Compression pumps and lymphoedema

Only a few people with lymphoedema will need to use a compression pump. They can be used as part of the treatment programme to help with certain sorts of swelling. You will be shown how to use the pump and your physiotherapist or nurse will be able to answer any questions you have about it.

If you are advised to use a compression pump, see if it is possible to borrow a pump from your local hospital. They are expensive to buy.

Before you use the pump, it is very important to carry out SLD or have MLD| to your trunk and at the root of the affected limb. This is to drain lymph from these areas before the pump moves more fluid out of your affected limb.

The pump operates by electricity from the mains, and is made up of a power unit and an inflatable sleeve, which you put on your arm or leg. Various sizes of sleeve are available. When you switch it on, the sleeve will gradually pump up for a few minutes, then deflate for a few minutes. Low pressures are always used (never more than 40mm Hg). Do not use higher pressures than this, as it will not help to reduce the swelling and can make it worse.

While you are using the pump you should remove your compression garment, but put it back on as soon as you have finished.

Tips for using a pump

• Do not use the pump if you have an infection or inflammation in the affected limb.
• When using the pump, support your arm or leg on the arm of your chair or rest your leg up on a settee or bed. This will help with drainage.
• If you feel pain - STOP and consult your doctor.
• Watch for any increase in swelling or thickening at the top of the limb where the pump sleeve stops. If this happens, ask for advice.