The causes of lymphostasis in the lower extremities are directly related to its classification. So, the primary form and the secondary form are distinguished.
|Primary lymphostasis||Secondary lymphedema|
|It develops from birth due to congenital pathologies of the lymphatic system. Progression develops throughout life.||It begins to develop due to violations of the lymphatic system, which have been established during life, possible foot injuries and other provoking factors. Moreover, the development may not be due to failures in the lymphatic system.|
Let us consider in more detail the causes of each species.
The primary form of lymphatic edema of the legs appears due to:
- narrow vascular lumen (small diameter of blood vessels);
- abnormal structure of lymphatic drainage – doubling, their fusion;
- underdevelopment of the lymphatic system at the level of genetics;
- the presence of tumor formations in the lymphatic system;
- a small amount of lymphatic drainage.
The second lymphedema begins to progress due to:
- common mechanical effects on the lower limbs and, as a result, injuries – bruises and fractures;
- skin inflammation of the legs;
- the effects of leg surgery;
- obesity, overweight;
- the presence of parasites in the lymphatic ducts that disrupt the movement of lymph through the vessels;
- protein deficiency;
- deviations in the work of the heart and kidneys – heart and kidney failure, respectively;
- sedentary lifestyles, including permanent recumbent modes in the hospital:
- operations on the chest and mammary glands, for example, interventions to remove them – mastectomy;
- diseases of the vascular system – varicose veins, thrombophlebitis and thrombosis.
Depending on the causes, primary and secondary lymphostasis is secreted.
In the first case, the pathology is formed due to a failure of the intrauterine development of the lymphatic system. Classification of this type of violation:
- hypoplasia – the underdevelopment of lymph vessels, because of which lymphostasis of the upper extremities is often formed;
- agenesis – complete absence;
- obstruction – obstruction;
- valve insufficiency
Features of primary lymphostasis:
- one or both limbs may be affected;
- manifestations already manifest in children, and in adolescence they increase.
Secondary lymphostasis occurs against the background of any pathologies. It can occur at any age. More often it is identified from the side of one limb.
Lymphostasis is also classified according to the stages of development:
- the first is unexpressed, periodically disappearing swelling of the tissues;
- the second – puffiness is irreversible;
- third – massive tissue edema develops in the form of elephantiasis, or lymphedema.
Lymphedema is mainly detected in women (lymphostasis of the hand after removal of the mammary gland). If lymphedema has formed in the age group of 15-30 years – this is its youthful form, after 30 – late.
By etiology, the following types of lymphostasis are distinguished.
Primary. It is caused by hereditary diseases of the lymphatic system. In particular, vascular obstruction, valve insufficiency, underdevelopment or absence of any part of the lymphatic system (agenesis), hyper – and hypoplasia of the lymphatic channel. Genetically determined pathology occurs in early childhood and grows over time. Most often, one arm or leg is prone to primary lymphostasis, less often both.
Secondary lymphostasis. It is a dysfunction of the initially normal lymphatic system. The disease occurs as a result of etiological factors that appear at different times in life – injuries and diseases of an inflammatory or post-traumatic nature. Lymphedema usually develops in one limb, starting with a small swelling in the ankle, and gradually spreads to the lower leg.
The first stage is a spontaneous (due to internal causes) edema, characterized initially by pastiness (prophylaxis). A relatively small lymphedema occurs during the day and is located slightly above the ankle. After night, subcutaneous tissue restores its volume, edema subsides, but appears again in the afternoon. Over time, the disease progresses.
2nd stage. Lymphedema becomes irreversible, talking about the transition of the disease into a more pronounced form. The edema is significant, and by morning does not completely subside. Due to the growth of connective tissue, hardening of the skin develops, which becomes stretched and dense. Palpation of the affected area causes pain.
3rd stage – elephantiasis. A pronounced edema is observed, leading to a significant increase in the volume of the limb, deforming osteoarthrosis, fibrosis. After a mastectomy, lymphatic edema can go into the form of acute, transient, lasting up to six months from the moment of surgery, or into the stage of progressive, chronic, persisting for many years.
Most often, lymphatic edema is localized in the legs, less often in the mammary glands, on the face, in the scrotum. Reported cases when the entire body underwent lymphostasis. The clinic is determined by the stage of the disease.
Stage 1 (mild) is characterized by moderate systematic edema, which appears in the evening and passes in the morning. The severity of lymphedema increases with prolonged immobility, after a long standing on legs, prolonged physical exertion.
Pain in the first stage is absent, but there is a feeling of fullness of the leg inside. Due to significant stretching of the skin, its surface takes a glossy, smooth look. No visible connective tissue growth is observed, irreversible changes are absent, but the disease progresses.
