Symptoms and treatment options for lymphostasis of the lower extremities. Lymphostasis of the lower extremities: treatment, symptoms, causes Lymphostasis of the left leg

The lymphatic system is a kind of shield to protect the body from viruses and bacteria. Functions:

• ensures excessive outflow of fluid from the intercellular space (prevention of edema);
• protects the body from harmful substances (lymph nodes act as a kind of filter in the body);
• provides the body with lymphocytes (immune cells);
• supplies the body's blood with fats and large proteins.

Lymphostasis of the extremities is a disorder of lymphatic metabolism (congenital or acquired) with fluid (lymph) retention in the tissues. If no measures are taken, the swelling constantly progresses and increases in volume, causing pain in the legs.

Lymphostasis of the legs is determined by two types: primary and secondary.

Primary – reveals a congenital nature, the likelihood of detecting the disease in a child immediately after birth is considered, although this happens extremely rarely. More often the disease manifests itself during the child’s growing up period, when children's body begins to rebuild (puberty occurs).

Secondary (acquired) lymphostasis of the legs occurs when:

• detection of tumors (neoplasms) of the lymphatic system (benign, malignant).
• injury to the lymph nodes (damage, dislocations, fractures, severe bruises lower limbs, burns).
• with a sedentary lifestyle (more often in patients bedridden).
• undergone operations to remove lymph nodes, operations performed in the area chest(mastectomy - removal of the mammary glands).
• excess weight gain (obesity).
• blockage of lymph nodes.
• pinching of blood vessels.
• past infectious diseases.

Treatment of lymphostasis

Treatment is mandatory. The sooner treatment begins, the greater the chance of a favorable outcome. It is necessary to treat lymph stagnation in the legs, starting with identifying the cause of the disease, then relieving the symptoms. Treatment is prescribed to restore lymphatic drainage in the affected limbs and normalize the work and functioning of the legs.

After undergoing an examination and confirming the diagnosis, the following is prescribed: different types massage (manual, underwater shower-massage), magnetic and laser therapy, hardware pneumocompression, exercise therapy ( physiotherapy), visiting the swimming pool. Medicines normalize blood flow, strengthen the immune system, normalize the functioning of veins (increasing tone and elasticity), strengthen the walls of blood vessels, thin the blood, and reduce swelling of the legs. During non-procedural times, it is necessary to wear compression tights, stockings, knee socks, or wrap the sore leg with elastic bandages. At night, the linen (bandages) is removed. During the day, it is recommended to lift the sore leg up for 10-15 minutes, and place it on a pillow (cushion) at night.

For lymphostasis of the legs, it is recommended to follow a diet; this point is extremely important; most patients are overweight people. You should limit your consumption of fatty and high-carbohydrate foods, reduce the amount of salt you consume, and remove fried and highly spicy foods from your diet. Alcoholic drinks are prohibited. Include vegetables, fish, dairy and dairy products, cereals.

Any treatment is prescribed by a doctor. It is recommended to strictly follow the prescribed recommendations. Prohibited:

• go to the bathhouse (sauna).
• wear shoes on high heels, if there are laces, do not tighten them too much.
• lift heavy bags.
• remain motionless for a long time.
• wear tight underwear.
• sit cross-legged or with your legs twisted under your butt.

Folk remedies for the treatment of lymphostasis

There are many folk recipes that can provide positive results in treatment. Recipes are time-tested, doctors do not hesitate to recommend herbal infusions and compresses on the sore leg.

Improves the functioning of the lymphatic system, accelerates metabolic processes in the body freshly squeezed beet juice. For a pleasant taste, you can add a small slice of apple, a piece of carrot, tomato, or pumpkin. You should not start drinking juice in large volumes; the body must get used to consuming the product. Start with a teaspoon a day, gradually increase the portion to one hundred grams. As the body gets used to beet juice, remove the apple and carrots, switching to drinking pure beet juice. Drink the juice for 2 weeks, then take a break. Before you start using, study the contraindications for taking beet juice.

To prevent dry and cracked skin on your feet, it is useful to use herbal baths. A decoction of chamomile and string helps relieve swelling of the legs. Five tablespoons of mixed herbs 1:1 (it is permissible to brew a single herb, chamomile or a string), pour 0.5 liters of boiling water, keep in a water bath over low heat for 20-25 minutes. After cooling, strain the broth. It is advisable to carry out such baths 2 times a day. Treatment should not exceed three weeks.

In pharmacies you can pick up a ready-made diuretic herbal tea. As a rule, infusions are consumed in the morning and evening half an hour before meals. Diuretic teas will help cope with swelling of the legs, help remove excess fluid from the body, reducing lymph stagnation in the extremities. Before starting a course of diuretics, it is recommended to clarify contraindications to the use of herbs.

When prescribing treatment, the doctor’s task is to reduce the accumulation of lymph in the legs and restore the functionality of the affected limb. To achieve the goal, doctors prescribe a course of hirudotherapy (leeches). The procedures reduce swelling, stimulate lymph flow, and remove excess fluid. The procedures are carried out twice a week, 3-5 leeches are placed on the sore leg. The course of treatment is 8–10 times. Using the procedure will help reduce lymph congestion in the legs.

Exercises for lymph stagnation in the legs

It is recommended that you do certain exercises at home after consulting with a physiotherapist in advance. Training is carried out daily, preferably twice a day. The patient performs exercises wearing compression garments (stockings, tights, knee socks, elastic bandages). Gymnastics is carried out at a leisurely pace, for at least 15 minutes.

The first known exercise is the “bicycle”. The exercise is performed lying on the floor. The leg should bend and unbend (forcing the hip and ankle joints). The foot must be engaged (the toes are extended away from you, then pulled towards you).

The frog exercise is performed from a lying position on the floor. Legs bent, feet on the floor, heels together, consider the starting position. Slowly open (spread) your knees to the side, trying to lower them to the floor as much as possible. When performing the exercise, there should be no arching in the back; the back should be pressed tightly to the floor.

“Scissors” lying on your side. Starting position: lying on your side, leg straight, raised 45 degrees from the floor. Without straining the muscles of the leg, we slowly move it behind the back, the body (body) remains in place, the leg works. Slowly return to the starting position and bring your leg forward. Perform the exercise on one leg 8–10 times. Then do the exercise on the second leg.

Starting position as in the previous exercise. We pull the knee towards the chin, slowly straighten the leg back. Repeat the exercise for the second leg.

Simple rotation of the feet. Perform lying on your back with your legs slightly raised above the floor. We tilt our feet left and right, draw circles in one direction and the other, try to draw an “infinity” sign, stretch our toes away from us, then pull them towards us.

