Leg lymphostasis symptoms. Lymphostasis of the lower extremities - causes, symptoms, how to treat swelling of the legs

Lymphostasis lower limbs- this is tissue swelling caused by a violation of the outflow lymph fluid from capillaries and peripheral vessels of the legs. In people with a congenital or acquired disease of the lymphatic system, the evacuation of lymphatic fluid is disrupted, which leads to an increase in the size of the affected limbs.

Lymphostasis (lymphedema) is of two types:

1. Congenital. Primary lymphedema is characterized by a congenital defect of the lymphatic ducts, valve insufficiency and underdeveloped blood vessels, which lead to blockage of the outflow channels. Primary lymphostasis of the lower extremities appears from childhood and can affect one or both sides at once.
2. Acquired. Secondary lymphostasis is damage to the healthy lymphatic system after certain diseases, injuries or surgery. Mostly develops only on one side at the instep or lower leg.

Failure of lymph circulation, leading to fluid retention in tissues, is observed in pathological disorders and diseases of the body, and is the cause of secondary lymphostasis:

• heart failure;
• kidney disease;
• hypoproteinemia;
• venous insufficiency;
• arteriovenous fistulas;
• postthrombophlebitic syndrome.

Lymphostasis of the lower extremities can be a complication after surgery, radiation therapy and trauma of different nature. Disruption of lymph outflow can occur from compression of inflammatory infiltrates in tumors.

Stages and symptoms of the disease

Lymphostasis of the legs is characterized by a gradual development, during which 3 stages with different symptoms are distinguished.

First stage

The first degree of the disease is called lymphodermatitis, it is characterized by a slight accumulation of lymph fluid. Minimal and soft swelling of the toes, arch of the foot and lower leg appears, which disappears under the influence of cold and after rest. In some cases, a fold of skin may form in the area of ​​swelling.

The patient at the first stage does not experience any particular discomfort: there is no pain or heaviness in the legs.

Second stage

Gradually, the disease progresses to the second stage of development - fibrodermatitis. During this period, the nature of the edema becomes constant, and painful compactions are observed. The patient experiences difficulty in flexion and extension of the limbs. Constant heaviness in the legs becomes unbearable, the skin becomes rough and does not fold. This signals the beginning of the proliferation of connective cells in the tissues of the legs.

You can already notice a significant increase in leg circumference. After standing on your feet for a long time, cramps occur in the calf muscles and foot joints. There is blue discoloration and thickening of the skin, the cause of which is excessive formation subcutaneous tissue. In places of constant contact with clothing, ulcers form, from which lymph oozes.

Third stage

The final stage of leg lymphedema is called elephantiasis. Excessive proliferation of connective cells deforms the limb and increases its size. The symptoms are clearly expressed: the stratum corneum of the skin increases, warts and age spots appear on it. The affected limb has no contours, fibrosis and cystic changes progress in the tissues.

A patient with the third stage of lymphastasis cannot move freely, joint mobility is limited. Loss of ability to work becomes the reason for the assignment of disability.

The consequences of lymphedema become irreversible. Treatment is given to relieve symptomatic manifestations and reducing the risk of complications, including: eczema, osteoarthritis, trophic ulcers, contractures and erysipelas.

Diagnostic methods

Swelling of the legs and symptoms characteristic of lemphedema may occur for other reasons. Therefore, before treating lymphostasis of the lower extremities, it is necessary to consult a phlebologist and complete diagnosis. To identify the disease and determine the severity, a set of studies is carried out:

• external examination and analysis of symptoms;
• Dopplerography of blood vessels;
• Ultrasound of blood vessels of the lower extremities;
• blood chemistry;
• Analysis of urine;
• lymphography and lymphoscintigraphy.

After diagnosis, the phlebologist determines the complex therapeutic measures, helps to create a treatment menu and recommends special exercises that can be performed at home. The prognosis of the disease depends entirely on timely treatment.

Complex of treatment for lymphostasis of the lower extremities

The first task of the doctor is to eliminate the cause of the disorder in the lymphatic system.

In the treatment of the disease itself, extensive therapeutic complex, which includes: pharmacotherapy, nutritional therapy, special exercises, massage and wearing compression garments.

Conservative therapy is used only for lymphodermitis and at the beginning of the development of fibrodermatitis; in more advanced cases, surgical treatment is indicated.

Drug treatment

Pharmacotherapy of leg lymphedema is the use of drugs of different groups to improve lymph flow and blood circulation, strengthen and increase the elasticity of the walls of blood vessels:

• Phleboprotectors. To increase vascular tone and regulate microcirculation in tissues, the following drugs are used: Detralex, Troxevasin, Troxerutin in the form of ointment.
• Enzyme preparations. They have anti-edematous, anti-inflammatory, fibrinolytic effects. Medicines: Wobenzym, Phlogenzym.
• Angioprotectors. They increase tone and strengthen the walls of lymphatic vessels, thereby reducing the intensity of edema formation. The drugs used are Aescusan, Aescin, Venitan.
• Antiplatelet agents. Medicines used to thin the blood: Curantil, Trental.
• Diuretics. Diuretics are prescribed with caution: Uregit, Torasemide.
• Antibiotics and glucocorticosteroids. Indicated in the presence of trophic ulcers, erysipelas, eczema. Choice medicine It depends entirely on the individual case.
• Regenerants. Stimulate collagen activity, renewing the growth of healthy cells in the walls of blood vessels. Helps reduce swelling. Ointments used: Solcoseryl, Actovegin.

In parallel with the main treatment, a complex of vitamins and immunomodulators is prescribed.

The reasons for using surgery are advanced cases in which drug treatment does not bring the desired effect. Practiced methods:

• Liposuction, lipectomy - in order to restore the functionality of the limb, excess subcutaneous fat is removed;
• Lymphovenous anastomosis - anastomoses are created between the venous and lymphatic systems. This method allows for additional lymph outflow.

Surgical operations are not performed against the background of progressive cancer and erysipelas.

Compression and kinesitherapy

This method of therapy involves applying increasing pressure to the upper part of the affected limb on the skin and subcutaneous tissue. In a hospital setting, it is performed using pneumatic equipment.

Massage for lymphostasis of the lower extremities is an important part conservative treatment.

During massage, using a manual or hardware method, the contraction of lymphatic vessels is stimulated, which ensures the active movement of fluid along the channel. Deep and professional massage can only be performed by specialists with medical education. The procedure is contraindicated in the presence of trophic ulcers and erysipelas.

At home, you can do self-massage and stimulate lymphatic drainage daily. The effect of the massage increases if done after taking a warm bath and warming up exercises.

The procedure begins with the application of massage cream. Light circular movements are carried out in the direction of lymph flow from bottom to top. Areas with large varicose veins and warts should be avoided. The massage is done for at least 10 minutes, after which a feeling of warmth should form in the limb. The general course is 14 days, after which a break of 10 days is required. If severe pain occurs, it is recommended to stop the procedure.

A complex of special gymnastics is added to conservative treatment, which must be performed twice a day. compression garments:

• exercise “bicycle” in a horizontal position;
• flexion and extension of toes;
• drawing “eights” with feet in a sitting position;
• rotation of the knee and ankle joints.

Medical nutrition

A diet for lymphostasis of the lower extremities involves a drastic limitation of salt, spicy, fried foods and complex carbohydrates. These products tend to retain fluid and promote fat deposition, which greatly complicates the treatment of the disease.

Meals should be balanced and fractional. It is recommended to limit animal fats to 10 g per day, and increase vegetable oils to 20 g. The diet can be enriched with vegetables, fruits, nuts, dairy products, and cereals.

The menu must include animal proteins and plant origin, which strengthen the immune system and are involved in the construction of new cells. You can prepare dishes from seafood, poultry, buckwheat and legumes.

It's important to keep track drinking regime, the total amount of liquid should not exceed 2 liters. Preference is given to filtered water, compotes, fruit drinks and herbal teas sugarless. After 20 hours you need to avoid any drinks.

Folk remedies

Conservative treatment can be supplemented folk remedies, which are used only after consultation with your doctor. It is proposed to use infusions, decoctions and compresses from available products that can easily be prepared at home:

• Plantain. Dried and crushed leaves (2 tbsp) are poured with boiling water (0.5 l) and left for 8 hours. The strained infusion is taken 3 times a day, 100 ml.
• Garlic. Chopped vegetables (250 g) are poured with liquid honey (350 g) and infused for 7 days. Take 3 times a day, 1 tbsp. l. 1 hour before meals.
• Dandelion. The crushed root (1 tbsp) is poured with boiling water (0.5 l) and boiled for 5 minutes. The decoction is taken in the morning, 100 ml. You can make compresses from a folk remedy by applying a piece of cloth soaked in the broth to the problem area.
• Bulb onions. Birch tar (2 tsp) is added to the baked and mashed onion. The mixture is spread on a gauze cloth and applied to the swollen area, left to act overnight.
• Beet. Daily consumption of juice from this vegetable will help in regulating metabolic processes in the lymphatic system.
• Rosehip, currant. The berries and leaves are brewed like tea. The drink is consumed 100 ml 2 times a day before meals. The medicine has diuretic properties.