The 2nd (middle) stage is manifested by constant, pronounced lymphedema, dense, stretched skin, pigmentation in the area of impaired lymphatic outflow, increased skin sensitivity up to pain when touched, overgrowth of connective tissue. Trophic disorders are absent. Pressing the swelling with your finger leaves a long lasting dent.
With persistent lymphostasis, increased fatigue of the affected limbs, convulsions are noted. Due to impaired lymph flow and blood circulation, inflammatory processes develop in the edematous tissues. Severe edema causes dry skin, microcracks. Local inflammations manifest themselves as red, tactilely hot spots. Due to the formation of fibrous cords and their connection with subcutaneous tissue and fascia, the skin at the site of edema cannot be shifted or folded.
The 3rd stage of lymphostasis is characterized by persistence and irreversibility of pathological changes in lymphatic drainage. There is a large increase in the volume of sick limbs (elephantiasis), their motor function is impaired, cystic formations occur. Developing deforming osteoarthrosis with impaired joint mobility due to the formation of contractures. Complications in the form of eczema or erysipelas caused by staphylococcal infections are frequent.
In 70% of patients undergoing radical mastectomy, there is a lymphostasis of the hands. An ectomy of the lymphatic vessels and regional nodes together with the pectoral muscle, undertaken to exclude the spread of metastases, often causes lymph congestion in the tissues of the arm and shoulder. Persistent swelling occurs, sometimes with the release of fluid through postoperative sutures. The result can be lymphosarcoma or generalized sepsis with a fatal outcome.
Diagnostics. Identification of the causes of upper limb lymphostasis
The basis for the diagnosis are the data of the clinic and studies prescribed by the doctor.
With lymphedema, a chest x-ray is performed. With edema localized in the legs, ultrasound of the abdominal cavity and pelvic organs.
Differential diagnosis involves the exclusion of thrombosis and postphlebitis syndrome using ultrasound ultrasound (Doppler ultrasound) of leg veins.
Determination of patency of the lymphatic channels and the location of the lymphatic block is carried out using x-ray lymphography and lymphoscintigraphy. Sometimes MRI and CT are used.
To study the composition of the blood, a general and biochemical analysis is performed.
If the pathology affects the upper limbs, examine the organs of the chest cavity, with damage to the lower extremities – the organs of the abdominal cavity, as well as the pelvis.
To clarify in more detail the place in which the lymphatic block developed, the following are carried out:
- CT scan;
- Magnetic resonance imaging;
- bacteriological examination (practiced with erysipelas of the lower leg with lymphostasis and other infectious complications).
It should be found out that edema has occurred due to lymphostasis or venous diseases. In the latter case, these are pathologies:
- thrombosis (blockage) of deep veins;
- PTFS – postthrombophlebitis syndrome;
- varicose veins disease of the lower extremities
Diagnosis always begins with an examination of the patient and collecting an anamnesis, the patient talks about his symptoms. Next, the doctor prescribes instrumental diagnostics.
- Lymphography It allows you to find out what state the lymphatic system is in – the number of vessels, their patency and shape. In fact, this is an x-ray performed under the influence of a contrast medium. It is introduced between 1 and 2 toes of the foot, having previously performed an incision. Next, take a picture. Under the condition of normal vascular patency, the contrast agent will fill all the vessels, and they will not change their size and shape. In this case, they speak of deviations in the work of the contractile apparatus. In the primary form of pathology, poor vascular development is observed, and in the secondary, the vessels change, their work is disrupted, the contrast medium is located outside the vessels, up to the subcutaneous tissue.
- Radioisotope diagnostics – lymphoscintigraphy. Pictures are taken with a special gamma camera under the action of an isotope material previously introduced under the skin into its fiber. The method determines the state of the lymphatic system in motion and the nature of the lymph flow: trunk, diffuse, collateral.
- Vascular dopplerography (doppler, duplex scanning) is an ultrasound scan to determine the nature of edema: lymphatic or venous.
Other diagnostic measures may be prescribed:
- OAC and blood biochemistry;
- examination of renal pathologies using OAM (general urinalysis);
- Ultrasound – an ultrasound of OMT (pelvic organs) to detect abnormalities (for example, tumors), which can hamper the outflow of lymph;
- Diagnosis of the heart through ultrasound and electrocardiogram.
