Skin care and lymphoedema

Good skin care plays a vital part in the treatment of lymphoedema|. Lymphoedema can make the skin become dry and itchy and it may crack. Good moisturising can help to prevent this.

You can buy suitable creams from your local chemist or get them on prescription from your doctor. Your lymphoedema therapist can give you further advice on how to moisturise your skin.

Any break in the skin, however small, can make you more likely to get an infection. If you develop an infection (sometimes called cellulitis) the swollen part becomes red, hot and painful. You may have a high temperature, feel generally unwell and lose your appetite. Antibiotics are usually given to treat the infection and should be started immediately. You will usually need to take them for two weeks. It is important to see your doctor as soon as possible and (usually) stop all lymphoedema treatment. Remove compression garments, and rest the swollen part in a comfortable position with the whole limb supported along its length.

Tips to prevent skin damage and reduce the risk of infection

• Moisturise your skin gently every day with non-perfumed cream or oil. This helps it stay supple and in good condition.
• Avoid using needles (including acupuncture) or having injections in the affected area.
• Have your blood pressure taken on your unaffected limb.
• Wear gloves for washing up and other household tasks to avoid cuts.
• Wear gloves and long sleeves if you are gardening or handling animals so that you do not get scratched.
• Use insect repellent to prevent insect bites. If you are stung on, or near, the affected area, get medical advice.
• Use a thimble when sewing. To avoid cuts, use an electric razor when shaving hair from the swollen area.
• Cut your nails with nail clippers and use hand cream regularly.
• Never push back or cut your cuticles.
• Treat even small grazes and cuts straight away. Wash the area thoroughly and cover it if necessary. See your GP as soon as possible if you develop any signs of infection around the cut - redness, heat or inflammation.
• Excess heat can increase the swelling so try not to have your bath or shower too hot. It is also a good idea to avoid saunas, steam rooms and sunbeds and not to sit too close to a fire or other direct heat.
• To avoid burns when cooking or baking, wear long sleeves and use oven gloves.
• Avoid sunburn on the affected area.
• Use anti-fungal powder to prevent athlete’s foot.
• See a chiropodist for foot and nail care if you need extra help and let them know you have lymphoedema. Make sure you wear well-fitting shoes to avoid blisters.