Lying on your back, legs together, extended forward. We try to pull forward with each leg in turn. This exercise will help you relax your legs.

When there is severe stagnation of lymph in the legs, simply lifting the legs up will help relieve swelling. With your feet against the wall, just lie down for 10-15 minutes.

Lying or sitting (resting your back against the wall), legs together, extended forward. Slowly, bending the limbs at the knees, we pull them towards the body.

The exercise can be performed lying down or sitting. Straight legs closed together. The left leg remains in place, the right leg is moved as far as possible to the side (we work with a compass). We try not to bend the leg at the knee; we perform the exercise with a straight leg, each time trying to move the leg further. Having completed the task 8-12 times, we move on to working the second leg.

Proper treatment and simple exercises will help achieve good results in the fight against the disease.

Prevention, or how to deal with swelling of the legs

To avoid lymph stagnation in the legs, remember about your health. At the slightest hint of swelling of the legs, you should not put off going to the doctor; you will need to undergo full examination to identify the causes of swelling of the legs.

When working sedentarily, pay due attention to physical activity that promotes good metabolism and prevents stagnation of lymph in the legs. A wonderful sport for the prevention of lymphostasis would be swimming in the pool and Nordic walking with poles. Perform simple exercises to prevent lymph stagnation.

Shoes should be comfortable, and only then beautiful. When you come home from work, take a relaxing foot bath and let your feet rest by resting your feet on a cushion.

Remember about your health, lead a healthy lifestyle, follow the rules of hygiene for foot care. It is easier to prevent a disease than to treat it later. Take care of your own health and the health of your loved ones.

If you are diagnosed with lymphedema, treatment should first be aimed at restoring stable lymph circulation in the affected part of the body. Depending on the stage of the disease, one dose of medication, unfortunately, may not be enough. IN difficult cases effective therapy should involve a complex effect in two directions at once:

• medicinal
• physical

Physical therapy involves getting rid of accumulated excess lymph through mechanical action - which is why specialists so often prescribe massage to patients on the desired area of ​​the body.

But we’ll talk about massage techniques for varicose veins a little later - first we’ll provide an overview of medications that will improve the condition of diseases such as lymphostasis and. Treatment with phlebotonics provides a lasting tonic effect for the walls of venous vessels. Angioprotectors and enzymes will help normalize metabolic processes in them. It will also not be superfluous to take immune stimulants.

What medications can a doctor prescribe for lymphostasis?

When a diagnosis of lymphostasis is made, drug treatment consists of taking phlebotonics and other types of drugs. The most commonly recommended are Vasoket, Phlebodia, and Detralex - these products significantly improve microcirculation processes in the affected tissues. Venotonic drugs are based on the glycoside saponin with medicinal substance produced from fruits chestnut tree. Taking Detralex twice a day with meals for three months will help improve the patient's condition.

As for the duration of the course of treatment for the protracted stage of lymphostasis, it is up to six months. If the patient begins treatment at an early stage of the disease, then the drugs “Venoruton” and “Troxevasin” (available in the form of gels, tablet capsules), as well as “Paroven” capsules will be quite effective - their use guarantees an increase in the tone of the veins and the removal of lymph stagnation. If lymphostasis of the lower extremities is diagnosed, treatment should include taking anti-inflammatory and anti-edematous medications.

Troxerutin is available in capsule and ointment forms. By relieving inflammation and having a tonic effect on the veins, the drug increases the elasticity of blood vessels. The dose of the drug in capsule form is one capsule three times a day with meals. The duration of the course of treatment is five weeks. The drug in the form of a gel must be applied to the affected part of the body in a thin layer 203 times a day.

The drug Escin, produced on the basis of horse chestnuts, like the previous one, relieves inflammation and swelling of the extremities, but its use is contraindicated in case of renal failure.

Another category of drugs that your doctor may prescribe are diuretics, or diuretics. They provide improvement by eliminating fluid accumulations. However, they must be taken carefully and only with a doctor's prescription to avoid causing harm.

Don't forget about concomitant diseases, which may be caused by lymphostasis. Medical treatment for the appearance of a fungal infection on the feet consists of taking antifungal medications, and eczema is eliminated with medications local action.

The beneficial effects of massage

Lymphatic drainage massage

If your health is affected by lymphostasis of the lower extremities, treatment may involve more than just taking various medications. One of the doctor’s prescriptions is a special lymphatic drainage. The specialist uses his hands to help contract blood vessels, thereby improving lymph circulation. Its rapid and stable movement through the vessels significantly reduces swelling of the extremities. In addition to manual lymphatic drainage massage, vascular contraction is facilitated by hardware massage, called pneumocompression among specialists.

Bandaging

Bandaging also has a healing effect; this technique consists of bandaging the lower extremities with a special elastic bandage. They can be successfully replaced with compression underwear - knee socks, and those made from medical knitwear with compression effect.

Therapeutic exercise to protect vascular health

Special physical exercise can significantly improve the quality of life if it includes lymphostasis of the lower extremities. Treatment of the disease consists of regularly performing a special one 2 times a day. For a positive effect to occur, physical activity for a quarter of an hour is sufficient. Do not forget to install a bandage made of compression materials on the sore leg.

Let's present a list useful exercises:

• Flexing and straightening your toes
• "Bike"
• “Drawing” a figure of eight with your feet
• Rotating movements of the feet alternately in different directions

In addition to massage and physical exercise, patients are recommended to swim and are prescribed therapeutic procedures such as magnetic therapy, laser therapy and other physiotherapeutic procedures.

Diet for lymphostasis

A properly formulated diet also helps reduce negative impact impaired lymph circulation. Most often, overweight patients suffer from this disease - which is why following a special diet for lymphostasis is extremely important. What advice can a nutritionist give?

1. Reduce fluid intake, as well as salty foods, which cause thirst. Salt in the body contributes to the concentration of fluid in the tissues - this will interfere with the healing process.
2. Limit your intake of carbohydrates (especially a lot of them are found in bread, rice, pasta, potatoes, sugar).
3. Add more fruits and vegetables to your diet; fermented milk products will be beneficial.

These simple recommendations will help you cope with lymphostasis. Remember also that with this disease the body urgently needs vitamins C and P - these active substances help reduce the viscosity of lymph so that it passes unhindered through the vessels. Sources large quantity vitamins are:

• Pomegranate juice
• Rose hip
• Grape
• Cranberry
• Rowan
• Currant fruits and leaves

Surgery

If the treatment of lymphostasis is listed conservative methods does not help and you still have dysfunction of the lymph flow, then you are left with surgical operations. In essence, they allow you to create additional pathways in the limbs through which lymph circulation will occur. As a result of this technique, patients observe an improvement in their well-being, and the consequences of lymphostasis can be reduced.