Stagnation of lymph in the legs can be easily diagnosed. The doctor knows exactly what methods to use for this. First of all, complaints and a medical history are taken into account. Urine and blood tests, the biochemical composition of blood, ultrasound of the kidneys and liver are considered mandatory, and the state of the heart is assessed. If no problems have been identified, then the doctor may prescribe additional tests:
- Lymphography allows you to determine the quantity and quality of blood vessels, as well as analyze their ability to let liquids pass through them.
- An excellent method is lymphoscintigraphy. Such diagnostics are aimed at obtaining information on the lymphatic flow and the state of the valvular vascular system.
- Using dopplerography, the vascular bed is examined, for this a special contrast medium is introduced into the body.
As soon as the doctor reveals lymph congestion in the legs, treatment becomes an inevitable condition for returning to a normal lifestyle.
A lymphologist is involved in the diagnosis of lymphostasis and subsequent therapy.
A lymphologist is involved in the diagnosis and treatment of lymphostasis, but such a specialist can only be found in large cities, so most often patients with this pathology are taken by a phlebologist (vessel specialist) or surgeon. An experienced doctor is able to make a preliminary diagnosis already at the first examination of the patient, based on the external signs of the disease. But for absolute confidence in it, it is necessary to conduct a number of studies, including:
- blood tests – to determine indicators such as erythrocyte sedimentation rate (excess of the norm signals the presence of an inflammatory process), platelet count (determines the blood viscosity index, which affects blood and lymph circulation);
- urine tests – to exclude the connection of leg swelling with kidney disease;
- X-ray lymphography, computed and magnetic resonance imaging of the lower extremities provide detailed information about the severity and nature of the pathological processes;
- differential diagnosis to exclude deep vein thrombosis or postphlebitis syndrome.
After receiving the results of the examinations, the doctor decides which treatment methods should be used in this case. At the same time, he takes into account both the stage of development of the disease and the patient’s condition and the presence of concomitant pathologies.
In the early phases of lymphostasis, in the absence of obvious changes in tissue structures, conservative treatment is indicated. In severe forms of the disease, it is also carried out after surgery. During therapy, phlebo- and angioprotectors (antistax, detralex, troxevasin, venoruton) are used. Drugs reduce vascular permeability, improve microcirculation, normalize metabolism in the walls of blood vessels. Peripheral circulation is restored using vasodilating (vasodilating) agents – xanthinol nicotinate, trental.
Trophic (cellular tissue nutrition) is normalized by the use of enzymes (hyaluronidase). The treatment is supplemented with vitamins and immunostimulants. Diuretics are not used, since a decrease in blood volume can provoke a metabolic disorder. In the presence of concomitant bacterial and fungal infections, antibiotics and antimycotic drugs are prescribed. For toxic ulcers and eczema, local treatment is used.
Treatment of lymphostasis of the legs involves bandaging and the use of compression knitwear. A good therapeutic effect is given by lymphatic drainage massage and physiotherapeutic procedures – laser-magnetotherapy, hardware pneumocompression, hydromassage. It is necessary to follow a diet (preference is given to low-calorie foods) and restriction of salt. Useful medical gymnastics, swimming, Nordic walking.
Types of surgical treatment
Surgical intervention is indicated in the following cases:
- with significant genetically determined pathologies of the lymphatic system;
- with failure of conservative treatment and disease progression;
- with frequent erysipelas and tissue fibrosis.
Liposuction Removal of fibrosized subcutaneous tissue by aspiration. It is indicated for moderate proliferation of connective tissue.
Islet dermatofasciolipectomy. Excision of the affected skin with fibrous tissue, fascia and subcutaneous fat. Before islet dermatofasciolipectomy, several liposuction is performed. The postoperative wound is closed with skin patches preserved in the operation zone or taken from other parts of the patient’s skin.
The creation of lymphovenous anastomoses. These are shunting operations to connect lymph vessels with veins to improve lymph outflow. They are used for secondary lymphostasis, which develops mainly during radiation therapy of lymph nodes or after mastectomy. With primary lymphostasis, lymphovenous anastomoses do not give an effect. The essence of the operation is to connect the vessels of the lymphatic channel with the nearest vein by creating thin microanastomoses.
Tunneling. Creation of moves in tissues affected by lymphostasis to drain accumulated lymph beyond the borders of the affected area. Allocated lymph is absorbed into intact lymph vessels, which leads to the removal of edema.
Temporary tunnels are special prostheses or spiral drainage. To create permanent tunnels, spirals made of special inert material or sections of saphenous veins are used.
Tunneling is indicated in the advanced state of lymphedema, when it is not possible to apply other methods, which were mentioned above. The effect of tunneling is temporary.
