separately, sometimes through Alberta Aids to Daily Living; the clinic can point you to the right program.

Not for treatment, but a diagnosis of lymphedema from your physician or oncology team is important so the swelling is managed correctly. If you have not been assessed, see your physician first.

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Vertex Physiotherapy is at 6958 76 Ave NW #205, Edmonton, AB T6B 2R2. Call (825) 525-2852 or book online. Massage therapy receipts can be submitted to most extended health plans, and direct billing is available where your plan allows it.