Lymphedema Therapist’s Guide to Wound Care

Lymphedema Wound Care Management 

As a lymphedema therapist, I have had the privilege of working with countless individuals who are dealing with lymphedema and various types of wounds. One of the most critical aspects of lymphedema management is proper wound care. In this guide, I’ll share my experience and knowledge in wound care, which plays an essential role in preventing infections, promoting healing, and improving the quality of life for those living with lymphedema. Keep in mind that all lymphedema care starts with orders from a doctor, making communication critical to your care. For patients, be open with your doctor and share any changes you may see or feel, no matter how small, so that proper care can be prescribed. 

Understanding Wounds in Lymphedema Patients

Lymphedema is a chronic condition that causes swelling in the affected body parts, usually the arms or legs, due to a build-up of lymph fluid. This swelling can lead to various complications, including skin breakdown and the formation of wounds. Wounds in lymphedema patients often take longer to heal and are more prone to infection.

Types of Wounds

  • Venous stasis ulcers: These ulcers often occur in the lower legs and are caused by poor circulation and increased pressure in the veins.
  • Lymphorrhea: Lymph fluid leakage through the skin, creating a moist environment that can lead to skin breakdown and infection.
  • Pressure ulcers: These can develop from prolonged pressure on the skin, leading to tissue damage.
  • Surgical wounds: Incisions or wounds resulting from surgical procedures.
  • Traumatic wounds: Cuts, abrasions, or punctures caused by accidents or injuries.

Wound Care Principles

Assessment: Regularly assess the wound to monitor its progress, identify any signs of infection, and determine the appropriate treatment.

Cleansing/Debriding: Gently clean the wound with a saline solution or a mild soap and water, removing any debris or dead tissue.

Moisture management: Maintain an appropriate moisture balance in the wound bed by using dressings that keep the wound moist while preventing maceration of the surrounding skin.

Infection control: Use topical antimicrobials or antibiotics, as prescribed by a healthcare professional, to prevent or treat infections.

Compression therapy: Utilize compression garments or bandaging to manage swelling and improve blood flow, which is essential for wound healing.

Nutrition: Encourage a balanced diet rich in vitamins, minerals, and protein to support the body’s natural healing process.

Patient Education and Support

As a lymphedema therapist, it is crucial to educate patients about the importance of proper wound care and lymphedema management. Encourage patients to follow the recommended wound care regimen, adhere to compression therapy, practice good skin hygiene, and maintain a healthy lifestyle.

Functional Transformation Mobile Rehab offers support and guidance throughout the healing process, addressing any concerns or questions the patient may have. Connecting patients with support groups and resources can also be beneficial in fostering a sense of community and providing additional information on managing lymphedema and wound care. 


Wound care is a vital aspect of lymphedema management. As a lymphedema therapist, I am dedicated to helping patients navigate the complexities of wound care to prevent complications, promote healing, and improve their overall quality of life. With the right knowledge, resources, and support, patients can successfully manage their wounds and lymphedema, leading to better health outcomes and a greater sense of well-being.

Author: James Ferrara

James Ferrara is both an Occupational Therapist and Certified Lymphedema Therapist. He has spent years honing his craft in this industry, and will be able to help you improve your mobility. His education and experience in the industry includes:

20+ Years Therapy Experience, 6+ Years Outpatient Therapy Experience,11 Years Home Healthcare Experience,Occupational Therapy Master Degree and Certification for Lymphedema Therapy from the Academy of Lymphatic Studies, Certified Therapist for LSVT BIG®, Parkinson’s Wellness Rehab – PWR, Spalding University graduate since 2006, Sarasota School of Massage Therapy graduate since 2001, Athletic Training Degree from Illinois State University since 1998, Certified Lymphedema & Wound Therapist – International Lymphedema & Wound Training Institute

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