Traditional medicine against lymphostasis

If your attending physician has diagnosed you with lymphostasis, it can also improve the condition of the body, however, the means of so-called alternative medicine must be used with extreme caution. In addition, it is worth realizing: such an ailment requires treatment over a long period of time - be patient and use the remedies systematically. We present you several recipes from which you can choose the treatment that suits you.

Beet juice

Several amazing properties of beet juice help to significantly improve the condition of the body: metabolic processes will be more active in it, and the release of harmful substances will also be activated. Thanks to these qualities regular use Beetroot juice stabilizes the function of lymphatic fluid circulation through the vessels. It is also worth adding that red wine has a similar effect.

At home, you can easily prepare a diuretic decoction that can improve the outflow of lymph from an organ affected by lymphostasis. Take an equal amount of currant leaf and rose hips, mix and brew like regular tea. Take the finished strained drink in 100 ml portions half an hour before each meal.

To eliminate lymphostasis, home treatment usually supplemented with such a remedy as a decoction based on dandelion roots. Its convenience lies in in various ways application, because the therapeutic effect is achieved both when used externally and when taken orally. To get a medicinal decoction, do the following:

1. Grind dry dandelion rhizomes
2. Pour the resulting raw material in the amount of one tablespoon with two glasses of boiling water.
3. Bring the mixture to a boil on the stove
4. Once boiling, reduce the heat and continue cooking the mixture for five minutes
5. After the time has passed, pour the hot broth into a container and let it brew for half an hour, after wrapping the container in a towel.
6. Strain the infusion and you will get the medicine.

Drink half a glass of prepared dandelion infusion twice a day, and also use it for compresses. Leave a compress soaked in the broth on the affected area of ​​the body for 30 minutes. At the same time, follow simple recommendations: slightly raise the area of ​​the body with the compress so as to position it above the level of the entire body, and carefully insulate this area.

To the already described dandelion, you can also add a compress based on rye flour and kefir - this combination of products will also improve the circulation of lymphatic fluid. The recipe for preparing the mixture is simple:

Apply the finished compress to the area of ​​the body that is affected by lymphostasis. Treatment with a compress should be carried out twice a day every day until the swelling subsides.

Please note that for greater effectiveness, the installed compress should be fixed on the body with a bandage made of another layer of fabric or gauze.

To improve the condition of the skin in an area affected by lymphostatic disease, you can take medicinal baths based on succession plants. You can make baths at home using these instructions:

You can use the prepared product to make baths for the affected part of the body. Take them twice a day for three weeks. The duration of each treatment procedure should be about 20 minutes.

Preventive measures

Lymphostatic disease is very difficult to cure, but it is worth knowing: the development of this disease can be prevented. To do this, you need to adjust your lifestyle and diet.

The most important component of anti-lymphatic measures is physical therapy. Regular performance of a set of special exercises allows you to stimulate the circulation of lymph through the vessels. Also, health-improving exercises make your muscles more elastic and prevent stagnation. venous blood. Therapeutic gymnastics performed in a swimming pool are often practiced in medicine.

From time to time, experts advise visiting resorts and sanatoriums that ensure restoration of the lymphatic system.

IN Everyday life also worth sticking to simple recommendations that will help eliminate lymphostasis: treating skin lesions in a timely manner, walking or cycling, swimming - an active lifestyle is useful in principle, so as not to form excess weight. Avoid smoking and drinking alcohol, prolonged static loads, burns, and injuries to the limbs. Focus on healthy work of cardio-vascular system, promptly eliminate kidney disease.

Lymphostasis certainly causes psychological and physical discomfort in patients, but modern complex treatment is able to resume the uniform movement of lymph through the lymphatic vessels. Be persistent and persistent in treatment, and a positive attitude towards recovery will help you with this.

And every person has encountered hands at least once in their life. Excessive stress, uncomfortable or new shoes - all this can lead to temporary “swelling” of the limbs. Typically these symptoms do not last longer than 12 hours. It's another matter if the legs are constantly swollen. In this case, we are talking about pathological lymphatic edema - lymphostasis.

What is the disease

Lymphostasis is an excess of fluid that accumulates in the tissues of the subcutaneous tissue and is not excreted normally (there is no outflow). Swelling can appear on both the lower and upper extremities, but most often the legs are affected.

Lymphostasis belongs to the category of progressive, sluggish diseases. However, this does not mean that if swelling occurs, it should be ignored. If affected, it will cause minimal harm to the body, but if problems arise in the large ducts, the tissues will begin to deform. In advanced cases, doctors diagnose patients with developing lymphedema (this disease requires more complex treatment).

Lymphatic edema of the arm is extremely rare, and usually affects the fair sex over the age of 35 years.

Causes

Most often, lymphostasis develops against the background of varicose veins, thrombophlebitis, thrombosis and trophic ulcers. The pathology is also diagnosed in older people and those who lead a sedentary lifestyle. Lymphedema of the legs often occurs in people with disabilities. Also, prolonged and impaired blood circulation can lead to this disease.

In addition, people suffering from:

• congenital deficiency lymphatic vessels;
• cancerous tumors;
• heart failure;
• injuries and burns of the upper and lower extremities;
• chronic type;
• arterial and venous fistulas;
• streptococcal lesions;
• inflammation skin arms and legs;
• serious kidney pathologies;
• disruptions in the functioning of the endocrine system.

In addition, lymphedema of the extremities can develop due to radiation therapy sessions.

Lymphostasis of the hands most often appears after surgical intervention. This disease occurs mainly in women who have undergone surgery to remove part of the pectoral muscles.

Symptoms and stages of development

There are 3 degrees of manifestation of lymphstasis:

1. Reversible spontaneous edema (lymphedema). This is the most easy stage an illness that manifests itself as regular swelling of the legs in evening time. As a rule, all symptoms disappear after a night's rest. Edema of this type is clearly visible and usually appears after severe physical activity on a limb. The swollen area is easily palpated. At the initial stage of development, the disease is treated with conservative methods and does not have a destructive effect on the body.
2. Irreversible spontaneous edema (fibriderm). The middle stage of lymphostasis is characterized by hardening of the skin. This is due to growth connective tissue. Such swelling is clearly visible to the naked eye. They are very hard, when pressing on the inflamed area the patient feels severe pain due to stretched skin. Edema of this type is considered advanced. It does not disappear after rest. Due to the frozen bodice in the vessels, new symptoms begin to develop - convulsions and rapid fatigue of the affected limb.
3. Irreversible swelling (elephantiasis). This stage of lymphostasis is the most severe. Due to severe tissue damage, the limb becomes deformed, becomes heavier and becomes almost immobile. The outflow of lymph is completely disrupted. Foci of fibrocystic lesions appear in diseased tissues. Elephantiasis cannot be treated and in some cases is fatal.

