Severe damage in your knee cartilage and/or bone produces a non-functional and painful joint. When other treatments fail, Knee replacement is a good choice. This type of orthopaedic surgery replaces the entire knee joint with a prosthesis: man-made artificial joint. After surgery you might notice swelling, pain and other temporary side effects, but don´t worry! Manual Lymphatic Drainage MLD can relieve symptoms and speed up the recovery proces. Let’s see the role of MLD in knee replacement post-op…

What is Knee arthroplasty: knee replacement?

It is a type of orthopaedic surgery that replaces your rubbered knee for a new one. In other words, damaged cartilage and bone are removed from the knee joint and replaced for man-made pieces (prosthesis).

According to the specific damage, the prosthesis can be placed in:

• Lower end of the thigh bone (femur). The replacement part is usually made of metal.
• Upper end of the shin bone (Tibia:the large bone in the lower leg). The replacement part is usually made from metal and strong plastic.
• Back side of your kneecap (knee cap= patella). The piece is most of the time made from a strong plastic.

Reasons why knee arthroplasty takes place: Causes

There are many different reasons to perform this type of surgery. Your surgeon may recommend it when:

• Osteoarthritis. Gradual breakdown of the meniscus (cartilage that cushions the knee joint). Symptoms: pain and limited movement as bones begin to rub against each other.
• Rheumatoid arthritis. Autoimmune condition that can also damage the knee joint over time. Symptoms: pain, inflammation and stiffness.
• Previous or current injuries. Severe damage from trauma, like a serious fall causing fracture, car accident,  repetitive sports injuries, etc., can lead to irreversible damage that can only be fixed with a prosthesis.
• Osteonecrosis. Lack or reduced blood supply to the femur, causing the bone death and break, which results in a painful joint. 
• Meniscus tears. A torn meniscus, the C-shaped cartilage that cushions the knee, can lead to pain, inflammation, and limited mobility.
• Ligament injuries that don’t respond to other treatments.
• Deformity due to other conditions like arthritis or genetic factors.
• Overuse that causes severe damage
• No improvement after trying other treatments.

How MLD can help in knee replacement post-op

Lymphatic drainage massage MLD is a gentle manual therapy that boosts the lymphatic system’s ability to clear excess fluid and debris from the surgical site. Your certified and experienced therapist uses rhythmic, light strokes to encourage lymph vessels to contract and move fluid toward lymph nodes (to be expelled through urine), reducing fluid buildup that causes swelling.

Some benefits are:

• Reduced post-op swelling.
• Improved blood and lymph circulation.
• Enhances oxygen and nutrient delivery to healing tissues.
• Boosts your immune function.
• Reduces pain.
• Improves mobility.
• Increases the removal of toxins and waste.
• Speeds elimination of injected fluids during the procedure.
• Eases pressure on nerves, joint and ligaments.
• Reduces stress and anxiety.
• Improves general wellbeing.
• Reduces bruises that can appear after surgery.
• Reduces fibrosis.
• Avoid or reduce seromas.
• Faster recovery: Studies show lymphatic drainage massage can cut recovery, helping patients return to normal faster.

How MLD can help in knee replacement post-op: A final word

Manual lymphatic drainage (MLD) after knee replacement helps by gently stimulating lymph flow to reduce post-operative swelling and inflammation. Also,it promotes faster removal of excess fluid and waste products from tissues around the knee. Reducing pain and stiffness and  improving joint mobility and comfort. In addition, MLD supports better wound healing by enhancing local circulation.Overall, it aids recovery, helping patients regain movement and function quickly.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share!

References:

https://medlineplus.gov/ency/article/002974.htm

https://www.nhs.uk/conditions/rheumatoid-arthritis/

The post Knee replacement (Arthoplasty) Post-op: How MLD Can help appeared first on Perea Clinic.

After orthopaedic surgery (or any type of surgery), swelling in the area or nearby tissues is completely normal. The problem comes when swelling persists over time or becomes chronic: Lymphoedema. Understanding the key differences between normal post-op swelling and lymphoedema is crucial for prevention, timely management and treatment. In this blog, we show you how to know the difference and when to seek medical advice. Let´s have a closer look…

What is pos-orthopaedic (post-op) swelling?

Post-op swelling is a natural inflammatory response to surgery. It covers the treated area and near tissues. This swelling is caused by your immune system in order to help the tissue heal properly. How to recognise it:

• Develops immediately or within a few days after surgery.
• Is temporary, generally improving within weeks or a few months (according to the surgery) as tissues heal.
• May feel soft, a little bit tight and can fluctuate in intensity.
• It is located near the scar.

