lymphedema clinic bwh
lymphedema clinic bwh Chronic swelling in the arms or legs often stems from a condition where the lymphatic system fails to drain fluid properly. This buildup can lead to discomfort, limited mobility, and even infections if left untreated.
lymphedema clinic bwh Common triggers include cancer treatments, heart disease, injuries, or genetic factors. Without proper management, it may worsen over time, affecting daily life and emotional well-being.
Specialized care focuses on reducing swelling, preventing complications, and improving quality of life. Advanced diagnostics and tailored treatment plans help patients regain function and confidence.
For those facing complex cases, expert teams provide evidence-based solutions. Their goal is to deliver compassionate, personalized support every step of the way.
Understanding Lymphedema
Fluid buildup in the extremities happens when lymph drainage is impaired. This occurs if vessels or nodes are blocked, damaged, or underdeveloped. Over time, excess fluid causes swelling, discomfort, and stiffness.
How Blockages Develop
The lymphatic system relies on a network of vessels to move fluid. When these pathways are disrupted—due to surgery (e.g., lymph node removal), radiation, or infections—fluid accumulates. Congenital conditions like Milroy’s disease also impair drainage from birth.
Identifying the Cause
Doctors use multiple tools to pinpoint the issue:
| Diagnostic Method | Purpose |
|---|---|
| Circumferential Measurements | Tracks swelling changes in limbs |
| Lymphoscintigraphy | Visualizes blockages via imaging |
Long-Term Monitoring
Regular check-ups help track progression. Therapies like compression garments or manual drainage may be adjusted based on measurements. Early intervention prevents complications.
Comprehensive Lymphedema Treatments at BWH
Managing persistent swelling requires a mix of expert therapies and personalized care. From non-surgical techniques to advanced procedures, treatments aim to reduce discomfort and restore function. Each plan is tailored to individual needs for lasting results.
Non-Surgical Therapies
Complete Decongestive Therapy (CDT) combines manual lymphatic drainage, compression garments, and exercise. This approach helps move trapped fluid and prevents further buildup. Many patients see improved mobility and reduced pain within weeks. lymphedema clinic bwh
Custom-fitted compression sleeves or stockings support daily management. Paired with physical therapy, they enhance circulation and protect skin health. Regular sessions ensure progress is tracked and adjusted. lymphedema clinic bwh
Surgical Interventions
lymphedema clinic bwh For severe cases, minimally invasive procedures like lymphovenous bypass reroute blocked pathways. Surgeons connect tiny lymphatic vessels to veins, restoring natural drainage. This can significantly reduce swelling long-term.
Another option is lymph node transfer, where healthy nodes are transplanted to damaged areas. Techniques like the LYMPHA procedure also help high-risk patients during cancer-related surgeries. Liposuction may be used if fat deposits complicate swelling.
Preventive Techniques
Lifestyle changes play a key role in avoiding flare-ups. Gentle exercises like swimming or yoga promote lymphatic flow. Skin care routines prevent infections, a common risk with chronic swelling.
Early intervention and consistent follow-ups ensure the best outcomes. Teams focus on education, empowering patients to maintain their progress at home.
Multidisciplinary Care Team
Effective treatment requires expertise from multiple disciplines collaborating seamlessly. At Brigham women, specialists combine their skills to address complex cases with precision and compassion.
Meet Our Specialists
The team includes:
- Dr. Shailesh Agarwal, a plastic surgeon specializing in reconstructive procedures.
- Angela Serig and Barbara Jackson, certified occupational therapists (OTR/L) with CLT-LANA credentials.
- Rehabilitation physicians and physical therapists trained in advanced techniques.
Together, they partner with nuclear medicine experts for detailed imaging like lymphangiography. This ensures accurate diagnoses and targeted interventions.
Collaborative Treatment Planning
Each patient receives a personalized plan blending:
- Physical therapy to enhance mobility.
- Occupational therapy for daily task adaptation.
- Surgical options when necessary.
Monthly case reviews refine strategies, optimizing outcomes. The team’s certifications in rehabilitation services guarantee evidence-based care at every stage.
Take the Next Step Toward Care
Taking control of chronic swelling starts with expert guidance. At Brigham women’s locations in Boston and Jamaica Plain, specialists create plans tailored to your needs. Early action can prevent progression and improve quality of life.
Call (617) 732-5282 to schedule a consultation at our women faulkner hospital sites. Our team helps navigate insurance for compression garments and therapy coverage. lymphedema clinic bwh
We partner with organizations like the National Lymphedema Network to ensure cutting-edge rehabilitation services. Don’t wait—start your journey to better mobility today.