Is lymphostasis dangerous?

The initial stages of the disease do not pose a high risk. However, it must be taken into account that lymphedema affects the patient’s quality of life. The affected limbs hurt quite a lot, and coma develops against the background of the disease. infectious diseases. If the skin on a swollen leg breaks, then through the wound they can enter the body. dangerous bacteria, which will lead to a whole “bouquet” of new ailments.

If prolonged swelling occurs, you should visit a doctor as soon as possible.

Diagnostics

First of all, the doctor examines the limb with lymphedema and determines the stage of development of the pathology. After this, a number of diagnostic measures are prescribed that allow a more accurate determination of the degree of tissue damage, foci of inflammation and possible complications:

• urine and blood tests;
• vein scanning;
• lymphography.

In some cases, a CT or MRI is performed. Based on the data received, the doctor prescribes a course of medications and procedures.

Lymphedema: treatment

In order to cure the disease, it is necessary to restore the outflow of lymph from the extremities. Most often, swelling is relieved non-surgically, through compression therapy, massage and medications. At more advanced stages, surgical intervention is required - reconstruction of the lymphatic drainage pathways.

Regardless of the degree of the disease, the patient should regularly visit an angiosurgeon and promptly treat diseases of the kidneys, heart and venous vessels.

Drugs

There are many different medications for lymphedema of the legs, which can be either aggressive or more conservative. To restore normal lymph circulation, reduce vascular permeability and increase their elasticity, it is recommended to take the following tablets:

• "Troxevasin" and "Detralex" are phlebotropic agents that stimulate the outflow of excess fluid from the blood and tissues.

• "Wobenzym" and "Flobenzym" - belong to the category of enzyme preparations that increase immunity and reduce swelling.
• Coumarin is a benzopyrone that reduces swelling and thins the blood.
• "Lymphomiazot" is a homeopathic medicine that restores the outflow of fluid. Also, when taken, the removal of toxins from the human blood is accelerated. This drug is considered the most harmless. It can be safely taken to treat lymphedema of the legs by elderly people and pregnant women.

In addition to these drugs, doctors prescribe diuretics, antiplatelet agents and immunomodulators. It would be a good idea to start taking vitamin complexes (P, PP and E), which reduce vascular permeability.

Doctors don't mind folk remedies from edema if they are taken in conjunction with the prescribed course of treatment.

ethnoscience

In order to relieve lymphedema at home, you can prepare simple decoctions and apply compresses. Here are some effective recipes:

• Compress of honey and onion. To prepare it, you need to chop one onion and add 1 tablespoon of tar to the resulting mass. After this, add a little honey to the mixture. This compress should be applied at night.
• Honey-garlic tincture. To prepare it, you need to chop 250 g of garlic. After this, the resulting mass is mixed with 300 ml of liquid honey and infused in a dark, cool place for 7 days. You need to take the infusion once a day before meals, 1 tablespoon. The course of treatment is 2 months.
• Plantain decoction. To prepare it, you need to brew 1 teaspoon of herb with a glass of boiling water. The course of treatment is 2 months. A decoction of 70 ml is taken daily before meals.
• Royal jelly. You can make compresses from this natural product or drink it in pure form. If you mix honey in equal proportions, this will enhance the effectiveness of the product.

If your feet constantly swell in the evenings, then it is recommended to take baths in succession. 6 tablespoons of dry herb are added to 2-3 liters of boiling water. After this, you need to wait until the liquid cools a little and the string swells. When the water temperature drops slightly, you need to immerse your swollen leg in the bath for 20 minutes. You can perform such procedures 3 times a day, but not more than 3 weeks.

Physiotherapy

In addition to medications and traditional medicine Physiotherapeutic procedures, which include:

• massages;
• compression bandages;
• physical therapy.

Massage procedures are one of the most effective methods which will allow you to get rid of discomfort. To perform this procedure, it is not necessary to visit cosmetology or medical centers. You can also relieve minor swelling at home. To do this, you need to rhythmically massage the skin of the swollen area. Movements should be smooth, no more than 12 presses per minute. Massage is often not recommended. Limbs should be massaged no more than 1 hour a day.

However, you should not get carried away with self-medication, since any unpleasant symptoms may be signs of more dangerous diseases. Therefore, it is worth consulting with a doctor and clarifying whether this pathology is dangerous.

Lymphostasis (lymphedema)- symptoms and treatment

What is lymphostasis (lymphedema)? We will discuss the causes, diagnosis and treatment methods in the article by Dr. O. O. Ivanov, a phlebologist with 10 years of experience.

Definition of disease. Causes of the disease

Lymphostasis, or lymphedema- This is an excessive accumulation of protein-rich fluid in the tissues.

Impaired function of the lymphatic vessels impairs the drainage function of the lymphatic system, which is also part of the circulatory system, like the arterial and venous ones. Lymphatic vessels remove excess fluid from tissues and transport it back into the bloodstream. In addition, the lymphatic system is where immune cells mature and thus represents one of the most basic defense systems of the entire body. Lymphatic capillaries, located in the dermis, are plexuses that merge into lymphatic vessels in the subcutaneous tissue, ultimately going to the deeper system and thoracic duct. Lymphedema can be either primary or secondary. Regardless of the etiology, clinically this condition is characterized by chronic swelling, localized pain, atrophic skin changes and secondary infections.

Lymphedema, according to etiology, is divided into primary (hereditary) or secondary (acquired). Primary lymphedema is quite rare and is the result of genetic mutations that lead to underdevelopment of lymphatic vessels and insufficient lymphatic drainage function.

Primary lymphedema may be an isolated disease or part complex syndrome. Most cases of primary lymphedema are inherited in an autosomal dominant pattern with incomplete penetration and variable gene expression. Almost 30% of patients with primary lymphedema have identifiable genetic mutations, often in the signaling variant for endothelial growth factor C. More than 20 genes have been found to be associated with lymphatic abnormalities in primary lymphedema. However, there is a high degree of genetic heterogeneity. Primary lymphedema often occurs in the lower extremities, and only in rare cases can it appear on the genitals or upper extremities. The incidence in women is twice as common as in men.