What is post-orthopaedic lymphoedema?

Lymphoedema develops when swelling is caused by blockage or damage in the lymphatic system during surgery (trauma or removal in lymphatic vessels or nodes). As a result, lymph and other fluids can not move and drain out of the area, so swelling turns into a chronic condition that needs immediate treatment to relieve symptoms and avoid progression. How to recognise it: 

• Persistent swelling: it lasts more than three months or might develop gradually over time.
• May have a feeling of heaviness, tightness, pain or fullness in the treated area and spreads to the major part or the entire limb.
• Initially, you might feel a tight sensation on the skin, but can harden as the condition progresses.
• Unlike normal swelling, lymphoedema is chronic and can worsen without treatment.

Post-orthopaedic Swelling vs. Lymphoedema: key differences

These are the most common differences between common swelling and lymphoedema (when it is not prevented with MLD)

When to seek help

It’s important to consult a healthcare provider (surgeon, GP, certified lymphoedema therapist, swelling treatment  specialist) if swelling:

• Persists beyond 3 months after surgery or worsens instead of improving.
• Is accompanied by a sensation of heaviness, tightness, or persistent discomfort in the limb.
• Affects mobility or daily activities.
• Shows skin changes such as thickening, redness, easy bruising or even infections.
• Develops suddenly or is very pronounced without obvious cause, causing pain, discomfort and joint mobility issues.

Prevention through MLD eases swelling and enhances the healing process. Also, early diagnosis allows proper assessment and management by a certified  lymphoedema specialist through physical examination, limb measurements, and sometimes imaging (prescribed by a health care provider). Lymphoedema treatment can include compression therapy, Manual Lymphatic Drainage, exercise, diet, skin care, and lifestyle changes.

A final word

While normal post-orthopaedic swelling is part of the healing process and resolves over time, lymphoedema is a chronic condition caused by lymphatic damage that requires ongoing management. Recognising persistent or unusual swelling, especially beyond three months, and consulting a healthcare provider early can avoid condition progression and ensure better outcomes and quality of life.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

 References:

https://www.ncbi.nlm.nih.gov/books/NBK537239/

https://www.lymphapress.com/blog/lymphedema-vs-edema-whats-the-difference/

https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/introduction-lymphoedema-service-face-face-consultation

https://www.facs.org/for-patients/the-day-of-your-surgery/breast-cancer-surgery/after-your-operation/preventing-swelling/

The post Post-orthopaedic Swelling vs. Lymphoedema: How to know the difference appeared first on Perea Clinic.

In this blog, we explore the benefits of Manual Lymphatic Drainage MLD after orthopaedic surgery. Let´s have a closer look…

What is orthopaedic surgery?

It’s a specialised surgery that focuses on treating and repairing musculoskeletal conditions that involve bones, joints, ligaments, tendons, muscles, and in some cases peripheral nerves, for example:

• Joint replacements (hip, knee, shoulder)
• Arthroscopy (minimally invasive joint repair)
• Fracture fixation 
• Corrective surgeries (for deformities)

What are the most common causes of orthopaedic surgeries?

Orthopaedic surgery is usually indicated when conservative treatments (medications, physiotherapy, injections) fail or due to severe trauma that need surgery. Some common causes are:

1. Trauma/accidents/fails
   Fractures, dislocations, ligament/tendon tears.
2. Degenerative Diseases
   Osteoarthritis, rheumatoid arthritis, degenerative disc disease.
3. Genetic conditions or overtime developed deformities
   Hip dysplasia, scoliosis, limb deformities.
4. Sports Injuries
   Meniscus tears, ligament ruptures, rotator cuff injuries.
5. Overuse
   Tendinitis, bursitis, repetitive strain injuries.
6. Bone and Joint Infections or tumors
   Osteomyelitis, benign or malignant bone tumors.

What causes post-orthopaedic lymphoedema?

Lymphoedema after orthopaedic surgery is produced by damage in the lymphatic system (nodes, vessels) nearest to the treated area, causing obstruction (fluid has no way to drain out) as a result there is painful build up of fluid.

What is Lymphatic drainage massage

Lymphatic drainage massage is a gentle, specialised massage technique designed to stimulate the proper function of your lymphatic system (lymph circulation, drainage and expel), promoting the removal of excess fluids and waste from the body. It has gained recognition for its potential benefits in managing post-orthopaedic lymphoedema which is swelling caused by lymphatic fluid buildup after surgery.

What are the benefits of MLD after orthopaedic surgery and related lymphoedema?

