Lymphedema

Swelling in the Lymphatic System

Call for an Appointment 855-855-6484

Lymphedema is a lifelong condition that requires expert care. Our certified lymphedema therapists are specially trained to offer the latest treatments for mild to severe lymphedema. We strive to reduce the quality-of-life issues and serious complications caused by lymphedema. People with unexplained swelling should seek medical care as soon as possible to rule out dangerous blood clots or other emergency conditions.

Find a Lymphedema Doctor
Matching Results
Filter Results
Filter by:
Use My Current Location
Located Near You
Loading Results
Showing of Doctors
Load More View All
×

About Lymphedema

What Is Lymphedema?
The lymphatic system plays a vital role in your immune system by circulating lymph fluid -- made up of bacteria-fighting white blood cells, proteins, and other substances -- throughout your body. Lymph fluid (also called interstitial fluid) that cannot flow freely may back up, which can cause pain and uncontrolled swelling (also called edema). Lymphedema can be treated but not cured. Left untreated, lymphedema can cause painful skin problems, disability, and life-threatening infections.

Types of Lymphedema
There are two types of lymphedema.

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Lymphedema Tests

It's important to test carefully for lymphedema, since it can be confused with other types of swelling/edema. During your initial evaluation, your lymphedema provider will discuss your medical history and perform a detailed physical exam. The provider will assess the condition of your skin and how it reacts to prodding, evaluate how well the affected body part moves, and test your general strength and balance. You may also need one or more of the following tests:

Genetic Testing and Counseling

Blood tests can identify certain genes or abnormalities that can cause primary lymphedema. Genetic counselors help you understand how these findings may affect family members. 

Volume Measurements

Measuring the affected body part provides information about the extent of your swelling. If lymphedema is present in an arm or leg, measurements from your affected limb will be compared with measurements from your unaffected limb.

Imaging Tests

Ultrasound, MRI, CT scans, X-rays, and other imaging tests can assess vessel health and identify blockages or other conditions that could be contributing to fluid buildup in the body. 

Bioimpedence Spectroscopy (BIS)

A machine sends painless electrical currents through the swollen body part to measure the level of resistance. Lower resistance indicates higher levels of fluid accumulation.

Lymphoscintigraphy

This imaging option shows how fluid moves through the lymphatic system over time. Although it is considered the “gold standard” for confirming a lymphedema diagnosis, it’s reserved for select people and surgery planning because it requires injecting a radioactive dye into an already overloaded lymphatic system. 

Call for an Appointment

Nonsurgical Lymphedema Treatment

If your provider suspects lymphedema, you may be referred to a physical therapist or an occupational therapist. The following nonsurgical lymphedema treatments are known as complete decongestive therapy.

Lifestyle Changes and Exercise
A healthy diet and elevating your affected limbs can help your body to better circulate stagnant lymph fluid. Exercise helps the muscles become more efficient in pumping lymphatic fluid throughout the body.

Skin Care 
Lymphatic swelling can stretch your skin to the point of breaking, causing painful wounds and scarring. To help prevent skin damage and infections, our physical and occupational therapists teach you how to maintain good skin hygiene (using antibacterial soap, moisturizing, wearing sunscreen) and monitor skin lesions. They may also recommend using long-handle lotion applicators, and devices, and making other modifications to help you bathe and apply moisturizer. 

Compression 
Garments like compression socks and sleeves along with special fabrics, bandages, and wraps help promote the flow of fluid through lymph channels. Special compression devices apply pressure to irregularly shaped limbs. Our lymphedema therapists have been trained to use these devices effectively and will teach you and your family members how to use them correctly at home. 

Manual Lymphatic Drainage 
Certified lymphedema therapists perform this intensive massage technique that helps move lymph fluid out of congested areas and into decongested areas. 

Medications
Some medications are used to treat certain lymphedema symptoms. Topical steroids and antihistamines reduce skin inflammation and itching. Oral medications help reduce inflammation, thin lymphatic fluids, restore more normal vein function, and improve lymphatic flow.

Consistently Ranked Among the Nation’s Best Hospitals

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 10 pediatric specialties by U.S. News & World Report for 2024–2025.

Why Choose Duke

Lymphedema Care for Everyone
Unlike some health systems, we have the ability to assess and treat anyone with lymphedema, not just people with cancer. Our team of providers are ready and willing to offer the right tests to determine whether your issue is lymphedema or another type of edema, and we’re trained to provide top-notch care. If your doctor is hesitant to refer you for a lymphedema evaluation, we encourage you to ask for a referral. The earlier you receive care, the better your results will be.

Certified Lymphedema Therapists
Duke’s certified lymphedema therapists have completed advanced lymphedema-specific training. In fact, our physical and occupational therapy department is training the next generation of certified lymphedema therapists through our residency education programs.

Inpatient Care
If you are hospitalized for another issue, our certified lymphedema therapists are available to assess you for lymphedema and make treatment recommendations.

This page was medically reviewed on 07/09/2024 by