In primary lymphostasis, a tissue lymphoid complex transplant is used. The essence of the operation is that a skin flap with fasciola and healthy lymph vessels and nodes is transplanted onto the affected area. This ensures the outflow of lymph through intact nodes and vessels that perform the function of drainage.
After surgery, additional drug treatment is performed. Each patient with lymphostasis should be observed by an angiosurgeon. The need for maintenance therapy usually persists throughout life.
Prophylaxis and prognosis
Prevention of lymphostasis is a whole range of activities. At its core:
- prevention, detection and treatment of diseases of blood vessels, heart, kidneys;
- verified surgical treatment tactics for breast cancer;
- proper treatment of wounds, prevention of their infection;
- competent skin care.
To prevent the formation of lymphostasis on the lower extremities, it is worth observing such rules.
- Monitor your diet, eat right. Try to limit the amount of salt and sweet in the diet.
- Follow the figure, avoid obesity.
- Be careful not to provoke damage to the limbs.
- Wear the right shoes, lace up without tightening too much.
- To live an active lifestyle. If sedentary work, then take at least 30-minute breaks and do leg exercises.
- Take care of the skin. If you get a wound, cut, bruise or other damage, immediately treat them with disinfectants.
Shown is the variable pneumatic compression, which is performed using a special device with a large number of cameras. This procedure helps to increase the level of pressure in the tissues, accelerates the outflow of fluid from the intercellular space.
If you do not conduct active treatment, stagnation of lymph in the legs can turn into serious complications. In the affected limbs, ulcers and dermatitis will begin to form over time, weight will increase, and the body will become vulnerable to other diseases. Naturally, there are preventive methods, they are not complicated and accessible to everyone.
It is important to lead an active lifestyle, and then you can not encounter a disease such as lymphostasis. Proper nutrition and an attentive attitude to your health will help strengthen the body and prevent the aggravation of the situation with various infections that cause deterioration of the lymphatic drainage.
Along with the circulatory system, the lymphatic system functions in the human body. Her capillaries, like blood vessels, penetrate all human tissues. Lymph is constantly moving along them – a clear liquid, as viscous as blood. The movement runs from bottom to top along the lymphatic ducts due to muscle contraction and due to the functioning of valves that impede its reverse flow.
Lymphostasis of the lower extremities (LNK) is a fairly common disease, which, according to statistics from the World Health Organization, is more likely to affect the weaker sex. Signs of lymphostasis of the lower extremities in varying degrees of severity are noted in every tenth woman. The selectivity of the disease can be explained by the fact that it was nature who placed the obligation on bearing and giving birth to offspring, and one of the factors provoking the development of a disease such as lymphostasis of the legs is a steadily increased load on them, which inevitably occurs during pregnancy.
To understand what lymphostasis of the lower extremities is and why it occurs, you need to carefully consider how the lymphatic system in the human body functions.
Lymphatic substance is a blood plasma filtration product that accumulates and removes toxins from it. From the interstitial space, it enters the lymphocapillaries, then into the lymphatic network and into the lymph nodes, from where, after cleaning, it returns to the bloodstream. In addition to the cleaning function, lymph removes excess fluid from the blood, preventing the development of edema.
Lymphostasis of the lower extremities is most common in women
Depending on what factors contribute to the manifestation of pathology, specialists distinguish primary and secondary lymphostasis. Primary lymphostasis, also called Milroy’s disease, is a rare genetic disease that can occur in representatives of the same family for several generations.
The occurrence of secondary lymphostasis of the lower extremities can be triggered by a number of reasons, among which, in addition to pregnancy:
- Varicose vessels of the legs, as well as its complications – thrombophlebitis and thrombosis.
- Cardiac and / or renal failure, against which edema occurs.
- Complication of infectious and inflammatory lesions of subcutaneous fat tissue – the development of boils and phlegmon.
- Postoperative lymphostasis of the lower extremities provokes scars in the area of the lymph nodes and blood vessels, compressing them and preventing the normal outflow of fluid.
- Neoplasms, the localization of which is the interstitial space.
Also, a sedentary lifestyle can become the cause of lymphostasis of the lower extremities. Sometimes it occurs with prolonged bed rest in people who have had a stroke or a serious injury.
For prevention, excessive load on the legs, including static, and heavy lifting should be avoided. Shoes should be light and comfortable. Careful skin care of the feet, timely disinfection of abrasions, scratches and scuffs are important. In addition, it is necessary to abandon bad habits – overeating, smoking, abuse of alcoholic beverages.
The answer to the question of whether lymphostasis of the lower extremities can be cured depends on the stage of the pathology. It is possible to completely get rid of the disease only at an early stage. In the future, the use of therapy can slow down the course of the disease, allowing a person to remain able to work and lead an active lifestyle.