Hirudotherapy is widely practiced in folk medicine. Before treatment with leeches, you must consult your doctor; the procedure has contraindications.

In most cases, stagnation of lymphatic fluid (lymphostasis) is observed on the lower extremities, but there are cases when pathology occurs on the arms.

Causes, stages and symptoms of arm lymphostasis

The main cause of lymph stagnation in the upper extremities is damage (removal) of the axillary lymph nodes and vessels, which often happens during surgical operations, as well as in injuries and burns. Lymphostasis of the hand in a person develops for the following reasons:

1. Benign and malignant tumors of the lymphatic system.
2. Penetration of staphylococci into the lymph flow.
3. Radiation therapy.
4. Obesity.
5. Physical inactivity.
6. Heredity.

In most women, lymphostasis of the arm develops after a mastectomy - surgery to remove the breast for oncology. The thing is that in case of breast cancer, not only the mammary gland is removed, but also nearby The lymph nodes, since malignant cells often spread to them.

Signs of lymphostasis depend on the stage of the disease:

1. Stage I: swelling of the arm is minor and is observed in most cases in the morning. The initial stage of lymphostasis responds well to treatment.
2. Stage II: The swelling increases in size, causing the arm to literally swell. Due to large swelling, there is pain in the arm and limited joint mobility.
3. Stage III: the disease is almost untreatable, and swelling causes elephantiasis of the hands - excessive growth of connective tissue. The disease is complicated by trophic ulcers and erysipelas.

Treatment

Lymphostasis of the hand requires timely diagnosis and treatment. A phlebologist and lymphologist examines a person with symptoms of this disease. If lymph stagnation occurs in a woman after a mastectomy, then she should contact an oncologist, since in this case, lymphostasis of the arm may indicate a recurrence of cancer.

Treatment of lymphostasis includes a set of measures aimed at eliminating lymph stagnation, preventing the progression of the disease and preventing relapses.

Drug therapy for lymphostasis includes taking phlebotonics, vitamins and homeopathic medications. Phlebotonics are prescribed to normalize the outflow of lymph in the patient. Such drugs include:

Lymphomyazot and Glycoside Saponin are popular homeopathic medicines for the treatment of lymphostasis of the extremities. Enzymes Flogenzym, Wobenzym can also be used for lymph stagnation. Diuretics for lymphatic edema of the extremities are prescribed in extreme cases, because after taking them, fluid accumulates in the soft tissues as soon as the medicine stops working. For inflammation of the subcutaneous tissue, the doctor prescribes antibiotics to the patient.

Trophic ulcers on the hands with lymphostasis are treated with a 1% solution of Iodopirone or a 0.2% solution of Lavasept.

A patient with lymphostasis of the arms should follow a gentle, salt-free diet. According to her rules, any spices and herbs, salt, fatty foods, semi-finished products and smoked meats should be removed from the diet. Preference is given to products with a diuretic effect. These are cucumbers, peaches, pumpkin, zucchini, watermelon, melon, tomatoes, etc.

Gymnastics and massage are mandatory components of the treatment of any lymphostasis. If a person does every day simple exercises for your hands, then recovery will not take long. To normalize the outflow of lymph in the hand, the following set of exercises for lymphostasis is recommended:

1. They take an elastic ball in their hand and begin to squeeze it rhythmically.
2. A man sits on a chair with a backrest. The healthy limb is placed with the elbow on the back of a chair, and the swollen limb hangs freely. Then you should swing your free hand back and forth and at the same time do a warm-up for your fingers.
3. The arms are spread to the sides and the palms are lowered. Then the arms are brought together behind the back at chest level.
4. You should take a small and light item, for example, a cosmetic bag. The right hand is at the right shoulder, and the left hand is placed behind the back. In this position, the cosmetic bag is thrown from one hand to the other. Repeat the exercise five times.
5. Take a bath towel in your hands and imitate drying your back.
6. The fingers are joined behind the back, and the arms are straightened at the elbows. The arms are raised and the shoulder blades are compressed at the same time.
7. You need to make slow circular movements with your shoulder joints.
8. The sore arm is raised, held for a few seconds, then moved to the side and maintained in this position for two seconds.

Massage for hand lymphostasis is simple: to carry out the procedure, you need to stand against the wall, raise your swollen hand and rest it against the wall. In the direction from the elbow to the shoulder, the hand is gently stroked with the fingers of the free hand. When performing a massage for lymphostasis, the entire surface of the limb should be worked out. Then they do the same movements, only from the fingers to the shoulder. The duration of the massage is five minutes. Perform the procedure daily.

If there is stagnation of lymph, the patient is advised to undergo treatment in a physiotherapy room. Excellent for lymphedema of the hands hardware lymphatic drainage, or pneumocompression. This technique normalizes lymph flow in the extremities. The procedure itself does not cause any discomfort. The hand with swelling is placed in the cuff of the device, after which it turns on. The pressure in the cuff moves in the direction of lymph flow in the arm, which moves the lymph fluid.

Lymphostasis can also be successfully treated with hydromassage, manual lymphatic drainage massage, laser and magnetotherapy.

Lymphostasis can also be treated with folk remedies, but only after consulting a doctor. This treatment includes the use of phytocomponents that normalize lymph flow. Recipes:

1. The onion is baked in the oven, peeled, mashed with a fork and mixed with a tablespoon of birch tar. The mass is applied to pieces of gauze and applied as a compress to the hand. The course of treatment lasts two months.
2. Take 300 grams of honey and crushed garlic and mix everything. The mass is placed in a jar and placed in a dark place for a week. The medicine is taken one tablespoon three times a day for two months.
3. One part of plantain leaves, one part of dandelion roots, two parts of immortelle flowers are taken in such a way that a tablespoon of herbal mixture is obtained. It is poured with two glasses of boiling water. The broth is stored for six hours, then it is filtered and drunk 100 milliliters four times a day.
4. Add one teaspoon of apple cider vinegar and two teaspoons of honey to a glass of warm water. Stir everything thoroughly and take the drink twice a day (morning and evening). Important: stomach (intestinal) ulcers and gastritis are contraindications for this treatment of arm lymphostasis.
5. In equal proportions you need to take sandy immortelle, astragalus, oak and birch bark and two chestnuts. Half a glass of the herbal mixture is poured with a liter of boiling water, left for several hours and taken half a glass four times a day.
6. One part of white clay in a ratio of 1:2 is diluted in water, and then the excess water is drained. The hand is generously lubricated with any vegetable oil and a layer of clay is applied on top of it. The hand is wrapped in a wide bandage and the compress is kept for four hours. The clay must be damp all the time, so the gauze should be moistened.
7. One tablespoon of crushed rose hips is poured into 0.5 liters of boiling water, the drink is infused in a thermos overnight, and the next day, a glass of the decoction is taken every 3-4 hours.

After healing of lymphostasis, a person is prescribed to wear compression stockings on his arm.

A person who has suffered lymphostasis of a limb must follow these rules in order to avoid recurrence of the disease:

1. When working with chemicals You should first put gloves on your hands.
2. To remove armpit hair, it is recommended to use an electric razor or depilatory cream. Any hair removal methods that damage the skin are prohibited.
3. Manicure should be done with sterile instruments. If you cut your finger, you should immediately apply a bandage with an antiseptic to the wound.
4. A hand affected by lymphostasis should not perform monotonous work (sewing, embroidery, peeling vegetables).
5. You can't get carried away with sunbathing.
6. It is recommended to wear loose clothing so that the arm is not pinched by the fabric.

After experiencing lymphostasis, a person should be regularly monitored by a lymphologist and phlebologist.

Lymphostasis of the hand: getting rid of it using folk remedies

Lymph, just like blood, is important for our body. A viscous, yellowish-brown substance ensures the outflow of fluid from the intercellular space. Violation of the lymphatic ducts and fluid drainage can cause the development of stagnant processes - lymphostasis, accompanied by swelling and bursting pain. One of the most common types of disease is lymphostasis of the upper extremities (arms), and the main risk group is women. Lymphostasis can be easily treated at an early stage, so you should not miss the chance to quickly defeat the disease. Traditional medicine provides great assistance in treatment.

What is hand lymphostasis

Lymphostasis of the hand is a serious disease that occurs as a result of a chronic violation of the outflow of lymph and blood circulation and is accompanied by severe constant swelling and pain in the upper extremities.

