Skin care for lymphedema patients

Skin complications and infections are frequent issues for those with lymphedema. Therefore, skin care plays an important role in both phases of Complex/Complete Decongestive Therapy – a specific treatment for lymphedema that includes phases of decongestion (Phase I) and maintenance (Phase II).

Wearing compression bandages or garments daily can stress your skin: it may become dry and prone to minor injuries like scratches. This, in turn, increases the risk of bacterial infections. Deep skin folds that may develop because of swelling and an increase in fatty tissue also increase the risk for infections.

Infections, such as bacterial cellulitis, can further harm your lymphatic system and worsen your symptoms. The aim of skin care for lymphedema is to keep your skin intact and reduce the risk for infections as much as possible.

• Wash your skin daily with mild soaps or skin cleansers that are moisturizing, hypo-allergenic, and have a neutral to slightly acid pH balance (around pH 5).
• Dry your skin carefully, especially any skin folds.
• Apply emollients to coat your skin with an oily layer that protects against water loss.
• Avoid scented products that often irritate the skin.
• Immediately disinfect and treat any cuts, scratches, or insect bites.
• Avoid unnecessary injuries to your affected limb, such as taking blood samples or injections.
• Pay attention to your nail care to prevent ingrown nails or dry skin around the nail bed.
• The affected skin is particularly sensitive to sun. If necessary, apply sun cream or cover up with clothes.

Keep in mind that the ideal skin care routine and products for you will depend on your individual skin condition. Talking to your healthcare professional can help you to find the right product. In general, products that both moisturize your skin and maintain the protective layer of your skin are preferable.