Common Symptoms
- Swelling near the surgical site
- Heaviness in affected limb
- Tightness of skin
- Reduced mobility
- Aching or discomfort
- Skin changes over time
Understanding Post-Surgical Lymphedema
Surgery, particularly procedures involving lymph nodes or major body regions, can disrupt the lymphatic system and lead to lymphedema. While some post-surgical swelling is normal and temporary, persistent or worsening swelling may indicate lymphedema that requires specialized treatment.
Common Surgeries Associated with Lymphedema
Cancer Surgeries
- Mastectomy or lumpectomy with lymph node removal
- Lymph node dissection for melanoma
- Gynecologic cancer surgery
- Prostate surgery
- Head and neck cancer surgery
Other Procedures
- Vein surgery
- Joint replacement
- Cosmetic procedures involving lymph node areas
- Abdominal surgery
Normal vs. Concerning Swelling
Normal Post-Surgical Swelling
- Occurs immediately after surgery
- Gradually decreases over days to weeks
- Responds to elevation and ice
- Resolves as healing progresses
Signs of Developing Lymphedema
- Swelling that persists beyond normal healing time
- Swelling that returns after initially resolving
- Progressive worsening of swelling
- Swelling accompanied by heaviness or tightness
- Changes in skin texture or color
If you notice these signs, seek evaluation from a lymphedema specialist.
Timing and Treatment
Immediate Post-Operative Period
During early recovery, we can help with:
- Gentle positioning techniques
- Appropriate compression when cleared by surgeon
- Very gentle range of motion exercises
- Education on precautions and monitoring
After Initial Healing
Once wounds have healed, more active treatment can begin:
- Complete Decongestive Therapy
- Progressive compression
- Scar tissue management
- Strengthening exercises
Long-Term Management
For established post-surgical lymphedema:
- Intensive treatment if needed
- Compression garment fitting
- Self-management training
- Ongoing monitoring and adjustment
Prevention Strategies
If you’re planning surgery that may affect your lymphatic system:
Before Surgery
- Learn about lymphedema risk
- Establish baseline measurements
- Understand precautions
After Surgery
- Follow post-operative instructions carefully
- Report any unusual swelling promptly
- Begin appropriate exercises when cleared
- Avoid infection
Our Approach
Coordinated Care
We communicate with your surgical team to:
- Understand your specific procedure
- Follow appropriate precautions
- Time interventions appropriately
- Ensure safe, effective treatment
Individualized Treatment
Your treatment plan is based on:
- Type of surgery performed
- Time since surgery
- Current stage of lymphedema
- Your overall health and healing status
- Your goals and lifestyle
Scar Management
Surgical scars can contribute to lymphedema by:
- Blocking lymphatic pathways
- Creating areas of tissue tightness
- Limiting range of motion
We address scar tissue through:
- Manual techniques
- Appropriate exercise
- Patient education
Long-Term Outlook
With proper treatment and self-management, most patients with post-surgical lymphedema achieve good control of their symptoms. Early intervention typically leads to better outcomes, so don’t hesitate to seek evaluation if you have concerns.
How We Can Help
We specialize in treating post-surgical lymphedema with gentle, effective techniques. Our therapists work with patients at various stages of recovery, from immediately post-operative to years after surgery, tailoring treatment to your current needs and healing status.