Lymphostasis, depending on the time of occurrence, is divided into:

• early, occurring in the first year after mastectomy, infection, surgery, or other cause;
• late, developing in the second and subsequent years, most often as a result of chemotherapy.

At the initial stage, the main symptom of lymphostasis is swelling of the arm, which increases during the day and disappears overnight. With moderate swelling, swelling becomes permanent, irreversible changes begin: the skin on the arm tightens and thickens, connective tissue grows, and cramps appear. The severe degree is characterized by changes in the lymphatic system, elephantiasis and fibrocystic formations appear, the functioning of the limb is disrupted, and its contours change. Lymphostasis can be complicated by the development of sepsis, leading to the death of a person.

Application of herbal medicine

Dandelion root is often used to treat diseases of the lymphatic system. Prepare an infusion from the crushed raw materials, which additionally needs to be heated over low heat for 15 minutes, then cool slightly. Soak a bandage in the resulting product, wrap your hand in it, cover with cling film and a warm scarf. Leave the compress for an hour, you need to raise your hand a little. At the same time, you need to take 100 ml of the decoction orally twice a day.

Plantain leaves are one of the most effective remedies used in the treatment of lymphostasis of the upper extremities

Plantain leaves are used to prepare a decoction. It is recommended to prepare the product in the evening and leave it to steep overnight. Take 100 ml three times a day, prepare a fresh decoction every evening for tomorrow. The course of treatment is 3-4 months.

For lotions for lymphostasis, sunflower oil is used in combination with spruce resin at the rate of 2 teaspoons per 100 ml. Mix the ingredients, place the dishes in a water bath and heat until the resin melts. The oil should not boil. After cooling the product a little, you need to dip a piece of clean cloth or bandage in it and make an application on your hand, leaving it for 2-3 hours.

A decoction of the string is used as the basis for warm hand baths. The decoction is prepared at the rate of 6 tablespoons of herbs per 4 liters of water. The procedure must be repeated every evening for a few minutes. After this, massage using lavender or peppermint oil. A bath with a decoction of birch leaves has the same effect. Massage oil is prepared as follows: chop a handful of fresh mint leaves or lavender flowers and pour 0.5 liters of any vegetable oil, close and leave for 3 days in a dark place, then strain.

An infusion of rose hips and currant leaves will help restore fluid outflow and normalize the functioning of the lymphatic system. To do this, brew a handful of the mixture with two glasses of boiling water and leave for a minute. Take the product three times a day, one-third of a glass. Pure rosehip infusion has the same effectiveness. Soak the product for 3 hours in a hermetically sealed container. Drink 100 ml during the day at least 7-8 times for 2 months.

Tea is prepared from horsetail - 1 tablespoon per glass of water. You should drink the medicine immediately after preparation, as often as possible during the day, replacing other drinks with it. The product has a diuretic effect and perfectly helps get rid of excess fluid in the body.

Other traditional medicines

Wash several raw potatoes thoroughly and grind them with their skins to form a paste. Spread the mixture in an even layer on a clean cloth or bandage and wrap your hand, securing the bandage with a towel. Leave the compress for 1-1.5 hours, placing your hand on the pillow. Carry out the procedure daily before bed for a month. Cucumber has the same effectiveness. From fresh vegetable prepare a homogeneous paste and use it as a base for a compress.

Birch tar is used in the treatment of lymphostasis in combination with baked onions, which enhances its effect

Bake the onion in the oven for minutes, remove, cool slightly and crush with a fork. Mix with one tablespoon of birch tar, put the pulp on a cloth and put a compress on your hand. Leave it on all night. It is recommended to repeat the procedure once every two days. The method helps reduce swelling and pain.

Red wine helps normalize the functioning of the lymphatic system; for this you need to drink 30 ml of the drink in the morning on an empty stomach for a month.

Mix flour, alcohol and kefir in equal proportions. Soak a clean bandage in the resulting product, apply to the areas of swelling, cover the top with cling film or a clean towel and leave for 2-3 hours.

Beetroot juice will help normalize the functioning of the lymphatic system. To do this, it is recommended to drink 150 ml of juice diluted in half with water twice a day for two to three months.

White clay wraps will help reduce painful sensations and relieve swelling. The prepared clay is diluted with water until a paste is obtained, the hand is lubricated with simple vegetable or mint oil, and the clay is placed on top. Wrap in cling film and a clean cloth. Leave the compress for 3-4 hours. Then carefully rinse your hand in warm water. It is recommended to repeat the procedure once a day.

Basic nutrition and diet for illness

Proper nutrition and a healthy lifestyle play an important role in the complex treatment of hand lymphostasis. An unbalanced diet and consumption of prohibited foods will only increase swelling, interfering with the normal outflow of fluid from the tissues.

The daily protein content (both animal and vegetable) should be at least 100 g per day in terms of pure substance, fat - 20 g of vegetable and 10 g of animal, the amount of carbohydrates should be reduced. The volume of fluid consumed during a therapeutic diet is 2 liters per day.

• dairy products;
• porridge;
• fresh, boiled, stewed or baked vegetables;
• onion and garlic;
• fruits;
• nuts;
• wholemeal bread;
• unrefined vegetable oil: sunflower, corn, pumpkin, olive or flaxseed;
• lean meat and steamed fish;
• herbal tea or decoction.

Useful products in the photo

What you should limit your consumption as much as possible

• salt;
• fatty meat or fish;
• strong tea and coffee;
• chocolate, sugar and sweets;
• potato;
• semolina and rice;
• pasta;
• bakery products made from wheat flour.

Sample menu for the day

• breakfast: boiled vegetables, wholemeal bread with a piece of butter and cheese, 10 g of honey, a glass of herbal tea;
• lunch: 150 g low-fat cottage cheese;
• lunch: vegetable soup, boiled meat;
• afternoon snack: fruit or vegetable salad;
• dinner: vegetable salad with boiled vegetables (vinaigrette), herbal tea, a piece of wholemeal bread with butter.

Delicious recipes

Citrus salad with walnuts

To prepare the salad, you need to peel the orange and cut the pulp. Peel and grate fresh carrots, add walnut kernels and season with a spoonful of natural yogurt or low-fat kefir.

Beetroot and carrot salad with dried fruits and nuts

Boil carrots and beets, peel and grate, pour boiling water over prunes and raisins, chop if necessary, add nuts - hazelnuts, cashews, pine nuts and season with low-fat sour cream, natural yogurt or kefir.

Video: self-massage for treatment after mastectomy

This course clearly demonstrates the basics of self-massage for the prevention and acceleration of treatment of the disease. The lack of Russian-language voice acting does not prevent you from seeing in detail how to perform this procedure; if desired, the sound can be turned off.

Lymphostasis is a serious disease that brings a lot of discomfort and aesthetic inconvenience. However, with timely treatment, a responsible approach to the choice of funds, proper nutrition and a healthy lifestyle, the disease is treatable. Traditional recipes will help normalize the functioning of the lymphatic system and maintain your health.

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The material is published for informational purposes only and under no circumstances can it be considered a substitute for medical consultation with a specialist in a medical institution. The site administration is not responsible for the results of using the posted information. For questions of diagnosis and treatment, as well as prescribing medications and determining their dosage regimen, we recommend that you consult a doctor.

Lymphostasis of the extremities: how to quickly eliminate it?

Lymphostasis of the extremities is a chronic or acute stagnation of lymph, which is mainly observed in the lower extremities. This condition is characterized by a stop of lymph flow in the vessels of the legs, which in turn is manifested by progressive edema. This pathology, according to statistics, is five times more common in women than in men.

Without appropriate treatment, lymphostasis only increases and over time can lead to pathological thickening of the legs in the form of elephantiasis.

Why does lymphostasis of the extremities form?

The cessation of lymph flow in the vessels can be caused by the following factors:

1. Height malignant neoplasm in some cases it is accompanied by mechanical blocking of the lumen of blood vessels.
2. Acute renal and heart failure.
3. Varicose veins in the stage of decompensation.

Lymphatic stagnation, among other things, stops the removal of waste and by-products of tissue metabolism.

Symptoms of lymphostasis in the lower extremities

Lymphostasis of the lower extremities sequentially goes through three stages:

This stage is considered reversible. Swelling with lymphedema affects the ankle area, the dorsum of the foot and the base of the digital phalanges. An increase in the volume of soft tissues during palpation does not cause painful sensations and on the surface of the skin it can be gathered into a fold. Such swelling after several hours in a horizontal position decreases significantly or disappears altogether.

In other words – irreversible lymphostasis. This stage is characterized by the spread of pathological edema from the lower leg to the thigh with the formation of a dense infiltrate. Finger pressure on the swollen tissue causes the formation of a crater-shaped depression, which persists for several minutes. For patients with fibroedema, such lymphostasis of the extremities causes considerable problems in the form of pain and deformation of the leg. Long-term vertical position in such patients it can provoke seizures.

