Lymphedema pp 279-285 | Cite as

Lower Limb Lymphedema

  • Győző Szolnoky


Lower extremity lymphedema accounts for the majority of all lymphedema cases. There­fore, its treatment deserves more attention than treatment of any other part of the body.


Axillary Lymph Node Intermittent Pneumatic Compression Interface Pressure Compression Garment Chronic Venous Insufficiency 
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  1. 1.
    Ely JW, Osheroff JA, Chambliss ML, Ebell MH. Approach to leg edema of unclear etiology. J Am Board Fam Med. 2006;19:148-160.PubMedCrossRefGoogle Scholar
  2. 2.
    Papendieck C. Lymphatic dysplasia in pediatrics. A new classification. Int Angiol. 1999;18:6-9.PubMedGoogle Scholar
  3. 3.
    Wozniewski M, Jasinski R, Pilch U, Dabrowska G. Complex physical therapy for lymphoedema of the limbs. Physiotherapy. 2001;87:252-256.CrossRefGoogle Scholar
  4. 4.
    Lymphoedema Framework. Best Practice for the Management of Lymphoedema, International Consensus. London: MEP Ltd; 2006:3-52.Google Scholar
  5. 5.
    Strössenreuther RHK. Hinweise zur Durchführung der ML/KPE bei primären und sekundären Lymphödemen sowie weiteren ausgewahlten Krankheitsbildern. In: Földi M, Kubik S, eds. Lehrbuch der Lymphologie, vol. 5. München-Jena: Gustav Fischer; 2002:621-658: Chap.  19.Google Scholar
  6. 6.
    Badger C, Preston N, Seers K, Mortimer P. Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst Rev. 2004;4:CD003141.PubMedGoogle Scholar
  7. 7.
    Hutzschenreuter P, Brümmer H, Ebberfeld K. Experimental and clinical studies of the mechanism of effect of manual lymph drainage therapy. Z Lymphol. 1989;13:62-64.PubMedGoogle Scholar
  8. 8.
    Schillinger A, Koenig D, Haefele C, et al. Effect of manual lymph drainage on the course of serum levels of muscle enzymes after treadmill exercise. Am J Phys Med Rehabil. 2006;85:516-520.PubMedCrossRefGoogle Scholar
  9. 9.
    Partsch H, Flour M, Coleridge-Smith P, et al. Indications for compression therapy in venous and lymphatic disease. Consensus based on experimental data and scientific evidence under the auspices of the IUP. Int Angiol. 2008;27:193-219.PubMedGoogle Scholar
  10. 10.
    International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. Consensus document of the International Society of Lymphology. Lymphology. 2009;42:51-60.Google Scholar
  11. 11.
    Bergan JJ, Sparks S, Angle N. A comparison of compression pumps in the treatment of lymphedema. J Vasc Surg. 1998;32:455-462.Google Scholar
  12. 12.
    Szuba A, Achalu R, Rockson SG. Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. A randomised, prospective study of a role of adjunctive pneumatic compression. Cancer. 2002;95:2260-2267.PubMedCrossRefGoogle Scholar
  13. 13.
    Partsch H. Intermittent pneumatic compression in immobile patients. Int Wound J. 2008;5:389-397.PubMedCrossRefGoogle Scholar
  14. 14.
    Miranda F Jr, Perez MC, Castiglioni ML, et al. Effect of sequential intermittent pneumatic compression. Lymphology. 2001;34:135-141.PubMedGoogle Scholar
  15. 15.
    Boris M, Weindorf S, Lasinski BB. The risk of genital edema after external pump compression for lower limb lymphedema. Lymphology. 1998;31:15-20.PubMedGoogle Scholar
  16. 16.
    Partsch H, Clark M, Mosti G, et al. Classification of compression bandages: practical aspects. Dermatol Surg. 2008;34:600-609.PubMedCrossRefGoogle Scholar
  17. 17.
    Marston W, Vowden K. Compression therapy: a guide to safe practice. In: European Wound Management Association (EWMA), ed. Position Document: Understanding Compression Therapy. London: MEP Ltd; 2003:11-17.Google Scholar
  18. 18.
    Damstra RJ, Brouwer E, Partsch H. Controlled, comparative study of relation between volume changes and interface pressure under short-stretch bandages in leg lymphedema patients. Dermatol Surg. 2008;34:773-778.PubMedCrossRefGoogle Scholar
  19. 19.
    Lund E. Exploring the use of CircAid legging in the management of lymphoedema. Int J Palliat Nurs. 2000;6:383-391.PubMedGoogle Scholar
  20. 20.
    Brorson H, Ohlin K, Olsson G, Svensson B, Svensson H. Controlled compression and liposuction treatment for lower extremity lymphedema. Lymphology. 2008;41:52-63.PubMedGoogle Scholar
  21. 21.
    Stout Gergich NL, Pfalzer LA, McGarvey C, et al. Preoperative assessment enables the early diagnosis and successful treatment of lymphedema. Cancer. 2008;112:2809-2819.PubMedCrossRefGoogle Scholar
  22. 22.
    Sawan S, Mugnai R, de Barros Lopes A, Hughes A, Edmondson R. Lower-limb lymphedema and vulval cancer: feasibility of prophylactic compression garments and validation of leg volume measurement. Int J Gynecol Cancer. 2009;19:1649-1654.PubMedCrossRefGoogle Scholar
  23. 23.
    Partsch H, Partsch B, Braun W. Interface pressure and stiffness of ready made compression stockings: comparison of in vivo and in vitro measurements. J Vasc Surg. 2006;44:809-814.PubMedCrossRefGoogle Scholar
  24. 24.
    Larsen AM, Futtrup I. Watch the pressure – it drops! EWMA J. 2004;4:8-12.Google Scholar
  25. 25.
    Havas E, Parviainen T, Vuorela J, Toivanen J, Nikula T, Vihko V. Lymph flow dynamics in exercising human skeletal muscle as detected by scintigraphy. J Physiol. 1997;504:233-239.PubMedCrossRefGoogle Scholar
  26. 26.
    Moseley A, Piller N, Carati C, Esterman A. The impact of the Sun AnconChi Machine Aerobic Exerciser on chronic oedema of the legs. Aust N Z J Phlebology. 2003;7:5-10.Google Scholar
  27. 27.
    Buckley G, Piller N, Moseley A. Can exercise improve lymphatic flow? A pilot trial of the objective measurement of fluid movement in subjects with mild secondary lymphoedema. 5th Australasian Lymphology Association Conference Proceedings; 2004:37-42.Google Scholar
  28. 28.
    Johansson K, Tibe K, Weibull A, Newton RC. Low intensity resistance exercise for breast cancer patients with arm lymphedema with or without compression sleeve. Lymphology. 2005;38:167-180.PubMedGoogle Scholar
  29. 29.
    Tidhar D, Drouin J, Shimony A. Aqua lymphatic therapy in managing lower extremity lymphedema. J Support Oncol. 2007;5:179-183.PubMedGoogle Scholar
  30. 30.
    Carpentier PH, Satger B. Randomized trial of balneotherapy associated with patient education in patients with advanced chronic venous insufficiency. J Vasc Surg. 2009;49:163-170.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Győző Szolnoky
    • 1
  1. 1.Department of Dermatology and AllergologyUniversity of SzegedSzegedHungary

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