Causes of appearance
Pathology is divided into 2 stages. The causes of inflammation and swelling of the lower extremities up to the foot in humans with lymphostasis are listed below:
- The diameter of the vessels damaged by the disease with lymph gradually decreases.
- The number of pathways whose function is to ensure the outflow of lymphatic fluid is reduced.
- Specific anomalies appear – doubling or overgrowing, in some cases obliteration.
- The presence of amniotic constrictions, which causes squeezing scars.
- Defects in the functioning of the lymphatic system, which are transmitted to humans according to genetics.
- Tumors or neoplasms of a congenital nature also contribute to the development of lymphostasis.
As mentioned above, leg disease is divided into stages. Symptoms of the disease, as well as the causes, vary in stages. Consider the signs of lymphostasis of the legs as the person worsens:
- Minor edema with lymphostasis of the legs is called lymphedema. Swelling may be non-periodic. Basically, the skin on the legs returns to normal in the morning or when resting. When the lower extremities are busy with physical activity, the edema gradually increases. In this case, the skin becomes pale, and when pressed, a characteristic fold is formed. At this stage, significant changes in the legs are not observed.
- Permanent swelling in this disease is called fibridema. With the development of lymphostasis with such edema, the patient suffers from pain and compaction in the affected area. The skin can no longer be folded. The sore spot darkens, and cramps are possible.
- At the last stage of leg lymphostasis, patients have elephantiasis. The connective tissue that is under the skin grows, so the skin on the legs becomes rough, stretched and has a blue tint. In this case, the patient periodically feels pain at the site of edema. The occurrence of ulcers and tissue death. A person can no longer bend his leg, as the joints are damaged.
Treatment with folk remedies
Lymphostasis of the legs is treated without fail after diagnosis. The best thing for a sick person is to identify the disease in time and start treatment therapy. The course of treatment is a long time. In this case, several methods are combined for therapy. Also, many doctors recommend that patients at the initial stage conduct treatment of leg lymphostasis with folk remedies.
- It is forbidden to go to the bath, sunbathe in the sun or go to the sauna. With thermal effects on the legs, blood vessels expand, therefore, blood circulation and the functioning of the lymphatic system are disturbed. Then lymphostasis develops.
- Shoes with heels are not allowed to be worn. Shoes and sandals are designed to increase the load on the legs, due to which the lymphatic flow is disturbed and lymphostasis develops.
- Conduct treatment with folk remedies. Common methods of such therapy include decoctions, compresses of honey, applying and leaving a bandage soaked in salt solution on a sore foot for the night. The traditional treatment of lymphedema with a decoction of dandelion leaves or licorice root is quite simple – you need to take the prepared drink inside to resume the lymphatic system. Also, the mixture can be applied to damaged skin tissue.
- It is impossible for a long time to be in a sitting position, folding one leg on the other. In this position, the lymphatic and blood outflow is impaired.
- Walking without shoes on the street is prohibited. Due to negligence, it is possible to get a foot injury, due to which an ulcer on the leg is formed, and subsequently lyphostasis.
- Trim your toenails on time.
- When massaging the feet or the entire lower limb, exclude kneading.
- Avoid insect bites when hiking in the forest.
Special compression underwear is designed to distribute pressure or to periodically bandage the affected legs. Basically, for this procedure, an elastic bandage or fabric from medical knitwear is used. With constant wear, the patient gradually swells and swells.
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Lymphostasis (lymphedema, lymphatic edema, elephantiasis) occurs due to an imbalance between the formation of tissue fluid and its outflow from capillaries and peripheral lymphatic vessels in the tissues of limbs and organs
. At the same time, temporary or chronic lymph congestion is formed in the skin and subcutaneous tissue in patients.
Along with blood vessels in our body there is a system of lymphatic vessels, on which the human immunity mainly depends. A clear, colorless fluid that fills the lymphatic system is called lymph. The main function of the lymphatic system is to conduct lymph from the tissues into the venous bed (conduction function), as well as the disposal of foreign particles, bacteria, cell breakdown products, etc. (protective function) that enter the body.
Blood pressure maintained by the heart and blood vessels allows fluid to leak from the blood capillaries into the tissue. Under normal conditions, excess tissue fluid enters the lymphatic capillaries and is thus removed in a timely manner. The accumulation of tissue fluid is manifested in the form of edema.
Lymphostasis is especially dangerous because various infections quickly develop against the background of lymph stagnation. Through any minor wound on the skin, the infection can penetrate the tissues very quickly.