Depending on age, primary lymphedema is divided into 3 types:

• congenital lymphedema (manifests at or shortly after birth);
• pubertal lymphedema;
• late lymphedema, which appears late in life.

Secondary lymphedema occurs much more often than the primary one. It occurs due to damage or obstruction of previously normal lymphatic vessels during various diseases, recurrent infections, trauma, surgery, obesity or due to malignant processes and their treatment, such as radiation therapy. Lymphedema can occur with chronic venous hypertension and venous ulcers, which is associated with impaired lymphatic function in this pathology. In patients with chronic diseases veins in 20% of cases there is also secondary lymphatic damage due to fluid overload. Thus, phlebolymphedema refers to lymphedema caused by chronic venous insufficiency. Secondary lymphedema may also be associated with a genetic predisposition.

Infectious diseases. Lymphatic filariasis (also known as elephantiasis) is the most common cause of secondary lymphedema worldwide. It is an acquired infection caused by the Wuchereria bancrofti mosquito larva. It infects people who live in or travel to areas where it is endemic this disease, mainly in sub-Saharan Africa and India. Adult worm larvae are planted on human skin by mosquitoes. These larvae then migrate into the lymphatic vessels, causing obstruction of the lymphatic ducts. Herpetic infection may also, although rarely, cause lymphedema. Recurrent cellulitis and erysipelas also lead to damage to the skin lymphatic ducts and can cause unilateral lymphedema.

Lymphogranuloma venereum, a sexually transmitted disease caused by chlamydia, can cause lymphedema of the external genitalia. Tuberculosis-affected lymph nodes in the neck are a much less common cause of lymphedema.

Surgical removal lymph nodes during mastectomy for breast cancer or treatment of melanoma leads to disruption of lymphatic drainage function. Radiation therapy, which leads to virtually irreversible damage to intradermal lymphatic vessels and nodular fibrosis. The above-mentioned post-therapy lymphedema usually manifests as chronic unilateral edema. However, interventions on prostate gland and cervix may cause bilateral swelling.

Podoconiosis is a cause of non-infectious elephantiasis caused by chronic damage to the feet caused by prolonged barefoot walking on clay soil containing silica. It is the second most common cause of tropical lymphedema worldwide. Mineral particles absorbed through the skin induce inflammation of the lymphatic vessels and cause subendothelial lymphedema and vascular obstruction. Podoconiosis is an endemic disease in the highlands tropical Africa, Northern India and Central America.

Morbid obesity is one of the main risk factors for the development of secondary lymphedema. An increase in the amount of adipose tissue in dependent areas causes obstruction of the lymphatic vessels. Decreased physical activity in obese patients is an aggravating factor.

If you notice similar symptoms, consult your doctor. Do not self-medicate - it is dangerous for your health!

Symptoms of lymphostasis

Changes in the skin. Lymphedema can be unilateral or bilateral. Patients often complain of a feeling of heaviness and discomfort in the affected limb, especially at the end of the day. Transient minor swelling is early symptom lymphedema. Over time, the skin acquires a pitted texture like " orange peel"As the disease progresses, the skin becomes more textured and rough due to thickening and fibrosis. Persistent, non-pressurable and persistent swelling indicates an irreversible stage of lymphedema. The inability to pinch the fold of skin at the base of the second finger (Stemmer's sign) is extremely pathognomonic of chronic lymphedema. In addition, lymphedema is characterized by swelling of the back of the foot, which is called “buffalo hump.”

Develops over time elephantiasis. The skin over the affected area has a warty, hyperkeratotic or "mossy" appearance. The skin with chronic lymphedema usually has cracks and ulcerations with symptoms of recurrent cellulite. The discharge of a clear, light yellow fluid (lymphorrhea) is characteristic. Impetigo is also a common presentation.

In rarer cases, patients with long-standing lymphedema are at risk of developing cutaneous angiosarcoma. This aggressive tumor usually appears as reddish-purple spots or nodules that can enlarge, ulcerate, and in rare cases metastasize. In the early stages, lymphedema may be difficult to distinguish from other common causes of limb swelling such as vericose disease, lipedema and morbid obesity. Edema in chronic venous insufficiency may mimic early stage lymphedema. Although in both cases the edema is persistent and very similar, venous edema is usually associated with other clinical manifestations vein diseases such as varicose veins veins, hyperpigmentation, lipodermatosclerosis and the presence of venous ulcers. Moreover, venous edema is relieved after elevation of the limb. In chronic venous insufficiency, edema is usually associated with an increase in capillary hydrostatic pressure. With lymphedema, it is usually normal, and therefore raising the legs does not reduce swelling. This is the main difference from chronic venous insufficiency.

Lipedema, also known as lipomatosis of the lower extremities, is a chronic, progressive disorder of adipose tissue. It is often misdiagnosed as primary lymphedema. Lipedema occurs almost exclusively in women and most often occurs several years after puberty. Manifests itself as bilateral symmetrical accumulation subcutaneous fat, predominantly in the lower extremities, with small hematomas and a tendency towards progressive swelling of the legs. One of the distinguishing features is that the swelling stops abruptly at the level of the ankles. Mild hematomas are associated with increased fragility of capillaries in adipose tissue.

Pathogenesis of lymphostasis

The lymphatic system consists of the following lymphatic organs: lymph nodes, tonsils, thymus and spleen. They are all connected through a network of lymphatic vessels that run parallel to the venous vasculature.

The lymphatic system has three main functions: drainage of excess interstitial fluid, fat absorption, and immune control. Interstitial fluid refers to the portion of fluid that exits the capillaries into the interstitial spaces. A larger amount of interstitial fluid (90%) is reabsorbed through the venous microcirculation and returned back to the bloodstream. The remaining part (10%) of the interstitial fluid has a relatively high protein concentration and is drained by lymphatic capillaries. When this interstitial fluid enters the lymphatic capillaries, it is called lymph. The lymph is then transported through lymphatic collecting vessels, filtered through the lymph nodes, and ultimately to a point near the right atrium. Normal lymphatic flow is 2-3 liters per day. Unlike lymphatic capillaries, collecting lymphatic vessels have smooth muscle in their walls and are therefore able to compress and propel lymphatic fluid proximally.

The obstruction caused by obstruction or lymphatic hypoplasia leads to the accumulation of interstitial fluid and tissue swelling, known as lymphedema. The subsequent decrease in tissue oxygen tension leads to chronic inflammation and reactive tissue fibrosis.