MLD is a extremely light treatment although it may feels uncomfortable during the first week or not (according to the type surgery) after the procedure as the area might be very sensitive to touch. It is based on scientific knowledge of the anatomy and physiology of the Lymphatic System. MLD is prescribed as a post-op treatment all over the world because it helps to:

• Treat lymphoedema.
• Reduce swelling, bruising and water retention.
• Avoid or treat seromas and fibrosis (hard lumps).
• Reduce stress and anxiety after surgery.
• Speed up the recovery process.
• Reduce pain.
• Stimulates kidney functions (improving waste flush).
• It’s useful for the treatment of blood circulation problems (venous insufficiency after surgery).
• Reduce or treat  lymphatic problems.
• Stimulates the immune system, increasing the body’s own defenses.
• Helps to protect your body against bacteria and viruses as it works in conjunction with the immune system.
• It has a calming effect on the autonomic nervous system.
• Its direct effect on the parasympathetic system generates a relaxing effect.
• Tones the intestine, which helps fight constipation.
• Regulates the body’s water balance.
• Lowers blood pressure.
• And the list continues, know more benefits click here (link benefits of MLD after surgery)

Findings 

Scientific studies show that Manual Lymphatic Drainage (MLD) may help reduce the incidence and severity of lymphoedema in different types of surgeries like orthopaedic surgeries, but studies have focused on those related to cancer where lymphoedema is more common. However, what can be seen in all lymphoedema patients is that the effectiveness can vary depending on the severity of lymphoedema and whether it is combined with other treatments like complex decongestive therapy (if prescribed). Many patients in and out of the records report significant limb volume reduction, symptom relief and better quality of life. On the other hand, it is clear that to see these and more benefits it is necessary to individualise each treatment plan and further research.

Who performs lymphatic drainage for lymphoedema?

To maximise the benefits and safety of manual lymphatic drainage massage, it is important to work with a certified  lymphoedema therapist who has specialised in the different manual lymphatic drainage techniques. A professional therapist understands you as patient and person, the anatomy and physiology of the lymphatic system; she/he can tailor the treatment to your needs and treats you better. Many licensed therapists are affiliated with recognised organizations, and it is advisable to check credentials and seek referrals or reviews before booking sessions.

Benefits of MLD after orthopaedic surgery and related lymphoedema: A final word

• Lymphoedema after orthopaedic surgery is a common side effect when the lymphatic system is affected by trauma during the procedure.
• MLD has many benefits before and after orthopaedic surgery (and others), and it also is useful to treat and alleviate other conditions.
• For best results book with a certified lymphoedema therapist who treats you better.
• There is scientific evidence of the pivotal role of MLD in treating lymphoedema, but further research in different fields and types of surgeries is needed.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/32803533/

https://pubmed.ncbi.nlm.nih.gov/38300246/

The post Manual lymphatic drainage MLD after orthopaedic surgery: how can it help lymphoedema? appeared first on Perea Clinic.

Persistent swelling and mobility issues after orthopaedic surgery?  It might be lymphoedema. This swelling condition requires a holistic treatment plan. In our previous blogs, we have talked about the different techniques and tips that help you in managing post-orthopaedic lymphoedema, and today, we´ll  give you some of the most effective exercises for starting to manage this condition. These exercises are focused on promoting lymph flow, reducing swelling, and improving mobility, strength and flexibility. Most of them involve gentle, low-impact movements. Here are some of them:

Be ready for your exercise session 

• Wear your compression garments or bandages if prescribed by your surgeon or physiotherapist. These reduce fluid build-up and enhance lymphatic return.
• Warm up by mobilising your joints. Gently and slowly extend and contract  each joint.
• The non-affected limbs and body parts (neck, shoulders, elbows, wrists, hips, knees, ankles, toes) should be mobilised too.

Deep breathing exercises

Deep breathing exercises (diaphragmatic) improve lymphatic flow through the body while improving your general well being. It works by changing the pressure in your abdomen and chest (by the diaphragmatic movement up and down). This encourages lymphatic flow and blood circulation. It is also highly relaxing. You can do these breathing exercises in any position and place. 

• Sit, lay or stand comfortably.
• Relax your shoulders, chest and tummy.
• Place one hand below your ribs and the other on your abdomen.
• Close your mouth.
• Take a slow, deep  breath through your nose, what you should feel is that your abdomen rises.
• Hold for a short period of time.
• Exhale slowly through pursed lips.

Note: while exercising, try to do deep breathing, it will improve your performance and reduce fatigue.