This stage can last a long time. In this case, the skin in the affected area takes on a bluish tint.

It is considered the final stage of lymphostasis, during which the proliferation of connective tissue occurs. As a result, the lower limbs thicken 2-3 times their original size.

Diagnosis of lymphostasis of the extremities

Lymphostasis of the extremities is a symptom of the disease or its consequence, and not an independent nosological unit. Therefore, the diagnosis of lymphatic congestion in the lower extremities is primarily aimed at identifying the root cause. To establish a final diagnosis, doctors resort to the following methods:

1. Ultrasound diagnostics: Ultrasound diagnostics is quite widely used in oncology and phlebology due to its simplicity, safety and accessibility.
2. Radiography: the fundamental method for determining pathologies of internal human organs today remains radiology.
3. Biopsy of the affected area of ​​the body: collection of biological material for cytological and histological examination is carried out only if a malignant neoplasm is suspected.

Treatment of lymphostasis of the extremities

Therapy for swelling of the extremities occurs in the following areas:

Medical measures in such cases consist of physical and medicinal interventions.

Patients are advised to place the affected limb in an elevated position at night. A fairly effective way to combat lymphostasis is a professional foot massage, which helps eliminate swelling by removing excess fluid. Foot massage can also be carried out using a special apparatus.

For lymphostasis of the extremities, specialists most often prescribe phlebotonic drugs, which promote drainage of the affected organ and increase microcirculation. Another group of drugs that have found use in lymphostasis are homeopathic remedies. pharmachologic effect Such funds are aimed at stimulating metabolic processes and removing free radicals from the body. Complex decongestant therapy also includes diuretics, which reduce the volume of the lower extremities by increasing the frequency of urination.

Is it possible to treat lymphostasis of the extremities with folk remedies?

Traditional medicine uses compresses containing onions and birch tar to treat lymphostasis. The preparation of such a remedy involves applying baked onions prepared with the addition of tar to bandage fabric. This compress is fixed overnight. The therapeutic course is approximately 2-3 months.

Today, an effective technique for reducing leg swelling during or after treatment is cancer diseases is the use of leeches. So, for lymphostasis of the extremities, hirudotherapists recommend applying 3-5 leeches to the affected area. The course of treatment usually includes up to ten sessions with a frequency of once a week.

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The information on the site is presented for informational purposes only! It is not recommended to use the described methods and recipes for treating cancer on your own and without consulting a doctor!

Effective methods of treating lymphostasis of the lower extremities with folk remedies

Lymphostasis of the lower extremities is serious illness, which develops against the background of impaired lymph outflow. Dysfunction of the lymphatic system leads to the fact that components of the human internal environment begin to accumulate in the tissues, and this causes swelling, thickening of the skin and pain. Patients who do not know how to treat lymphostasis of the lower extremities face serious complications. They lead to severe hardening of the legs, due to which a person completely loses the ability to move independently. Timely therapy will help to avoid such troubles, which consists not only of taking medications, but also of home treatments that are effective for this disease.

Principles of treating lymphostasis at home

When diagnosed with lymphostasis of the lower extremities, which is also called elephantiasis, treatment with folk remedies is used as additional support for the body. The main course of treatment for lymphostasis is carried out with the help of medications, physical procedures and surgical operations (if necessary). Home remedies are aimed at regenerating cells, starting metabolic processes and removing lymph, the accumulation of which provokes severe swelling and pain in the legs.

Before using folk remedies in the treatment of lymphostasis of the lower extremities, you must consult a doctor and be tested for the presence of allergic reactions so that self-medication does not lead to deterioration of health.

For lymphostasis of the lower extremities, treatment at home should be comprehensive and include the use of internal and external agents.

Physiotherapy

Performing a set of gymnastic measures for lymphostasis is necessary to restore the normal functioning of the lower extremities. All exercises are carried out in a lying position:

1. The legs bent at the knees are raised and the feet are rotated in different directions.
2. The back is in contact with the floor, the legs are bent at the knees, and the feet rest on the floor. The closed knees are alternately tilted in different directions, without lifting the pelvis from the floor.
3. In a lying position, the legs are raised and the feet rest against the wall. Then smoothly stroke the thighs and legs from bottom to top.
4. Pose as in the previous exercise. Calf raises and toe rotations are performed.

The whole complex must be performed regularly, gradually increasing the training time and the number of repetitions.

Massage

The massage therapist’s actions for lymphostasis of the lower extremities are aimed at working out the lymph nodes, stimulating blood flow and drainage. The procedure should be carried out by a qualified specialist - self-massage can lead to strong heating of the muscles, which can lead to increased swelling.

Doctor Kapustin's method

This unconventional method of treating lymphostasis of the lower extremities The essence of the method is the use of the contents of a chicken egg with saline solution for injection. G.A. Kapustin believed that biomaterial from fresh eggs was a panacea for many diseases.

To reduce pain and swelling, just one injection is enough, and the full course consists of four procedures and is carried out once every week, the course lasts a month or two. Kapustin’s technique is capable of putting a patient back on his feet even at a severe stage of lymphostasis. But doctors categorically do not recommend performing the procedure at home, as this can be dangerous to health.

Compresses

Effective for the treatment of lymphostasis of the lower extremities different kinds compresses with active ingredients:

1. Honey and milk. To prepare this compress, royal jelly is mixed in equal proportions. You can get a uniform liquid texture by adding a few tablespoons of water. Bandages are moistened in this mixture and the problem areas are wrapped with them, additionally wrapping them in woolen polyethylene and a scarf. Leave it overnight and wash it off with cool water in the morning. For additional effect, the product can be taken orally - a maximum of 15 grams per day.
2. White cabbage. Cabbage leaves, after having been slightly crushed, are applied to the feet and left for 6–7 hours. If possible, it is recommended to keep the compress for 24 hours, from time to time replacing used cabbage leaves with fresh ones. In severe cases of lymphostasis of the lower extremities, cabbage juice helps; soak a bandage in it and wrap it around your legs.
3. Clay. White or blue clay powder is famous for its disinfecting and drainage properties. Long-term use of masks helps get rid of irritation, rough skin, lighten spots, and also reduce the volume of the legs (their swelling) by several centimeters. Clay, mixed in water to a thick cream, is applied to pre-oiled skin. For insulation, wrap polyethylene on top and leave for 5–6 hours.

Treatment with compresses is carried out in courses of 20–30 procedures every other day.

Traditional recipes for oral use

You can enrich the body with useful microelements and have a mild diuretic effect during exacerbations of lymphostasis of the lower extremities using the following means:

1. Beetroot juice. With regular use, it has a positive effect on the lymphatic system. You must drink freshly squeezed juice, but not more than 200 ml per day.
2. Dandelion. One tablespoon of crushed plant root is poured into two glasses of boiling water and kept on fire for 5–10 minutes. Remove the broth from the stove and let it brew for 2-3 hours. It is necessary to consume 50 ml twice a day.
3. Diuretic tea. In critical situations, you can relieve swelling with tea made from a mixture of currant leaves and rose hips. It is recommended to drink no more than 100 ml per day.
4. Garlic. Five heads of garlic are finely grated and mixed with 150 ml of liquid natural honey. The resulting mixture is poured into a jar and placed in a cool, dark place for a week. Take 1 tablespoon twice a day, 30 minutes before breakfast and dinner.

Nutrition rules

The therapeutic diet for lymphostasis of the lower extremities is primarily aimed at normalizing weight and eliminating foods from the diet that slow down metabolic processes and cause swelling. A balanced diet brings you back to normal immune system patient, which has a beneficial effect on the healing process and significantly slows down the process of accumulation of pathological protein in tissues, which is one of the main causes of lymphostasis.

The diet is prescribed by the attending physician, taking into account individual characteristics the patient after his examination. Nutritionists for lymphostasis of the lower extremities recommend:

• Limit salt intake - sodium interferes with the excretion of fluid, which leads to the accumulation of substances in tissues.
• Drinking in moderation is a very important point. Drinking pure still water is allowed. It is recommended to completely avoid strong tea, coffee, alcohol, carbonated drinks and cocktails. It is especially harmful to drink a lot of liquid in the afternoon - this will lead to severe swelling.
• If the patient suffers from excess body weight, to treat lymphostasis of the lower extremities, the amount of calories consumed should be reduced by eliminating fast carbohydrates (baked goods, sweets, semolina porridge, white pasta).
• Be sure to have adequate protein intake from plant and animal sources. The norm for an adult of average build is 100 grams of pure protein per day.
• Vegetable fats are necessary to increase the elasticity of the skin, which during lymphostasis noticeably thickens and coarsens, so you cannot do without them. A sufficient amount of fat in the body strengthens the immune system, promotes the elimination harmful substances from the body and stimulates the movement of lymph. A sick person will benefit from consuming at least 20 g of vegetable and 10 g of animal fat. Excellent sources of vitamin E are sesame, olive, flaxseed and corn oils.

