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How is Lymphoedema diagnosed?

See how Lymphoedema is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Lymphoedema

Lymphoedema diagnosis

Lymphoedema is a chronic condition characterized by the accumulation of lymph fluid in certain parts of the body, typically the arms or legs. It occurs when the lymphatic system, which is responsible for draining excess fluid from tissues, is damaged or blocked. Diagnosing lymphoedema involves a comprehensive evaluation of the patient's medical history, physical examination, and sometimes additional tests.



Medical History


The first step in diagnosing lymphoedema is a detailed discussion with the patient about their medical history. The healthcare provider will inquire about any previous surgeries, injuries, or infections that may have affected the lymphatic system. They will also ask about any family history of lymphoedema or other related conditions.



Physical Examination


During the physical examination, the healthcare provider will carefully assess the affected area for signs of lymphoedema. They will look for swelling, changes in skin texture, and any other visible abnormalities. They may also measure the circumference of the affected limb to track changes over time.



Additional Tests


In some cases, additional tests may be necessary to confirm the diagnosis of lymphoedema and determine its severity. These tests can include:




  • Lymphoscintigraphy: This imaging test involves injecting a small amount of radioactive dye into the tissues. The dye then travels through the lymphatic system, allowing the healthcare provider to visualize the flow of lymph fluid and identify any blockages or abnormalities.

  • Indocyanine Green (ICG) Lymphography: This test uses a special dye called indocyanine green, which is injected into the tissues. The dye fluoresces under infrared light, enabling the healthcare provider to assess the lymphatic vessels and identify any dysfunction.

  • Ultrasound: Ultrasound imaging uses sound waves to create a detailed picture of the tissues. It can help identify any structural abnormalities or fluid accumulation in the affected area.

  • MRI or CT scan: These imaging techniques may be used to get a more detailed view of the lymphatic system and rule out other potential causes of swelling.

  • Blood tests: Although there is no specific blood test for lymphoedema, certain blood tests may be performed to rule out other conditions that can cause similar symptoms.



Consultation with Specialists


In some cases, a referral to a specialist, such as a lymphoedema therapist or a vascular surgeon, may be necessary for further evaluation and management of the condition.



It is important to note that lymphoedema is a chronic condition that requires ongoing management and treatment. If you suspect you may have lymphoedema, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate care.


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