Unfortunately, there is no single protocol for treating lymphostasis today, although therapy is being carried out. Its purpose is due to:
- Stopping the progression of the disease;
- Normalization of metabolic processes;
- Prevention of the development of deep lesions and complications.
The treatment is individual and complex, due to the different genesis of the pathology. The first step is to eliminate the causative factor (sometimes by the operational method, eliminating neoplasms that impede the movement of lymph).
The use of drug therapy in the treatment of lower limb lymphostasis is advisable only in the early stages of its manifestation, when there are no structural changes in the tissue and skin structure, or as an addition in the postoperative period. Its goal is to reduce the secretion of lymphoid fluid and restore its free movement with the help of various medications:
- Drugs that improve the processes of lymph circulation – Detralex, Venoruton, Troxevasin.
- Normalizing blood circulation in micro vessels – Trental and peripheral vessels – Teonikola, Drotaverina or No-shpa.
- Providing a conclusion of a lymph from interstitial space – “Nicotinic acid” or “Coumarin”.
- Means that ensure the normalization of metabolic processes and tissue traffic – Troxerutin, Hyaluronidase and Reopyrin.
- Blood thinners – “Curantila” and stimulating the immune functions: “Amber acid”, “” and various vitamin complexes.
- Antibiotics, with the addition of erysipelas.
In addition to conservative treatment, physiotherapeutic treatment methods are prescribed in the form of electro, magneto, laser stimulation and pneumatic massage. That allows you to speed up metabolic processes and normalize the flow of lymph through the system. In combination with drug treatment of lymphostasis, these procedures contribute to the normal restoration of lymphatic outflow and the strengthening of the vascular walls.
In the treatment of lymphedema in the lower extremities, including the treatment of lymphostasis after mastectomy, along with drug therapy and physiotherapy, bandaging of the limbs with elastic tape and the use of compression therapy (the use of compression underwear) are mandatory.
How can you help yourself?
massage and compression underwear
Treatment of lymphostasis of the lower extremities at home is possible only at the initial stage of the development of the disease. Various kinesiotherapy techniques (active and passive) recommended by the doctor – active kinesiotherapy in the form of therapeutic exercises selected by a specialist and passive techniques in the form of massage can be used. Therapeutic massage can be carried out independently, or with the help of households.
Massage should be started with light circular stroking of the limb only with upward movements. Since the lymphatic system does not have a valvular apparatus, the movement of the lymph provides a difference in pressure, and it is this function that the hands should perform.
Then come not too zealous kneading, patting and rubbing. Massage movements alternate with stroking actions.
By stroking and finishing the massage session.
As an addition to treatment, it is possible to use recipes of traditional medicine, in the form of compresses from cabbage leaves, plantain, birch and immortelle, brewed and infused for half an hour.
About nutrition and diet
Treatment of lymphostasis will not be successful even in its initial stage, if you do not carry out a correction of the diet aimed at reducing the patient’s excess weight, exacerbating the clinical picture and restoring normal processes in the vascular system. For this, the diet recommended by the scientist M. I. Pevzner is suitable, the diet of which consists of a balanced and full-fledged piranha, which has a beneficial effect on blood circulation functions.
At the same time, you should abandon the solarium procedures, visit saunas about public baths, uncomfortable and tight shoes and clothes, exclude heavy lifting, avoid situations where you need to be in a standing position for a long time, or sit in an uncomfortable position.
The result of untimely initiation of treatment for lymphostasis is disability. In addition, the timeliness of identifying the causative factor and adequate treatment will be able to protect patients from the development of infectious processes, a prerequisite for which are erosion, ulcers and ordinary wounds on the edematous surface of the skin.
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Sometimes a person has lymphatic congestion in the legs, treatment in this case should be mandatory, as this greatly complicates the movement. In no case should the disease be considered only a cosmetic defect, because this is, first of all, a serious threat to life and health. The fact is that the lymphatic system performs many functions in the human body:
- First of all, with the help of this system, secondary absorption and return of protein to the blood is carried out.
- With the help of lymph, metabolism is carried out in the intercellular space.
- Lymph nodes play the role of protection against bacteria and viruses.
- In the intestines, fats are absorbed into the lymph.
When changes and malfunctions associated with lymph occur, a person can immediately feel a malfunction in his body.
Given all the symptoms and discomfort that a person experiences, all methods are good for getting rid of a disease such as lymph congestion in the legs. Treatment with folk remedies is used actively, but only as an adjunct to medication. Consider the basic recipes of traditional medicine:
- Chopped garlic is mixed in equal proportions with honey and aged in the dark for a week, after which the resulting medicine is taken one teaspoon per day three times.