The lymphatic system also performs an immune function through circulation various antigens and antibodies. The skin has an extensive presence of lymphatic capillaries. Patients with lymphedema are prone to recurrent skin infections due to the accumulation of peripheral tissue antigens in the skin, leading to chronic inflammation and subsequent soft tissue fibrosis.

Classification and stages of development of lymphostasis

Most members of the International Society of Lymphology generally rely on a three-stage classification scale for lymphedema, with increasing numbers defining stage 0 (or Ia), which refers to a latent or subclinical condition where edema has not yet manifested itself, despite impaired lymphodynamics and subtle tissue mechanisms ( liquid/composition) and already visible clinical changes in subjective specific symptoms. This condition may exist long time, both months and years before swelling appears (stages I-III).

Stage I represents early accumulation of fluid with relatively high content protein (for example, compared to “venous” edema) and is manifested by edema, which decreases with elevation of the limb. At this stage, pitting (pressure marks) may occur. In addition, at this stage there is an increase in various proliferating cells.

Stage II: the elevated position of the limb does not lead to a decrease in tissue swelling, which is manifested by the above pitting. Late stage 2 is characterized by persistent edema, adipose tissue hyperplasia, and fibrosis.

Stage III includes lymphostatic elephantiasis, where pitting may be absent. In addition, trophic skin disorders are detected, such changes as acanthosis, fat deposition and fibrosis, and warty growths. These stages only apply to physical condition limbs. A more detailed and comprehensive classification should be formulated in accordance with the understanding of the pathogenetic mechanism of lymphedema (for example, in terms of the genesis and extent of lymphangiodysplasia, lymphatic flow disorders, lymph node dysfunction, both based on anatomical visual features and through physiological and imaging diagnostic methods) . Also important is the study of the genetic disorders underlying the pathogenesis of lymphedema, which are gradually being clarified by specialists in this field. Recent publications combining both physical (phenotypic) findings with functional lymphatic imaging (by lymphangioscintigraphy (LAS) on this moment) can predict the future evolution of the classification of this disease.

In addition, it is worth noting that the inclusion of genotypic information, which is now available even with current screening, will provide valuable information in the future for the preliminary diagnosis and classification of patients with peripheral (and other) lymphedema. At each stage, a simple classification can be used, although limited, but still a functional assessment of the severity of the disease using a simple measurement of limb volume.

The minimal degree of lymphedema is characterized by<20% увеличением объема конечности, умеренная степень это увеличение на 20-40% в объеме, тяжелая - >40% volume. Clinicians also include factors such as extent, presence of seizures, inflammation, and other descriptors or their individual definitions of severity. Some doctors rely on the World Health Organization's disability classification. Quality of life issues (social, emotional, physical disabilities, etc.) may also be considered by individual physicians to determine the stage of the disease.

Complications of lymphostasis

The main complication of lymphedema is the common occurrence of multiple skin ulcers. Patients with lymphedema are susceptible to recurrent soft tissue infections such as cellulitis and erysipelas. The main cause of cellulite is infection of the patient with group A streptococcus. Each episode of cellulitis leads to additional damage to the lymphatic system, which contributes to the deterioration of the patient's condition.

This fungal disease, like tinea pedis, is extremely common in patients with lymphedema due to chronic interdigital maceration. In addition, these patients have a 10% risk of developing angiosarcoma. Moreover, this is typical for patients with chronic lymphedema lasting 10 years. Stewart-Travis syndrome refers specifically to cutaneous angiosarcoma that develops in patients with postmastectomy lymphedema. Angiosarcoma is a highly aggressive malignant tumor with an extremely poor prognosis and a 5-year survival rate of less than 10%.

There have been reports in periodical medical literature about other malignant tumors, which are also associated with lymphedema: squamous cell carcinoma, basal cell carcinoma, cutaneous lymphoma, melanoma and Kaposi's sarcoma. Despite the prevalence of specific oncological diseases in these patients, a clear cause-and-effect relationship between lymphedema and tumor development has not yet been established. One possible explanation may be an impaired local immune response in the lymphedematous limb.

In addition, psychosocial stigma and decreased self-esteem are important complications, which are considered common among patients with lymphedema due to impaired mobility, difficulties in choosing clothing, and deformities of the limbs and genitals. Summarizing the above, we can state that chronic swelling of the lower or upper limbs causes discomfort and loss of full-fledged functional state affected organ. Recurrent bacterial and fungal infections are quite common in lymphedema. Recurrent cellulitis and lymphangitis contribute to the progression of damage to the entire lymphatic system. Trophic chronic intractable ulcers often occur. Cutaneous angiosarcoma is a rare and often fatal complication, the main morphological feature which is the appearance of red-violet spots. Serious psychosocial consequences may occur due to persistent cosmetic impairment and limited quality of life in patients with lymphedema.

Diagnosis of lymphostasis

Lymphedema is primarily a clinical diagnosis, and therefore a thorough history and physical examination are invaluable. Late stages of lymphostasis can be diagnosed clinically without the help of additional methods. However, in the early stages of the disease, comorbid conditions such as obesity, lipodystrophy and venous insufficiency can complicate the correct diagnosis, so additional testing may be essential. There are many diagnostic tools available to assess lymphatic function. But the decision to use any of them should be based on the patient's condition. Early diagnosis lymphostasis is important because it significantly increases the success of therapy.

History taking and physical examination

The history should include age of onset, family history of lymphedema, history of various injuries, infections, cancer, cardiac pathology, hypothyroidism, hypoalbuminemia, sepsis, venous insufficiency or lymphatic obstruction. In addition, significant history includes previous radiation therapy to the groin/axillary areas, lymphadenectomy, and travel to areas where filariasis is endemic. Lymphedema of the lower extremity usually manifests as swelling on the dorsal aspect of the foot and toes with a characteristic dull, “boxy” appearance. Lymphedema usually begins with swelling of the distal part of the limb, and then the swelling progresses proximally. Leathery or pitted skin texture (orange peel phenomenon) and Koposi-Stemmer sign (inability to pinch folds of skin on the dorsal surface of the base of the second digit) are characteristic features chronic lymphostasis. In later stages, the skin on the affected area becomes hyperkeratotic, papules, plaques and nodules with severe fibrosis develop.

Visualization techniques

In most cases, use various methods Imaging is not required to make a diagnosis. However, they can be used to confirm the diagnosis and assess the extent of damage to the lymphatic system to determine the most optimal therapeutic tactics.

Methods are also used laboratory diagnostics, assessing liver and kidney function. Histological studies have low sensitivity and specificity for diagnosing lymphostasis.