Preventive measures

To prevent the occurrence of lymphostasis of the lower extremities, the following is necessary:

• Try to avoid injuries, cuts and bruises.
• Moisturize and care for the skin, maintain personal hygiene.
• Weight control and proper nutrition.
• Moderate physical activity – heavy lifting, long hikes and jogging are prohibited.
• You should not wear tight clothing that compresses blood vessels, thereby interfering with normal blood circulation and lymph outflow.
• If infectious skin diseases are detected, you should immediately consult a doctor and begin treatment.
• Hot baths and saunas are prohibited.
• Do not wear shoes that are too tight or uncomfortable. This rule especially applies to women who are accustomed to high heels and shoes with laces on the top, which dig into the skin, squeezing it.
• Even minor animal bites should be treated with antiseptics.
• Habit of sitting or standing for a long time in one position is fraught with worsening of the situation.

For a quick recovery, a patient with lymphostasis of the lower extremities must ensure a correct daily routine and protect himself from stress - sleep at least 8 hours a day, avoid cigarettes, alcohol and overeating at night.

Lymphostasis and methods of its treatment

If lymphostasis is detected, treatment can be carried out conservatively or surgically. Scientists have not developed pharmacological agents, which would prove effective in the treatment of lymphostasis of any nature. Therefore, complex compression treatment is indicated.

Therapy methods

What is lymphostasis? Lymphostasis is a disease of the lymphatic system in which the circulation of lymph is disrupted, which contributes to the retention of the corresponding fluid in the tissues. With this pathology, the tissue becomes denser, persistent swelling appears, and lymphedema develops. Before treating lymphostasis, a specialist prescribes a pelvic ultrasound, abdominal cavity, vessels of all extremities, x-ray chest. Such diagnostic methods will help determine the cause of the disease.

Lymphostasis therapy is a long and complex process that is carried out only under the supervision of a specialist. Operations for this diagnosis are often ineffective, and hardware therapy methods (pneumomassage, magnetic and laser therapy) have serious drawbacks.

Good results are achieved by comprehensive conservative treatment of the disease, which includes:

• use of a bandage;
• pneumocompression performed using various devices(Veinoplus);
• special massage.

Therapy for leg lesions

Treatment of leg pathology is aimed at restoring the outflow of lymph from the tissues of the affected limb. For this, drug therapy is indicated. The patient is prescribed phlebotonics, which improve lymphatic drainage and microcirculation in tissues. Effective phlebotonic drugs include Vasoket and Diosmin.

The drug Detralex is used to eliminate the symptoms of venous-lymphatic insufficiency. The course of therapy lasts 2-6 months. The medicine does not have side effects except for dyspepsia and diarrhea. However, it can be taken during pregnancy and lactation.

At stages 1 and 2 of lymphostasis, treatment includes taking Paroven, Troxerutin, Venoruton. These medications increase the tone of the veins, improving lymphatic drainage. Troxerutin gel is applied morning and evening to the area of ​​swelling. The massage is performed until the composition is completely absorbed.

The homeopathic remedy Lymphomyosot helps stimulate metabolism, improve lymphatic drainage, and enhance the removal of toxins from tissues. The medication is available in the form of tablets that are taken under the tongue or orally. You can buy Lymphomyosot in drops.

Lymphomyosot N in ampoules is used for injection 3 times a week, in acute cases of the disease - daily. The drug is not prescribed to patients who have problems with the thyroid gland. The drug Escin was developed based on horse chestnut fruit. He is released in different forms. The tablets are taken 3 times a day after meals, and the gel is applied to problem areas of the legs. In this case, the patient may feel a slight fever.

Drug therapy for leg lymphostasis includes systemic enzyme therapy medications:

These medications strengthen the immune system. They are taken three times a day before meals.

Standard of drug therapy

To eliminate lymphostasis in the legs, the doctor may prescribe diuretics (Furasemide). But such therapy is carried out with caution, since transudate during lymphedema quickly regains the lost volume. If the pathology in question is accompanied by erysipelas or lymphangitis, antibiotic injections are prescribed. Drugs may belong to such pharmacological groups as penicillin, sulfonamide and oxytetracycline.

Standard conservative treatment of lymphostasis:

• taking medications that tone the veins and lymphatic vessels (Phlebodia, Detralex);
• at stages 1-2 of the disease, systemic therapy with vitamins C and P (Troxevasin, Venoruton) is indicated;
• to stimulate metabolism, it is recommended to take homeopathic remedies(Lymphomyosot): first give injections and then take pills;
• to reduce swelling, Escin and Venitan are prescribed;
• taking enzymes whose action is directed against edema (Phlogenzyme);
• blood thinning medications (Trental);
• diuretics (Torasemide);
• antibiotics.

Leech therapy

When treating leg lymphostasis, the main task is to free the lymphatic system of the lower extremities from excess corresponding fluid. In this case, it is necessary to restore lymph circulation in the affected legs. Long-term therapy with anti-inflammatory and diuretic drugs rarely leads to a good result.

Doctors believe that complex treatment lymphostasis of the legs (even in severe forms of the disease) is effective with hydrotherapy. Leeches improve lymphatic drainage of the veins. At the same time, the effect of general therapy increases, as swelling and tension in the legs decreases. This helps to prolong the remission of patients and increase their level of activity.

Leeches (3-5 pieces) are placed 2 times a week on the lymphatic collectors and places that correspond to the projection of the venous network of the legs. The general course of hirudotherapy consists of 8-10 similar sessions. As a result of this treatment, lymph flow is stimulated. This occurs due to the connection of additional lymphatic vessels to the outlet of excess lymph, which were not previously the main routes for the outflow of this fluid. Some lymphologists believe that therapy for leg lymphostasis with leeches is ineffective, since leeches do not relieve swelling.

Exercise therapy and diet

For lymphostasis of the lower extremities, exercise therapy is performed. With this diagnosis, it is recommended to swim and do Nordic walking. Special gymnastics for affected legs have also been developed. Pre-worn compression bandage. Set of exercises:

1. Bicycle - the exercise is performed lying down. The leg should be at rest. The exercise is performed by moving the hip and ankle joints. In this case, it is necessary to bend and unbend the sole of the foot.
2. Bending, straightening and spreading the toes (performed while sitting).
3. Alternate rotation of the feet to the right and left. Then you need to write the number 8 in stops.
4. Without lifting your foot off the floor, bend your knees, pressing your heels to the back of your thighs. Then the legs are straightened.
5. Raising your leg, perform rotational movements alternately left and right. Then the leg drops.

More often, lymphostasis is diagnosed in overweight people. To quickly eliminate the disease, it is recommended to follow a diet limiting fluid and salt intake. Nutritionists recommend consuming no more than 100 g of protein, 10 g of animal fat and 20 g of vegetable oil daily. To reduce calories, limit the consumption of carbohydrates (sweets, flour). The menu includes cabbage, pumpkin, carrots, apples, and dairy products.

Therapy with folk remedies

For lymphostasis, folk remedies are used (after consultation with a doctor):

1. Tar. The onion is baked in the oven and then peeled. Add 1 tbsp to it. l. tar. The composition on gauze is applied to the affected area. In the morning, remove the compress by eating 1 tsp. honey and royal jelly. Before going to bed, the procedure is repeated. It is recommended to simultaneously consume bee products. They will speed up treatment, which should be continued for 1-2 months.
2. Plantain: 2 tbsp. l. plantain leaves are crushed by pouring 2 cups of boiling water. The composition is infused for 1 night. The decoction is taken 4 times a day 30 minutes before meals. Take 1 tsp at the same time. honey and royal jelly;
3. Herbs in equal proportions: mix immortelle flowers, densely flowered astragalus, Icelandic moss, oak and birch bark, horse chestnut fruits. The collection is crushed. At 2 tbsp. l. The mixture will need 2 cups of boiling water. The composition is boiled for 5 minutes. The resulting medicine is taken 4 times a day.
4. Garlic - it is peeled and passed through a meat grinder. For 250 g of the resulting composition you will need 300 g of liquid honey. Mix the components and take 1 tbsp. l. 3 times a day an hour before meals. Therapy lasts 6 days.

Surgical therapy and complications

If conservative complex therapy is ineffective, the patient is prepared for surgery. To do this, dye is injected into the lymphatic vessels (to visualize their location and expansion of the walls). During surgery, the surgeon creates additional pathways for fluid outflow. To prevent the lymph nodes from being squeezed, muscle tunnels are formed.

If necessary, the doctor transplants the lymphoid tissue to another location, removing excess fatty tissue.

After surgery, venotonic and anti-inflammatory medications are taken, exercise therapy and lymphatic drainage massage are prescribed.

Lymphostasis often develops against the background of cancer.

In this case, drug treatment is prescribed. If the disease is detected in a pregnant woman, compression therapy is indicated. Lymphostasis in children is chronic or congenital. There are no restrictions for traditional treatment. Children take medications and antibiotics under the supervision of a doctor. Ineffective treatment or its complete absence leads to the following complications of lymphostasis:

• mobility problems;
• fibrosis;
• the appearance of trophic ulcers;
• frequent recurrences of erysipelas;
• sepsis;
• death.

Prevention of lymphostasis at the initial stage consists of registering the patient with a vascular surgeon and undergoing periodic treatment. Particular attention is paid to the hygiene of the skin of the feet.

The lymphatic system is an independent structural and functional unit with its own organs and vascular network. Cleansing the body of foreign agents and toxic substances, it often undergoes pathological changes, which, in turn, leads to the development of various complications, one of which is lymphatic edema (or lymphedema).

A disorder of lymph formation and drainage of lymph through capillaries causes lymphatic edema

Lymphatic edema is the consequence of a disorder in the processes of lymph formation and lymph outflow through capillaries and lymphatic channels from the tissues of the limbs and organs to the lymphatic collectors and thoracic duct.

According to information provided by WHO experts, lymphedema is observed in 10% of the world's population.

The development of lymphostasis is accompanied by progressive edema, compaction of subcutaneous tissue, roughening of the skin, hyperkeratosis, and the appearance of ulcerations and cracks.

Disease codes according to ICD-10 are 189.0, 189.1, 189.8, 197.2, Q82.0.

Reasons for the development of the disease

The causes of lymphedema may vary. Disorders of lymph circulation and deterioration of its outflow occur in heart failure, renal dysfunction, and hypoproteinemia.

Lymphostasis can develop against the background of chronic venous insufficiency, which is a consequence varicose veins in the stage of decompensation, arteriovenous fistulas, postthrombophlebitic syndrome. These pathologies are accompanied by the accumulation of a large volume of tissue fluid and, accordingly, a greater need for its removal. In order to cope with increased loads, lymphatic vessels dilate, which, as the pathology progresses, leads to a decrease in their tone and the development of valvular and lymphovenous insufficiency.

Malformations of the lymphatic system, obstruction of the lymphatic vessels that develop against the background of their damage or compression by tumors or inflammatory infiltrates can also lead to the appearance of lymphatic edema. Obliteration of some vessels in in this case leads to expansion and valve insufficiency of others.

Deterioration of lymph outflow occurs in heart failure

Another reason for the development of lymphatic edema may be a mastectomy performed for breast cancer and accompanied by the removal of nearby lymph nodes in order to reduce the risk of metastasis.

In addition, lymphostasis can be provoked by:

• prostate cancer;
• lymphoma;
• removal of lymph nodes in the groin and thighs;
• irradiation of regional lymphatic drainage zones.

Rarely, lymphedema may occur with:

Depending on the reasons that led to the appearance of edema, lymphostasis is divided into primary and secondary.

In the first case, the pathology is a consequence of improper intrauterine formation of the pathways through which lymph is drained. The defect affects one or both limbs, appears in childhood and progresses during adolescence.

In the second case, the pathology develops against the background of injuries or diseases of the initially healthy lymphatic system. Edema appears, as a rule, on one limb and is post-traumatic or inflammatory in nature.

Depending on the affected area there are:

• lymphatic edema of the lower (upper) extremities;
• swelling of the face and neck;
• swelling of the scrotum in men.

Symptoms

The initial stages of lymphostasis are accompanied by the development of lymphatic edema, which appears in the evening and disappears in the morning after proper rest (they usually increase after physical activity, prolonged standing, or limited mobility for a long time).

Contacting a lymphologist at the first appearance of lymphatic edema and timely treatment can lead to persistent regression of the disease.

Lymphostasis of moderate severity is accompanied by constant swelling, growth of connective tissue, thickening and increased tension of the skin, and pain. Pressing on the swollen tissue in this case leaves behind a dent that does not disappear for a long time. When the limbs are affected, the described changes may be accompanied by increased fatigue and convulsions.

Soreness and increased skin tension indicate lymphedema

Severe lymphostasis is accompanied by irreversible changes in lymph outflow, cystic fibrosis changes in the body, and the development of elephantiasis (a multiple increase in the volume of the limb). The swelling becomes so severe that the affected areas lose their usual contours and lose the ability to function normally.

In addition, patients may experience:

• trophic ulcers;
• deforming osteoarthritis;
• contractures;
• eczema;
• erysipelas.

In particularly severe cases of lymphostasis, sepsis may develop, which can lead to death.

The presence of lymphostasis increases the risk of developing lymphosarcoma.

Lymphostasis in children

Lymphostasis in children develops against the background of defects in the development of the lymphatic system. Swelling appears on the arms, legs or face, and the disease itself can be combined with dysplasia of the limbs.

The pathology debuts in adolescence with increasing load on the lymphatic system.

People with congenital lymphedema should control their body weight. This is explained by the fact that obesity contributes to the development of the disease.

Diagnosis of lymphostasis is complex and may include:

• ultrasound examination of organs located in the pelvis and abdominal cavity in the presence of swelling in the legs;
• chest x-ray for swelling in the arms;
• lymphography, lymphoscintigraphy, computed tomography, magnetic resonance imaging.

For lymphatic edema, Doppler ultrasound limb veins

When making a diagnosis, exclude postthrombophlebitic syndrome and deep vein thrombosis, accompanied by unilateral edema, varicose veins veins, hyperpigmentation, varicose eczema. To exclude these pathologies, Doppler ultrasound of the veins of the extremities is performed.

If you suspect lymphedema, you should contact a phlebologist or lymphologist to determine the causes of the pathology.

Treatment

Treatment of lymphedema is aimed primarily at restoring the drainage of lymph from the affected areas. Patients may be recommended:

• hardware pneumocompression;
• manual ;
• physiotherapeutic procedures – laser treatment, hydromassage;
• physiotherapy;
• wearing knitwear with compression properties;
• diet therapy;
• swimming;
• Nordic walking classes.

Drug therapy may include:

• phlebotonics with lymphotropic effects;
• immunostimulants;
• enzymes;
• angioprotectors.

Trophic ulcers and eczema are treated with external agents. When a fungal infection occurs, antifungal drugs are prescribed.

If ineffective drug therapy, progression of the disease, the presence of severe fibrosis and deforming lymph sacs, surgical treatment is used. In this case, patients may be recommended:

• liposuction;
• creation of lymphovenous anastomoses;
• dermatofasciolipectomy (removal of areas of skin along with subcutaneous fat).

In case of severe elephantiasis, which excludes the possibility of surgical intervention, tunneling (creation of special channels) of swollen areas is carried out in order to drain lymph into unaffected tissues.

One of the treatment methods is manual lymphatic drainage massage.

Treatment with folk remedies

Treatment of lymphatic edema with folk remedies is used as a complement to the main therapy and is based on the use of plants containing vitamins C and P, which dilute the lymph.

The most useful in this case are decoctions of rose hips, cranberries and currant leaves, rowan berries, currants, grapes, pomegranate and rose hip juices.

In addition, baths made from a decoction of string are widely used, which have a cleansing and healing effect. A decoction for baths is prepared as follows. Six tablespoons of crushed dried string are poured with two liters of boiling water, put on fire, boiled for five minutes, cooled, filtered through cheesecloth. Add the prepared decoction to a bath of water. Baths are taken once or twice a day until swelling disappears.

There are other folk recipes for the treatment of lymphostasis.

Honey with garlic

Two hundred and fifty grams of peeled, ground garlic are mixed with 350 grams of natural honey, transferred to a glass jar and placed in the refrigerator for a week. After the specified time, the product is mixed and consumed one tablespoon three times a day, half an hour before meals. The duration of treatment is sixty days.

Decoction of plantain leaves

Six tablespoons of dry crushed plantain leaves are poured into a liter of boiling water, put on fire, boiled for minutes, removed and left to infuse for one hour. Ready product filter through cheesecloth and drink half a glass twice a day before eating.

Dandelion root decoction

A tablespoon of crushed dandelion roots is poured with half a liter of boiling water, put on fire and boiled for five minutes. After the specified time, remove the broth, leave for a quarter of an hour and filter through gauze. The finished product is consumed 100 milliliters twice a day. If desired, the infusion can be used for compresses (they are placed on the affected area of ​​the body, wrapped and left for half an hour).

