What is lymphedema and phlebolymphedema?

Lymphedema is a chronic condition that occurs when the lymphatic system, which is responsible for draining excess fluid from the body tissues, is damaged or disrupted. This damage can be caused by a variety of factors, including varicose veins, surgery, radiation therapy, infection, trauma, or genetic disorders.

When the lymphatic system is unable to function properly, fluid accumulates in the affected area, leading to swelling, discomfort, and sometimes pain. Lymphedema most commonly affects the arms and legs, but it can occur in other parts of the body as well.

There is no cure for lymphedema, but it can be managed with a combination of treatments including compression garments, manual lymphatic drainage, exercise, and skin care. If left untreated, lymphedema can lead to infections, decreased mobility, and decreased quality of life.

Phlebolymphedema is a medical condition that occurs when both the veins and lymphatic system in the legs become damaged or dysfunctional. This condition can occur when vein disease is left untreated and triggers damage to the lymphatic system.  Phlebolymphedema can be secondary to the vein problem - meaning that the vein problems led to damage of the lymphatic system.

In phlebolymphedema, the damaged veins cause blood to pool in the legs, leading to swelling, pain, and a feeling of heaviness or tightness in the affected limb. The lymphatic system, which is responsible for draining excess fluid from tissues, can also become overwhelmed and further contribute to swelling and discomfort.

Phlebolymphedema treatment usually involves similar treatment as lymphedema, however, the disease in the veins should also be treated.  Although the lymphatic system does not usually completely recover, the symptoms often do show improvement once the venous system is treated.

It is not uncommon for us to see patients who have been told they have lymphedema in the past without having their veins evaluated.  Sometimes, the lymphedema diagnosis was made in error.  Sometimes, patients are told that there is nothing to do besides wearing compression stockings. It is important to see a doctor who has experience with both venous and lymphatic disease to individualize a treatment plan and maximize your improvement.  

At Aleman Vein Center, we can help to make an accurate diagnosis and evaluate all treatment options to improve your quality of life and minimize the risks of complications of varicose veins or venous insufficiency and lymphedema. Schedule your appointment today and see how we can help!