Treatment of lymphostasis

Unfortunately, lymphedema is incurable disease. On the other hand, effective treatment for this pathology is available. The two main treatment options include non-surgical and surgical options. The basis of non-surgical methods of treating lymphedema is complete decongestive (anti-edematous) therapy, compression therapy, modern methods of hardware pneumocompression and special exercises. These treatments are mainly effective in the early stages of lymphedema. Today, there is a global trend towards surgical interventions and surgical techniques, including physiologic and restorative techniques.

Not surgery

Educating patients on self-management is both critical and imperative for effective treatment lymphostasis. The basic principles of self-control are skin care, performing lymphatic drainage massage on your own, monitoring correct position bandages and clothes, proper nutrition, exercise and weight control.

Complete decongestive or decongestant therapy. Total decongestant therapy is considered the gold standard for the treatment of lymphedema and includes two phases: a reduction phase (phase 1) and a maintenance phase (phase 2). This therapy includes manual lymphatic drainage, compression therapy, exercise, skin care, and then wearing compression stockings. Although it is safe and effective, it is costly for most patients and requires a lot of time and qualified doctors to monitor the quality of the procedures performed.

Manual lymphatic drainage differs from standard massage in that it orients the lymphedema fluid towards the proper functioning of the lymph nodes. A Cochrane study showed its significant effectiveness in combination with compression therapy, especially in patients with initial forms lymphostasis. External compression is important at all stages of lymphedema treatment. The effectiveness of compression therapy alone or in combination with manual compression lymphatic drainage massage proven by numerous randomized clinical studies.

Compression achieves several goals: improving lymphatic and venous drainage, reducing the accumulation of protein metabolic products in tissues, proper formation of the limb, stable control of the volume of the limb, maintaining the integrity of the skin and protecting the limb from potential injury. A number of randomized trials have also reported that low-level laser therapy improves measured physical parameters as well as subjective pain measures in patients with lymphedema. Laser therapy increases lymphatic drainage by stimulating the formation of new lymphatic vessels, improving lymphatic motility and preventing the formation of fibrous tissue. Usually this method used in combination with others non-surgical methods. Moreover, in the conservative complex therapy for lymphostasis, hardware methods of pneumocompression and special exercises are used. The leg elevation method has proven effective in physically increasing lymphatic drainage, especially in the early stages of the disease. Weight loss and skin hygiene play an important role at all stages of the disease. Drug therapy with diuretics and benzopyrones has not been shown to be effective in studies for the treatment of lymphedema.

Surgery

Various surgical methods have been tried for many years in the past. However, most of these methods were abandoned due to their extreme ineffectiveness. Only a few surgical approaches are still viable. They are useful for severe elephantiasis and massive local lymphedema, especially when conservative therapy is unsuccessful.

There are the following main approaches to surgical treatment of lymphedema:

1. Debulation(reduction of fluid and tissue, or cytoreduction);
2. Reconstructive approaches(restoration of the function of the lymphatic system).

Debulation is the resection of excess lymphedema tissue. In this case, normal tissues that are still drained by the competent lymphatic system are left untouched, after which the area is covered with skin autografts. The most commonly used method is the Charles method and the Thompson procedure.

Reconstructive approaches include two microsurgical treatments that have shown promising results: lymphovenous anastomoses and lymph node revascularization. However, surgical treatment has limitations. Poor wound healing remains the most important factor. Additional surgical risks include sensorineural lesions, hypertrophic scarring, graft necrosis, exophytic keratosis, and recurrent lymphedema.

Forecast. Prevention

The recent promulgation of a "do this, don't do that" list of risk factors for secondary lymphedema is largely anecdotal and under-researched. Although some precautions are based on fairly sound physiological principles (eg, avoiding excessive heat of the affected limb or to prevent infection), others are less supported.

It should be noted that most published studies on the incidence of secondary lymphedema report less than a 50% chance of developing lymphedema. Therefore, routine use of some of these prophylaxis methods to “prevent” lymphedema may be inappropriate and likely expose patients to unnecessary therapy. Many prevention methods are not evidence-based and have not demonstrated clearly defined risks and preventive measures.

Along with the circulatory system, the lymphatic system functions in the human body. Its capillaries, like blood capillaries, penetrate all human tissues. Lymph is constantly moving through them - a transparent liquid, as viscous as blood. The movement occurs from bottom to top along the lymphatic ducts due to muscle contraction and due to the functioning of valves that prevent its reverse flow. If their work is disrupted, the normal outflow of lymphatic fluid is disrupted. First of all, lymph accumulates in the lower extremities, contributing to the development of edema and the occurrence of lymphostasis of the lower extremities.

Lymphostasis of the lower extremities (LNK) is a fairly common disease, which, according to statistics from the World Health Organization, most often affects the fairer sex. Signs of lymphostasis of the lower extremities to varying degrees of severity are observed in every tenth woman. The selectivity of the disease can be explained by the fact that nature has entrusted women with the responsibility for bearing and giving birth to offspring, and one of the factors provoking the development of a disease such as lymphostasis of the legs is consistently increased load on them, which inevitably occurs during pregnancy.

To understand what lymphostasis of the lower extremities is and why it occurs, you need to carefully consider how the lymphatic system functions in the human body.

The lymphatic substance is a filtration product of blood plasma that accumulates and removes waste from it. From the interstitial space it enters the lymphocapillaries, then into the lymphatic network and lymph nodes, from where, after purification, it returns back to the bloodstream. In addition to its cleansing function, lymph removes from the blood excess liquid, preventing the development of edema. Therefore, the main sign of a violation normal functioning This system is swelling caused by congestion. Since the lower extremities are located on the periphery of the human body, it is in them that favorable conditions for the occurrence of such a condition are primarily created.

Lymphostasis of the lower extremities is most common in women

Depending on what causes contribute to the manifestation of the pathology, experts distinguish between primary and secondary lymphostasis. Primary lymphedema, also called Milroy's disease, is a rare genetic disease that can occur in members of the same family over several generations.

The occurrence of secondary lymphostasis of the lower extremities can be triggered by a number of reasons, including, in addition to pregnancy:

1. Varicose veins of the legs, as well as its complications - thrombophlebitis and thrombosis.
2. Cardiac and/or renal failure, against which swelling occurs.
3. A complication of infectious-inflammatory damage to subcutaneous fat tissue is the development of boils and phlegmons.
4. Postoperative lymphostasis of the lower extremities is provoked by scars in the area of ​​the lymph nodes and blood vessels, compressing them and preventing the normal outflow of fluid.
5. Neoplasms localized in the interstitial space.

Also, the cause of lymphostasis of the lower extremities can be a sedentary lifestyle. Sometimes it occurs during prolonged periods of bed rest in people who have had a stroke or serious injury.

