By Saskia R.J. Thiadens
It truly is predicted that as many as four million americans be afflicted by fundamental or secondary lymphedema. in keeping with the yankee melanoma Society, of the 2 million breast melanoma survivors within the united states, nearly 400,000 needs to do something about lymphedema each day. a hundred Questions & solutions approximately Lymphedema presents solutions to the commonest questions from sufferers and kinfolk approximately lymphedema, a painful continual swelling of the extremities, frequently linked to melanoma therapy.
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Extra resources for 100 Questions & Answers About Lymphedema
These centers may be able to direct you to specialized doctors and therapists in your area. As noted in Question 14, other resources include the schools for lymphedema training. Often, these training programs will offer a listing of specialty providers, both therapists and physicians, who have some expertise in the management of lymphedema. When you do locate a physician and attempt to make an appointment, it will be important to find out the following information: • Do they accept your insurance?
Often, individuals will report that their lymphedema occurred shortly after suffering an infection following surgical intervention. QXP 8/5/09 11:35 AM Page 41 100 QUESTIONS & ANSWERS ABOUT LYMPHEDEMA Some of the initial changes in the limb are detected by sensory observations. People will note that they experience a tight, full feeling. Other descriptions of sensory changes include a tingly feeling in the affected limb, heaviness, and aching. Other common early signs of lymphedema include a visible swelling of the hand or around the joints of the wrist and/or elbow.
QXP 8/5/09 11:35 AM Page 22 100 QUESTIONS & ANSWERS ABOUT LYMPHEDEMA Table 1 Staging of Lymphedema (Based on the International Society of Lymphology) Elephantiasis A condition of the skin whereby there is thickening and multiple layers of skin form on top of one another. The skin takes on a scaly appearance and is very rough and thick. 22 STAGE 0: Latency • Lymph nodes and vessels have been removed and/or damaged • No visible swelling exists • Sensory changes may occur STAGE I • Visible edema exists in the limb and is usually pitting • The swelling may exacerbate and remit • Elevation of the limb helps to reduce the swelling STAGE II • Swelling does not spontaneously reverse with elevation or rest • Fibrosis (scarring) is evident in the tissue • The edema may or may not be pitting STAGE III • • • • Marked swelling of the limb Hardened tissue Skin becomes rough and thickened Oozing and weeping of fluid may be seen when lymphedema is untreated.