- Plantain improves blood circulation. Finely chopped leaves pour 0,5 l of boiling water, leave overnight, and already in the afternoon they drink in small portions all the contents.
- It is recommended to drink tea from the leaves of currant and rosehip in unlimited quantities.
- If it is necessary to reduce the stagnation of lymph in the legs, treatment necessarily includes baths with a decoction of a string and pharmacy chamomile, they must be done every day for a long time, but the result will pleasantly surprise.
The correct way of life, a diet with the use of vegetables and fruits, as well as everything that will help improve blood flow, must be applied every day, and then the disease will recede.
The course of conservative therapy of lower limb lymphostasis includes medication and physiotherapy.
How to restore lymph drainage by folk methods
- heart failure;
- glomerulonephritis and other kidney pathologies (causes of lymphostasis of the legs);
- hypoproteinemia – a lack of protein in the blood;
- arteriovenous fistulas – pathological passages between arteries and veins;
- lymphadenitis – inflammation of the lymph nodes;
- lymphangitis – inflammation of the lymphatic vessels;
- extended mastectomy in women – removal of the mammary gland (lymphostasis of the arm occurs after mastectomy);
- prostate cancer in men
- overweight and obesity
- tumors of the pelvic organs
- erysipelas of the lower extremities
- previous surgery for cancer with the removal of regional lymph nodes and ducts (breast cancer, tumors of the chest cavity, etc.)
- various injuries to hands and feet (including frostbite and burns)
- heart or kidney disease (e.g., hypertension and pyelonephritis)
- Congenital is associated with genetic disorders. It often happens that the symptoms may not appear until hormonal changes begin.
- Acquired lymphostasis can develop at any age.
Any person can be at risk, since there are actually many reasons for the occurrence of the disease.
There are many reasons for impaired lymph flow:
- In the human body, various lesions may occur, accompanied by tumors, because of this, the fluid in the vessels cannot move quietly.
- If the lymph nodes were injured.
- A person leads a sedentary lifestyle and moves a little.
- Violation of patency in the vessels themselves.
- Infectious diseases that occur in severe form.
- Blood vessel constriction.
It is worth noting that each person has their own way stagnation of lymph in the legs. Treatment and causes mainly depend on the stage of the disease.
- The first stage is mild and does not cause any concern. A sick person can notice swelling in the legs only at the end of the working day, but the tissues remain soft and all symptoms disappear by the morning. In the first stage, the disease can be completely cured.
- In the second stage, many patients already begin to seek the help of a doctor. Soreness in the legs begins to appear gradually, and edema does not subside overnight. The skin on the legs seems taut and dense, and if you press on it, then the fossa does not disappear for a long time.
- The third stage is characterized by a violation in the lymphatic system. The general condition of a person significantly worsens, pain appears not only in the legs, but also in the joints.
As soon as the first symptoms of this insidious disease appear, you should immediately consult a doctor who will diagnose and help restore the lymphatic flow.
The disease in question is a defect in the functioning of the lymphatic system, in which there is a violation of lymph circulation.
The vessels, capillaries, and also the ducts of the lymphatic system (including the thoracic canal and collector) can be involved in the degenerative process.
The accumulation of lymphatic fluid in the tissues leads to strong and persistent swelling (lymphedema), compaction of the subcutaneous tissue, coarsening of the skin, and the formation of cracks and ulcers.
All causes of leg edema – in which diseases can legs swell?
According to statistics, this disease is more often diagnosed in the female part of the population.
In 90% of cases, the lower limbs act as the center of localization of pathological phenomena.
Effective methods of treating lymphostasis today – is it possible to cure lymphatic edema at home?
Among other things, extensive lymphatic edema does not affect the patient’s appearance in the best way, which provokes a lot of complexes and psychological disorders in him.
But this does not end there.
In some cases, lymphostasis becomes the cause of the following exacerbations:
- Involvement in the pathological processes of neighboring tissues.
- Infection of blood with infectious agents, during which sepsis develops.
- Trophic ulcers, the treatment of which requires a lot of time and effort.
- Cancerous lesion of the anatomical structures of the lymphatic system, – lymphosarcoma. It occurs with advanced forms of lymphostasis.
Primary lymphostasis is congenital in nature, and arises as a result of the following phenomena:
- Miserable diameter of the lymph vessels: lymph cannot circulate freely.
- Errors in the structure of the lymphatic channels and / or their insufficient number.
- Genetic factor.
- Pathological neoplasms in the anatomical structures of the lymphatic system, which are congenital in nature.
- Scarring of tissues against the background of amniotic constriction. Scars, in turn, can compress blood vessels, disrupting normal lymphatic drainage.
The following phenomena can provoke acquired lymphostasis:
- Bed rest, in which parts of the body remained immobilized for a long period of time.
- Serious malfunctioning of the heart and / or kidneys.
- Complicated course of varicose veins.
- Venous insufficiency, which is chronic.
- Postponed deep vein thrombosis, which entailed difficulties with venous outflow.
- Damage to the channels of the lymphatic system during surgical procedures, burns. This also includes fractures, dislocations, bruises.
- Inflammation in the lymph nodes or trunks and capillaries, in which the infiltrate compresses some vessels, causing valve failure and expansion of others.
- Surgical elimination of the mammary gland in case of its defeat by cancer cells. During such an intervention, as a rule, the operator also removes the lymph nodes in the axillary zone in order to prevent metastasis. In women who survived the indicated operation, lymphatic edema of the upper limb occurs in 20-40% of cases.
- Removal of lymph nodes located in the inguinal-femoral areas.
- Cancer of the skin.
- The development of oncological processes in the prostate.
- Infectious diseases provoked by parasites. This is especially true for residents of countries with a tropical climate, where mosquitoes are found.
- Purulent-inflammatory processes on the skin and / or mucous membranes. In particular, phlegmon and erysipelas are ranked here.
About nutrition and diet
- Detralex, Vazoket, Phlebodia – phlebotonics that improve the metabolism in the tissues of the legs.
- Troxevasin, Troxerutin, Venoruton – drugs that increase the tone of the veins, the best result is shown at the initial stage of the disease.
- Curantil, Trental – blood-thinning agents that alleviate congestion and prevent the formation of blood clots.
In addition, diuretics are prescribed to relieve edema. Since the systematic use of such drugs causes potassium deficiency in the body, the doctor usually recommends taking them simultaneously with potassium-containing drugs (potassium orotate).
Physiotherapy for lymphostasis includes magnetic and laser therapy, hydrotherapy (hydromassage), ultraviolet irradiation of autologous blood.
With lymphostasis, magnetic and laser therapy show good efficacy.
Also, a good effect in lymphostasis is performed by a professional masseur, and physiotherapy exercises, which must be done constantly at least twice a day. It is advisable to enter the complex on a stationary bike or cycling.
It is necessary to constantly wear compression hosiery – golf or stockings, which should be worn in the morning, before getting out of bed.
Another way to treat and prevent the progression of lymphostasis of the lower extremities is hirudotherapy (treatment with leeches). The procedure should be performed by a qualified specialist, using animals specially grown in sterile conditions. Their repeated use is excluded.
Dietary nutrition for lymphostasis of the lower extremities should include dairy products, lean meats and fish, chicken eggs, vegetables and fruits. Excess in the diet of sugar, confectionery, fatty foods, hot spices and salt is undesirable. Frying as a way of cooking is not recommended.
In the absence of positive dynamics of conservative treatment, surgical correction is indicated to improve the outflow of lymph from the lower extremities. The operation is performed by a vascular surgeon in a hospital.
Alternative treatment of lymphostasis can only be done in the initial stages of the disease
The use of traditional medicine at home is permissible in the initial stages of the disease, after a mandatory consultation with your doctor. This primarily includes herbal medicine – treatment with plant materials. Traditional healers recommend the following recipes:
- Chopped licorice root (10 g) pour a glass of boiling water and put in a water bath. After 30 minutes, remove from heat, strain, cool and add water to the original volume. Take a tablespoon three times a day for three weeks.
- Dilute apple cider vinegar in half with water and massage the legs with them in the direction from the bottom up to the inguinal lymph nodes. Massage should be soft, without pressure.
- Mix the baked onion crushed into gruel with pharmaceutical tar, put the resulting ointment on the problem area of the leg, fixing it with a bandage. It should be applied at night, washing off in the morning with warm water.
There are simple exercises that can be done even at home. But it is only important to remember that during the exercise it is worth using an elastic bandage or special underwear. Let’s consider in more detail how to treat lymph congestion in the legs of the house with the help of exercises:
- A great exercise is the bike. To do this, lie on your back, and raise your legs up and simulate pedaling.
- Lying on your side, you can do several swings with straight legs, it is enough to make several of these swings on one side, and then on the other.
- Lying on the floor with legs stretched straight, it is necessary to make movements: feet pull the socks in different directions.
- Lying near the wall to raise legs so that they are at an angle of 90 degrees, in this position you need to spend about ten minutes.
Charging is calculated for only 20 minutes, but this will be enough to feel better after a while.
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