Clinical Prevention Measures
The following are elective clinical measures that can be taken towards the prevention of Lymphedema:
• Risk consultation and evaluation to ascertain how individual case history, medical history and cancer treatment history will influence the risk for acquiring Lymphedema; patients with established Lymphedema will also benefit;
• Pre and postoperative circumferential limb girth measurements;
• Bioimpedance Spectroscopy (L-Dex), a non-invasive technology used to assess tissue fluid retention in the upper extremity; the first screening should ideally be done preoperatively;
• Compression garments worn at certain times of compromise to prevent tissue fluid accumulation.
• Manual Lymph Drainage (MLD), a light massage-like technique, which moves tissue fluid from congested to non-congested areas.
• Therapeutic exercises to safely enhance lymphatic circulation.
An improperly fit compression garment could cause compromise rather than benefit, as shown below.
Therefore we suggest a custom fitting, which leads to a corrective result as follows: