Lymphedema Clinic

Lymphedema can be a debilitating condition, yet few people are aware of what it is or what treatment is available in our community. Fortunately, a healing touch can be found at Eden Medical Center.
What is Lyphedema? |  How Lymphedema Affects You |  Specialized Treatment |  Our Therapists |  Self-Care |  Contact Us | 

What is Lyphedema?

Lyphedema is an accumulation of lymphatic fluid that causes swelling, usually in the arms and legs and occassionaly in other parts of the body. The swelling develops from abnormal lymphatic flow as a result of cancer surgery, radiation treatment, infection, trauma, vein problems, obesity or hereditary causes.

The human body has a network of lymph nodes and vessels that carry and remove lymphatic fluid the same way blood vessels circulate blood to all parts fo the body. Lymphatic fluid contains white blood cells, which help fight infections. Within the lymph vessels, there are valves and muscles that help move the fluid through the body. The lymph nodes serve as filters for harmful substances and help fight infection.

If lymph nodes are not functioning normally and fluid builds up, nutrients cannot reach tissue, such as skin, and waste products are not removed. The resulting lymphedema can lead to infections, discolorations and changes in the skin, hardening of the tissues and skin, limited function or mobility, and other serious side effects.

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How Lymphedema Affects You

Lymphedema affects the body, and therefore the quality of life, in many ways:
  • Swollen body part
  • Heaviness of body part
  • Limitation of movement
  • Repeated infections
  • Thickening and breakdown of skin
  • Leakage of lymph through the skin
  • Cosmetic problems
  • High medical expenses
  • Decrease in quality of life
  • Decrease in overall health
  • Emotional distress


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    Specialized Treatment

    While there is no cure for lymphedema, specialized therapy can help relieve symptoms and reduce the debilitating long-term effects.

    "People who live with lymphedema often feel helpless and are searching for support and understanding," said Nancy Ziegler, CHT, LANA, senior therapist at Eden’s Lymphedema Clinic. "Patients, and even physicians, don’t really understand the complexity of lymphedema and the type of care that’s available. We provide hands-on therapy to relieve the symptoms and improve the quality of life, physically and emotionally."

    The staff of Eden's Lymphedema Clinic provides consultation, evaluation and treatment for those with edema (swelling). Treatment is completely non-invasive and consists of manual lymphatic drainage (MLD), a gentle, rhythmic European massage technique. It has cleansing, relaxing and positive effects on the immue system. Treatment also includes compression bandages or garments, exercises, skin care, nutrition and education.

    "The wrong treatment technique can actually worsen the lymphedema. Our therapists complete extensive training to become certified, and we have routine evaluation every two years to ensure our technique is correct," said Allyn Martinez, another therapist with the Lymphedema Service. "We're constantly learning for the sake of our patients."

    Eden’s therapists are certified in the Vodder technique, named for the doctor responsible for pioneering the MLD technique, and by the Lymphology Association of North America, a non-profit corporation of healthcare professionals experienced in the field of lymphology and lymphoma.

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    Our Therapists

    Eden's Lymphedema Clinic has two therapists certified in Combined Decongestive Therapy (CDT) and MLD massage.

    Nancy Ziegler received a BS degree in physical therapy from the University of Southern California, and post-graduate lymphedema therapy certification from the Vodder School of North America. Nancy is also certified by the Lymphedema Association of Norther America (LANA).

    Allyn Martinez earned a BA degree in human biology from Stanford University, an MA degree in occupational therapy from the University of Southern California and post-graduate certification form the Vodder School of North America.

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    Self-Care

    After therapy has been completed, patients are prepared for continuing the exercises, skin care and lifestyle adaptations they have learned. Compression bandages or garments must be worn during the day, and self-bandaging may be required at night. These should be replaced every 4 to 6 months as they lose their elasticity over time. Our lymphedema therapists educate patients on how to monitor and manage their own condition so that they can inform their physician as needed.

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    Contact Us

    The Lymphedema Clinic is located on the ground floor of Eden Medical Center, in the Physical Medicine and Rehabilitation Department.

    To schedule an appointment or to speak with our therapists, contact Nancy Ziegler at (510) 727-2700 ext. 2324, or Allyn Martinez at at (510) 727-2700 ext. 2206.

    You can also view this topic in our online Health Library.
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    Lymphedema Treatment

    Lymphedema treatment is completely non-invasive and consists of manual lymphatic drainage (MLD), a gentle, rhythmic European massage technique. It has cleansing, relaxing and positive effects on the immue system.



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