Lymphoedema is a chronic condition characterized by the accumulation of lymphatic fluid, leading to swelling, most commonly in the arms or legs. This can significantly affect your quality of life, making everyday activities difficult. But don’t worry, there are various lymphoedema legs treatment Singapore options available to help manage the condition and restore your ability to live normally.

What is Lymphedema?

Lymphedema occurs when the lymphatic system cannot effectively remove fluid, fat, and proteins, causing limbs to swell and become heavy, hard, painful, and inflexible. The lymphatic system, crucial for your body’s immune response, becomes compromised, increasing the risk of infections.

Causes and Symptoms

Lymphedema primarily manifests as swelling in the arms or legs due to a blockage in the lymphatic system. This swelling can lead to heaviness, tightness, and reduced flexibility in the affected limb. Over time, untreated lymphedema may cause skin changes, such as hardening or thickening (fibrosis), and increase the risk of infections like cellulitis. In severe cases, the skin may take on a leathery appearance, and the affected area can become painful and warm.

Diagnosis of Lymphedema in Singapore

At the Vascular and Interventional Centre, experienced specialists perform detailed examinations to assess the extent of swelling and identify potential contributing factors. They also review your past medical history to understand pre-existing conditions and previous medical surgeries that may increase your risk. Diagnostic tests to confirm lymphedema include:

• Ultrasound: Detects obstructions within the lymphatic and vascular systems using sound waves.
• Magnetic Resonance Imaging (MRI) Scan: Produces high-resolution images of the area using a magnetic field and radio waves.
• Computerized Tomography (CT) Scan: Identifies blockages in the lymphatic system by employing X-ray technology for cross-sectional body part images.

Lymphoedema Treatment Singapore: Available Options

While lymphedema cannot be completely cured, its symptoms can be effectively reduced. Lymphoedema treatment Singapore aims to minimize symptoms, improve lymphatic circulation, and enhance overall quality of life. Treatment approaches vary depending on the severity of the condition.

Non-Surgical Treatments

For early-stage lymphedema, conservative treatments are often recommended. These include:

• Compression Therapy: Compression garments are elastic and tight-fitting, compressing the affected limb to reduce lymph accumulation and encourage drainage. Your doctor will measure and tailor the garment to apply the correct pressure.
• Lymphatic Drainage Massage: This massage, performed regularly (at least three times a week), gently moves excess lymphatic fluid to other parts of the lymphatic system for effective drainage. It can also reduce anxiety and boost immunity. A single session of manual lymph drainage may cost between $ to $ in Singapore, depending on the specialist, treatment plan, and number of limbs affected.
• Combined Decongestive Therapy (CDT): This includes compression therapy, limb exercises, massage, and good skin care. Careful skin care with attention to hygiene and regular moisturizing is crucial to keep the affected skin smooth and supple, to reduce the risk of skin tears and infection.

Surgical Treatments

If non-surgical approaches yield limited benefits, surgical interventions may be considered. These are typically recommended after exhausting conservative care. Surgical options include physiological and excisional procedures.

• Liposuction: A vacuum is inserted into the skin to suck out excess tissue and fluid, much like debulking. This procedure is less invasive than debulking, with faster recovery and less scarring.
• Vascularised Lymph Node Transfer (VLNT), Lymphaticovenular Anastomosis (LVA) and Lymph Node-Vein Anastomosis (LnVA): Modern surgical techniques that aim to restore the physiological flow of lymphatics, allowing the decompression of a water-logged limb. These surgeries have been shown to reduce the incidence of cellulitis and need for admissions in lymphoedema patients.

The Importance of Early Intervention

The earlier stages of lymphedema are easier to control and respond better to surgical intervention. Consulting a specialist early can make a significant difference.

Living with Lymphoedema

Lymphedema is a chronic condition that requires ongoing management. It can’t be cured, so the goal of any treatment is to reduce the negative impact on your life. In addition to treatments, here are some helpful tips:

• Have antibiotics on standby: Lymphedema patients often develop cellulitis in their affected limbs, and having antibiotics on standby at home will allow them to initiate treatment earlier.
• Compression therapy: Proper fitting and consistent use can prevent fluid accumulation and alleviate symptoms.
• Manual lymphatic drainage (MLD): GPs can refer patients to certified lymphoedema therapists for MLD, a specialised massage technique that promotes lymphatic flow and reduces swelling.

Seeking Help for Lymphoedema Legs Treatment Singapore

If you’re seeking lymphoedema legs treatment Singapore, the Vascular and Interventional Centre is here to help. We offer comprehensive care to manage your condition and improve your quality of life.