Rosehip infusion

Dried rose hips are crushed. Ten tablespoons of raw material are poured with 1.5 liters of boiling water, covered with a lid and left for two hours. After the specified time, the infusion is filtered. The finished product is drunk 100 milliliters six times a day. The duration of treatment is two months.

Prevention

Monitor the condition of your skin, monitor your diet and promptly seek help from a doctor.

Prevention of lymphedema includes:

• skin care;
• timely treatment of any wounds and prevention of their infection;
• timely detection and treatment of renal and cardiovascular diseases;
• maintaining a healthy lifestyle;
• body weight control.

If you notice swelling on your face, limbs or neck, you should see a doctor immediately.

Forecast

Timely treatment of lymphedema helps prevent further development disease and achieve stable remission. In this case, treatment should be lifelong.

Refusal of therapy contributes to the progression of the disease, increased swelling, limited mobility due to swelling of the extremities, and the addition of a secondary infection.

Along with the circulatory system, the lymphatic system functions in the human body. Its capillaries, like blood capillaries, penetrate all human tissues. Lymph is constantly moving through them - a transparent liquid, as viscous as blood. The movement occurs from bottom to top along the lymphatic ducts due to muscle contraction and due to the functioning of valves that prevent its reverse flow. If their work is disrupted, the normal outflow of lymphatic fluid is disrupted. First of all, lymph accumulates in the lower extremities, contributing to the development of edema and the occurrence of lymphostasis of the lower extremities.

Lymphostasis of the lower extremities (LNK) is a fairly common disease, which, according to statistics from the World Health Organization, most often affects the fairer sex. Signs of lymphostasis of the lower extremities to varying degrees of severity are observed in every tenth woman. The selectivity of the disease can be explained by the fact that nature has entrusted women with the responsibility of bearing and giving birth to offspring, and one of the factors provoking the development of a disease such as lymphostasis of the legs is the consistently increased load on them, which inevitably arises during pregnancy.

To understand what lymphostasis of the lower extremities is and why it occurs, you need to carefully consider how the lymphatic system functions in the human body.

The lymphatic substance is a filtration product of blood plasma that accumulates and removes waste from it. From the interstitial space it enters the lymphocapillaries, then into the lymphatic network and lymph nodes, from where, after purification, it returns back to the bloodstream. In addition to its cleansing function, lymph removes excess fluid from the blood, preventing the development of edema. Therefore, the main sign of disruption of the normal functioning of this system is swelling caused by congestion. Since the lower extremities are located on the periphery of the human body, it is in them that favorable conditions for the occurrence of such a condition are primarily created.

Lymphostasis of the lower extremities is most common in women

Depending on what causes contribute to the manifestation of the pathology, experts distinguish between primary and secondary lymphostasis. Primary lymphedema, also called Milroy's disease, is rare genetic disease, which can manifest itself in representatives of the same family over several generations.

The occurrence of secondary lymphostasis of the lower extremities can be triggered by a number of reasons, including, in addition to pregnancy:

1. Varicose veins of the legs, as well as its complications - thrombophlebitis and thrombosis.
2. Cardiac and/or renal failure, against which swelling occurs.
3. A complication of infectious-inflammatory damage to subcutaneous fat tissue is the development of boils and phlegmons.
4. Postoperative lymphostasis of the lower extremities is provoked by scars in the area of ​​the lymph nodes and blood vessels, compressing them and preventing the normal outflow of fluid.
5. Neoplasms localized in the interstitial space.

Also, the cause of lymphostasis of the lower extremities can be a sedentary lifestyle. Sometimes it occurs during prolonged periods of bed rest in people who have had a stroke or serious injury.

Symptoms

Lymphostasis is a long-term progressive disease that, as it develops, sometimes over decades, goes through several stages.

The code for lymphostasis of the lower extremities according to ICD-10 (the tenth version of the International Classification of Diseases, where each pathology known to science is designated by an alphanumeric code) is I89.8.

Experts, focusing on symptoms, distinguish three main stages of lymphostasis of the lower extremities:

1. Mild spontaneous edema, or, indicates the initial stage of the pathology. Typically, such lymphostasis occurs in the area of ​​the lower leg and foot at the end of the day. It has no painful manifestations and does not cause much concern. The skin of the legs at this stage of secondary lymphostasis retains its natural color and softness and does not thicken. When pressed, a small dimple remains on it, which quickly disappears. After a night's rest, such swelling subsides on its own.
2. Irreversible edema (fibredema) is characterized by a change in the structure of the tissue - it becomes painful, hardens (it cannot be compressed into a fold), and acquires a dark brownish tint. Pressing on it causes the formation of depressions that do not smooth out for a long time. On palpation, dense fibrous cords are felt. The epidermis, under the influence of edema, stretches significantly, which causes the formation of cracks on the skin surface. There is a risk of infection entering through injured skin, as evidenced by diffuse red spots on its surface. Due to poor circulation in the legs, cramps occur. The limb changes its normal shape, motor functions are disrupted - flexion in the joints becomes difficult.
3. At the last stage of lymphostasis of the lower extremities, the so-called elephantiasis is formed. The affected areas of the epidermis are characterized by severe hypertrophy, swelling changes the shape of the limb. Patients constantly experience malaise, weakness, headaches and joint pain. The motor functions of the limb are significantly impaired, it can no longer serve reliable support when walking. Trophic ulcers that are difficult to heal appear on the skin, and there is a threat of developing erysipelas and/or gangrene, which can result in death.

To prevent the disease from becoming irreversible, it is necessary to consult a doctor at an early stage of lymphostasis of the lower extremities. Timely diagnosis and correct treatment will help avoid such a development of the situation.

Diagnostics

A lymphologist is involved in the diagnosis of lymphostasis and subsequent therapy.

A lymphologist is involved in the diagnosis and treatment of lymphostasis, but you can only find such a specialist in major cities Therefore, most often patients with this pathology are seen by a phlebologist (vascular specialist) or a surgeon. An experienced doctor can diagnose preliminary diagnosis already at the first examination of the patient, based on external signs diseases. But to be absolutely sure of it, it is necessary to conduct a number of studies, including:

• blood tests - to determine indicators such as erythrocyte sedimentation rate (exceeding the norm indicates the presence of inflammatory process), platelet level (determines blood viscosity, which affects blood and lymph circulation);
• urine tests - help to exclude a connection between swelling of the legs and kidney disease;
• fluoroscopic lymphography, computed tomography and magnetic resonance imaging of the lower extremities provide detailed information about the severity and nature of pathological processes;
• differential diagnosis to exclude deep vein thrombosis or postphlebitic syndrome.

Having received the results of the examinations, the doctor decides which treatment methods should be used in this case. At the same time, it takes into account both the stage of development of the disease and the condition of the patient and the presence of concomitant pathologies.

Therapeutic techniques

Up to date conservative therapy Lymphostasis of the lower extremities includes medication and physiotherapeutic treatment.

Among pharmaceuticals, used for this pathology, can be called the following:

1. Detralex, Vasoket, Phlebodia are phlebotonics that improve the metabolic process in the tissues of the legs.
2. Troxevasin, Troxerutin, Venoruton - drugs that increase the tone of the veins, show the best results at the initial stage of the disease.
3. Curantil, Trental are blood thinners that alleviate congestion and prevent the formation of blood clots.

In addition, diuretics are prescribed to relieve swelling. Because the systematic application Such drugs cause 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.

For lymphostasis, magnetic and laser therapy show good effectiveness

Also good effect for lymphostasis, it gives, performed by a professional massage therapist, and physical therapy, which must be done constantly at least twice a day. It is advisable to include exercise classes on an exercise bike or cycling in the complex.

It is necessary to constantly wear compression hosiery - knee socks or stockings, which should be put on in the morning, before getting out of bed.

Another method of treating and preventing the progression of lymphostasis of the lower extremities is hirudotherapy (treatment with leeches). The procedure must be performed by a qualified specialist, using animals specially raised in sterile conditions. Their reuse is excluded.

IN dietary food for lymphostasis of the lower extremities, dairy products, lean meats and fish should be included, chicken eggs, vegetables and fruits. An excess of sugar, confectionery, fatty foods, spicy seasonings and salt in the diet is undesirable. Frying as a cooking method is not recommended.

Surgery

In the absence of positive dynamics of conservative treatment, it is indicated surgical correction in order to improve the outflow of lymph from the lower extremities. The operation is performed by a vascular surgeon in a hospital setting.

Traditional treatment

Traditional treatment of lymphostasis can only be done in the initial stages of the disease.

