What Makes Lymphedema Worse?

Living with lymphedema means knowing what helps (compression therapy, skin care, manual lymph drainage) and what hinders your progress. This guide breaks down the most common—and often overlooked—lymphedema triggers that can intensify swelling, invite infection, and disrupt daily life. Whether you’re newly diagnosed or a long-time self-manager, understanding these factors empowers you to make smarter choices every day.

---

Lymphedema is a chronic condition in which a damaged or under-developed lymphatic system can’t move protein-rich fluid efficiently. Fluid backs up, tissues swell, and infection risk rises.

• Primary lymphedema: congenital malformation of lymph vessels or nodes
• Secondary lymphedema: damage from surgery, radiation, trauma, infection, or obesity

While there is no “cure,” Complete Decongestive Therapy (CDT) and targeted lifestyle tweaks keep symptoms—and complications—under control. (Learn more on the Norton School “About Lymphedema” page.)

---

Broken skin is an open door for bacteria → cellulitis → hospital stay.

• Keep skin supple with low-fragrance, pH-balanced moisturizers (e.g., Lymphoderm Lotion).
• Pack antiseptic wipes + bandages for on-the-spot wound care.
• Use DEET, picaridin, or oil-of-lemon-eucalyptus repellents during mosquito season.

---

Inflammation from UV damage or high temperatures can spike limb volume.

• Tanning beds, midday sun, hot tubs, saunas, heating pads on the limb.

---

Anything that pinches can block lymph flow.

• Tight waistbands, sock cuffs, sports bras, or jewelry.
• Carrying heavy bags on the affected shoulder.

---

Extra adipose tissue compresses lymph vessels and breeds inflammation.

• Combine a Mediterranean-style eating plan with low-impact exercise.
• Work with a registered dietitian or your CLT for realistic calorie and protein goals.

---

High-sugar, high-omega-6 diets fuel systemic inflammation.

• Berries, leafy greens, turmeric, ginger, salmon, chia seeds.
• Need a roadmap? See our post “Foods That Trigger Inflammation & How They Impact Lymphedema”.

---

Nicotine constricts vessels; alcohol dehydrates and weakens immunity.

• Enroll in a smoking-cessation program (apps, group therapy, or prescription aids).
• Stick to ≤ 1 drink/day for women or ≤ 2 for men—ideally less.

---

Movement = muscle pump = lymph flow.

---

Compression isn’t optional; it’s the cornerstone of CDT.

• Replace garments every 4–6 months (elastic fibers break down!).
• Use donning aids (e.g., Juzo Slippie Gator Set) to reduce struggle.
• Sleep in night-time adjustable wraps like Solaris ReadyWrap® if prescribed.

---

Elevated cortisol = inflammation + poor immune response.

• 5-minute meditation, box-breathing, journaling, or CBT apps.
• Prioritize 7–9 hours of sleep; hydrate throughout the day.
• Join online support groups or local meet-ups (NLN, LE&RN chapters).

---

Habit	Why It Works
Elevate limb for 20 min 2–3×/day	Leverages gravity to drain fluid
Stay Hydrated (½ body-weight oz/day)	Keeps lymph thinner and moving
Self-MLD (if taught by CLT)	Boosts lymphangiomotor activity
Regular Check-ins with CLT	Early tweaks prevent setbacks

---

Lymphedema doesn’t have to dictate your lifestyle—but vigilance is key. By steering clear of known triggers and doubling down on proven self-care strategies, you can keep swelling under control, sidestep cellulitis, and enjoy the activities that matter most.

---

1. Lymphedema Products. Product Information & Guides.
2. Norton School of Lymphatic Therapy. About Lymphedema.
3. Lymphatic Education & Research Network.
4. National Lymphedema Network.
5. American Cancer Society.