Symptoms

Lymphostasis is a long-term progressive disease that, as it develops, sometimes over decades, goes through several stages.

Code for lymphostasis of the lower extremities according to ICD-10 (tenth version International classification diseases, where each known to science pathology is indicated by an alphanumeric code) – I89.8.

Experts, focusing on symptoms, distinguish three main stages of lymphostasis of the lower extremities:

1. Mild spontaneous edema, or, indicates the initial stage of the pathology. Typically, such lymphostasis occurs in the area of ​​the lower leg and foot at the end of the day. It has no painful manifestations and does not cause much concern. The skin of the legs at this stage of secondary lymphostasis retains its natural color and softness and does not thicken. When pressed, a small dimple remains on it, which quickly disappears. After a night's rest, such swelling subsides on its own.
2. Irreversible edema (fibredema) is characterized by a change in the structure of the tissue - it becomes painful, hardens (it cannot be compressed into a fold), and acquires a dark brownish tint. Pressing on it causes the formation of depressions that do not smooth out for a long time. On palpation, dense fibrous cords are felt. The epidermis, under the influence of edema, stretches significantly, which causes the formation of cracks on the skin surface. There is a risk of infection entering through injured skin, as evidenced by diffuse red spots on its surface. Due to poor circulation in the legs, cramps occur. The limb changes its normal shape, motor functions are disrupted - flexion in the joints becomes difficult.
3. At the last stage of lymphostasis of the lower extremities, the so-called elephantiasis is formed. The affected areas of the epidermis are characterized by severe hypertrophy, swelling changes the shape of the limb. Patients constantly experience malaise, weakness, headaches and joint pain. Motor functions the limbs are significantly damaged, it can no longer serve as a reliable support when walking. Hard-to-heal skin appears trophic ulcers, there is a threat of developing erysipelas and/or gangrene, which can result in death.

To prevent the disease from becoming irreversible, it is necessary to consult a doctor at an early stage of lymphostasis of the lower extremities. Timely diagnosis and proper treatment will help avoid such a development of the situation.

Diagnostics

A lymphologist is involved in the diagnosis of lymphostasis and subsequent therapy.

A lymphologist is involved in the diagnosis and treatment of lymphostasis, but you can only find such a specialist in major cities Therefore, most often patients with this pathology are seen by a phlebologist (vascular specialist) or a surgeon. An experienced doctor is able to make a preliminary diagnosis during the first examination of the patient, based on the external signs of the disease. But to be absolutely sure of it, it is necessary to conduct a number of studies, including:

• blood tests - to determine indicators such as erythrocyte sedimentation rate (exceeding the norm indicates the presence of inflammatory process), platelet level (determines blood viscosity, which affects blood and lymph circulation);
• urine tests - help to exclude a connection between swelling of the legs and kidney disease;
• fluoroscopic lymphography, computed tomography and magnetic resonance imaging of the lower extremities provide detailed information about the severity and nature of pathological processes;
• differential diagnosis to exclude deep vein thrombosis or postphlebitic syndrome.

Having received the results of the examinations, the doctor decides which treatment methods should be used. in this case. At the same time, it takes into account both the stage of development of the disease and the condition of the patient and the presence of concomitant pathologies.

Therapeutic techniques

The course of conservative therapy for lymphostasis of the lower extremities includes medication and physiotherapeutic treatment.

Among the pharmaceutical drugs used for this pathology are the following:

1. Detralex, Vasoket, Phlebodia are phlebotonics that improve the metabolic process in the tissues of the legs.
2. Troxevasin, Troxerutin, Venoruton - drugs that increase the tone of the veins, best result shown at the initial stage of the disease.
3. Curantil, Trental are blood thinners that alleviate congestion and prevent the formation of blood clots.

In addition, diuretics are prescribed to relieve swelling. Since the systematic use of such drugs causes potassium deficiency in the body, the doctor usually recommends taking them simultaneously with potassium-containing drugs (Potassium Orotate).

Physiotherapy for lymphostasis includes magnetic and laser therapy, hydrotherapy (hydromassage), ultraviolet irradiation autoblood

For lymphostasis, magnetic and laser therapy show good effectiveness

Also good effect for lymphostasis, it gives, performed by a professional massage therapist, and physical therapy, which must be done constantly at least twice a day. It is advisable to include exercise classes on an exercise bike or cycling in the complex.

It is necessary to constantly wear compression hosiery - knee socks or stockings, which should be put on in the morning, before getting out of bed.

Another method of treating and preventing the progression of lymphostasis of the lower extremities is hirudotherapy (treatment with leeches). The procedure must be performed by a qualified specialist, using animals specially raised in sterile conditions. Their reuse is excluded.

The diet for lymphostasis of the lower extremities should include dairy products, lean meats and fish, chicken eggs, vegetables and fruits. Excess sugar, confectionery, fatty foods, spicy seasonings and salt is undesirable. Frying as a cooking method is not recommended.

Surgery

In the absence of positive dynamics conservative treatment surgical correction is indicated to improve the outflow of lymph from the lower extremities. The operation is performed by a vascular surgeon in a hospital setting.

Traditional treatment

Traditional treatment of lymphostasis can only be done with initial stages illnesses

The use of traditional medicine methods at home is permissible in the initial stages of the disease, after mandatory consultation with the attending physician. This includes primarily herbal medicine - treatment vegetable raw materials. Traditional healers recommend the following recipes:

1. Pour crushed licorice root (10 g) into a glass of boiling water and place in a water bath. After 30 minutes, remove from heat, strain, cool and add water to the original volume. Take a tablespoon three times a day for three weeks.
2. Dilute apple cider vinegar in half with water and massage your feet from bottom to top. inguinal lymph nodes. The massage should be soft, without pressure.
3. Mix the baked onion, ground into a paste, with pharmaceutical tar, apply the resulting ointment to the problem area of ​​the leg, securing it with a bandage. Apply at night, rinsing off in the morning with warm water.

Prevention and prognosis

For prevention, you should avoid excessive stress on your legs, including static ones, and lifting heavy weights. Shoes should be light and comfortable. Careful care of the skin of the feet, timely disinfection of abrasions, scratches and scuffs is important. In addition, it is necessary to give up bad habits - overeating, smoking, and alcohol abuse.

The answer to the question whether lymphostasis of the lower extremities can be cured depends on the stage of the pathology. It is possible to completely get rid of the disease only at an early stage. In the future, the use of therapy can slow down the course of the disease, allowing the person to remain able to work and lead an active lifestyle.