The use of traditional medicine methods at home is permissible in the initial stages of the disease, after mandatory consultation with the attending physician. This includes primarily herbal medicine - treatment with plant materials. Traditional healers recommend the following recipes:

1. Pour crushed licorice root (10 g) into a glass of boiling water and place 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.
2. Dilute apple cider vinegar in half with water and massage your feet from bottom to top. inguinal lymph nodes. The massage should be soft, without pressure.
3. Mix the baked onion, ground into a paste, with pharmaceutical tar, apply the resulting ointment to the problem area of ​​the leg, securing it with a bandage. Apply at night, rinsing off in the morning with warm water.

Prevention and prognosis

For prevention, you should avoid excessive stress on your legs, including static ones, and lifting heavy weights. Shoes should be light and comfortable. Careful care of the skin of the feet, timely disinfection of abrasions, scratches and scuffs is important. In addition, it is necessary to give up bad habits - overeating, smoking, and alcohol abuse.

The answer to the question 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 the person to remain able to work and lead an active lifestyle.

The lymphatic system is a kind of shield to protect the body from viruses and bacteria. Functions:

• ensures excessive outflow of fluid from the intercellular space (prevention of edema);
• protects the body from harmful substances (lymph nodes act as a kind of filter in the body);
• provides the body with lymphocytes (immune cells);
• supplies the body's blood with fats and large proteins.

Lymphostasis of the extremities is a disorder of lymphatic metabolism (congenital or acquired) with fluid (lymph) retention in the tissues. If no measures are taken, the swelling constantly progresses and increases in volume, causing pain in the legs.

Lymphostasis of the legs is determined by two types: primary and secondary.

Primary – reveals a congenital nature, the likelihood of detecting the disease in a child immediately after birth is considered, although this happens extremely rarely. More often the disease manifests itself during the child’s growing up period, when children's body begins to rebuild (puberty occurs).

Secondary (acquired) lymphostasis of the legs occurs when:

• detection of tumors (neoplasms) of the lymphatic system (benign, malignant).
• injury to the lymph nodes (damage, dislocations, fractures, severe bruises lower extremities, burns).
• with a sedentary lifestyle (more often in patients bedridden).
• undergone operations to remove lymph nodes, operations performed in the chest area (mastectomy - removal of the mammary glands).
• excess weight gain (obesity).
• blockage of lymph nodes.
• pinching of blood vessels.
• past infectious diseases.

Treatment of lymphostasis

Treatment is carried out in mandatory. The sooner treatment begins, the greater the chance of a favorable outcome. It is necessary to treat lymph stagnation in the legs, starting with identifying the cause of the disease, then relieving the symptoms. Treatment is prescribed to restore lymphatic drainage in the affected limbs and normalize the work and functioning of the legs.

After undergoing an examination and confirming the diagnosis, the following is prescribed: different types massage (manual, underwater shower-massage), magnetic and laser therapy, hardware pneumocompression, exercise therapy (physical therapy), visiting the pool. Medications normalize blood flow, strengthen the immune system, normalize the functioning of veins (increasing tone and elasticity), strengthen the walls of blood vessels, thin the blood, and reduce swelling of the legs. During non-procedural times, it is necessary to wear compression tights, stockings, knee socks, or wrap the sore leg with elastic bandages. At night, the linen (bandages) is removed. During the day, it is recommended to lift the sore leg up for 10-15 minutes, and place it on a pillow (cushion) at night.

For lymphostasis of the legs, it is recommended to follow a diet; this point is extremely important; most patients are overweight people. You should limit your consumption of fatty and high-carbohydrate foods, reduce the amount of salt you consume, and remove fried and highly spicy foods from your diet. Alcoholic drinks are prohibited. Include vegetables, fish, dairy and fermented milk products, and cereals in your diet.

Any treatment is prescribed by a doctor. It is recommended to strictly follow the prescribed recommendations. Prohibited:

• go to the bathhouse (sauna).
• wear high-heeled shoes; if there are laces, do not tighten them too much.
• lift heavy bags.
• remain motionless for a long time.
• wear tight underwear.
• sit cross-legged or with your legs twisted under your butt.

Folk remedies for the treatment of lymphostasis

There are many known folk recipes that can provide positive results in treatment. The recipes are time-tested; doctors do not hesitate to recommend herbal infusions and compresses for a sore leg.

Freshly squeezed beet juice improves the functioning of the lymphatic system and accelerates metabolic processes in the body. For a pleasant taste, you can add a small slice of apple, a piece of carrot, tomato, or pumpkin. You should not start drinking juice in large volumes; the body must get used to consuming the product. Start with a teaspoon a day, gradually increase the portion to one hundred grams. As your body gets used to beet juice, remove the apple and carrots and switch to drinking pure beet juice. Drink the juice for 2 weeks, then take a break. Before you start using, study the contraindications for taking beet juice.

To prevent dry and cracked skin on your feet, it is useful to use herbal baths. A decoction of chamomile and string helps relieve swelling of the legs. Five tablespoons of mixed herbs 1:1 (it is permissible to brew a single herb, chamomile or a string), pour 0.5 liters of boiling water, keep in a water bath over low heat for 20-25 minutes. After cooling, strain the broth. It is advisable to carry out such baths 2 times a day. Treatment should not exceed three weeks.

In pharmacies you can pick up a ready-made diuretic herbal mixture. As a rule, infusions are consumed in the morning and evening half an hour before meals. Diuretic teas will help cope with swelling of the legs, help remove excess fluid from the body, reducing lymph stagnation in the extremities. Before starting a course of diuretics, it is recommended to clarify contraindications to the use of herbs.

When prescribing treatment, the doctor’s task is to reduce the accumulation of lymph in the legs and restore the functionality of the affected limb. To achieve the goal, doctors prescribe a course of hirudotherapy (leeches). The procedures reduce swelling, stimulate lymph flow, and remove excess fluid. The procedures are carried out twice a week, 3-5 leeches are placed on the sore leg. The course of treatment is 8–10 times. Using the procedure will help reduce lymph congestion in the legs.

Exercises for lymph stagnation in the legs

It is recommended that you do certain exercises at home after consulting with a physiotherapist in advance. Training is carried out daily, preferably twice a day. The patient performs exercises wearing compression garments (stockings, tights, knee socks, elastic bandages). Gymnastics is carried out at a leisurely pace, for at least 15 minutes.

The first known exercise is the “bicycle”. The exercise is performed lying on the floor. The leg should bend and unbend (forcing the hip and ankle joints). The foot must be engaged (the toes are extended away from you, then pulled towards you).

The frog exercise is performed from a lying position on the floor. Legs bent, feet on the floor, heels together, consider the starting position. Slowly open (spread) your knees to the side, trying to lower them to the floor as much as possible. When performing the exercise, there should be no arching in the back; the back should be pressed tightly to the floor.

“Scissors” lying on your side. Starting position: lying on your side, leg straight, raised 45 degrees from the floor. Without straining the muscles of the leg, we slowly move it behind the back, the body (body) remains in place, the leg works. Slowly return to the starting position and bring your leg forward. Perform the exercise on one leg 8–10 times. Then do the exercise on the second leg.

Starting position as in the previous exercise. We pull the knee towards the chin, slowly straighten the leg back. Repeat the exercise for the second leg.

Simple rotation of the feet. Perform lying on your back with your legs slightly raised above the floor. We tilt our feet left and right, draw circles in one direction and the other, try to draw an “infinity” sign, stretch our toes away from us, then pull them towards us.

Lying on your back, legs together, extended forward. We try to pull forward with each leg in turn. This exercise will help you relax your legs.

When there is severe stagnation of lymph in the legs, simply lifting the legs up will help relieve swelling. With your feet against the wall, just lie down for 10-15 minutes.

Lying or sitting (resting your back against the wall), legs together, extended forward. Slowly, bending the limbs at the knees, we pull them towards the body.

The exercise can be performed lying down or sitting. Straight legs closed together. Left leg remains in place, move the right one as far as possible to the side (we work with a compass). We try not to bend the leg at the knee; we perform the exercise with a straight leg, each time trying to move the leg further. Having completed the task 8-12 times, we move on to working the second leg.

Proper treatment and simple exercises will help achieve good results in the fight against the disease.

Prevention, or how to deal with swelling of the legs

To avoid lymph stagnation in the legs, remember about your health. At the slightest hint of swelling of the legs, you should not postpone going to the doctor; you will need to undergo a full examination to identify the causes leading to swelling of the legs.

When working sedentarily, pay due attention physical activity, promoting good metabolism, preventing stagnation of lymph in the legs. A wonderful sport for the prevention of lymphostasis would be swimming in the pool and nordic walking with sticks. Perform simple exercises to prevent lymph stagnation.

Shoes should be comfortable, and only then beautiful. When you come home from work, take a relaxing foot bath and let your feet rest by resting your feet on a cushion.

Remember about your health, lead a healthy lifestyle, follow the rules of hygiene for foot care. It is easier to prevent a disease than to treat it later. Take care of your own health and the health of your loved ones.