Upper Limb (arm) lymphoedema exercises 

• Move your shoulders up and down.
• Lift your arms gently and slowly (like trying to reach your ears), then, bring them back to normal position.
• Scratch your shoulders: try to make your hands reach each other behind your back.
• Bend and extend your elbows (gentle and slow movements)
• Arm circles. Raise slowly your arms to the sides, making small forward and then backward circles (it enhances lymphatic and blood circulation while strengthening them).
• Regular joint movement facilitates lymph propulsion and prevents stiffness.
• All movements should be slow and gentle. Do them 8/10 times and repeat 2/3 times.

After a couple of weeks, and monitored by your therapist, you can start with:

• Light resistance training. Using elastic bandages to do your exercises, gives resistance to the movement, strengthening your muscle without risks; in addition muscle pumps improve lymphatic flow.
• Light weights (start with 0,5-pound dumbbells), you can  perform controlled arm lifts, bicep curls, and shoulder raises to build muscle without overloading the limb. 
• All exercises should be prescribed and supervised by your lymphoedema therapist, she will monitor your progression and add weight to your lifts if needed.

Lower limb (leg) lymphoedema exercises

• Ankle pumps. Point your toes downward, then flex them upward to stimulate lymph flow in the lower leg.
• Heel-to-toe raises. Raising your heels off the ground, gently, slowly and assisted if needed; then, go back to normal position.  It helps to engage calf muscles for lymph and blood circulation (muscle contraction pumps fluids).
• Calf stretches. Stretch against a wall to release tension and support lymphatic function.
• Knee-to-chest stretch (if knee can be bent). It mobilises hip and knee, promoting lymphatic drainage.
• Leg lifts. Lye on your back and slowly lift each leg to strengthen thigh muscles and improve circulation.
• Seated marching. Alternating knee lifts while seated to improve circulation with minimal strain.
• Step-ups. Step onto a low platform to engage muscles and improve mobility.
• Butterfly stretches. Sit on a flat surface with soles of feet together to stretch inner thighs, then start doing up and downward repetitive movements (like wings of a butterfly). These movements improve pelvic lymphatic drainage.
• Squats
• 2/3 sets of 8/10 rep, 2/3 times per week.

General ideas for low impact aerobic exercises to start with

Low impact exercises 

Low-impact aerobic exercise supports overall lymph flow and well being, you can start with walking, swimming, cycling, dancing, etc. Do it gradually and enjoy it!

Isometric exercises

Muscle pumping aids lymphatic return and muscle strength. Muscular contractions without joint movement, for example:

• Pressing the hand against a wall ( upper limb) 
• Squeezing a pillow between the knees ( lower limb).
• Hold for 5–10 seconds, repeat 5 times.
• Exercise should be done gradually, avoiding fatigue or overuse of the affected limb.

General recommendations

• Regular joint movement facilitates lymph propulsion and prevents stiffness.
• Compression garments are often worn during exercise to aid lymphatic flow (if prescribed by your surgeon and lymphedema therapist).
• It is essential to work with a lymphedema specialist or physical therapist to tailor exercises safely. They’ll advise you on the number of sets, repetitions and type of exercises you are able to do on each step of your recovery process.
• Regular gentle movement combined with breathing exercises helps promote effective lymphatic drainage.
• Exercise should be done gradually, avoiding fatigue or overuse of the affected limb.

A final word…

All these exercises improve lymphatic flow by activating muscle pumps and enhancing joint mobility while minimising the risk of exacerbating swelling or discomfort. They should be part of a comprehensive physical therapy program to manage post-surgical orthopaedic lymphoedema effectively.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/treating/exercise

https://pereaclinic.com/the-role-of-compression-therapy-in-managing-post-orthopaedic-lymphoedema/

https://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.31962

https://pmc.ncbi.nlm.nih.gov/articles/PMC3001918/

The post Post- orthopaedic lymphoedema: exercises that help lymph flow and improve mobility appeared first on Perea Clinic.

Recovering from orthopaedic surgery is not an easy task, whether it’s a hip or  knee replacement, or even a  fracture repair; it takes effort, time and a tailored-guided treatment plan. While the aim is to restore mobility and quality of life, the journey is not always straightforward. One of the most common complications patients encounter is lymphoedema which is a build-up of fluid that causes swelling, pain, heaviness, and stiffness in the operated limb.

If you are worried because after several weeks after surgery, you continue feeling uncomfortable,  pain, swelling and tenderness in the affected limb. You’re not alone! Many patients experience this, and while it can feel frustrating, the good news is that lymphoedema is manageable. Today, we will talk about two therapies in particular, Manual Lymphatic Drainage (MLD) and physiotherapy, that can make wonders when used together. Let´s have a closer look…

Why does lymphoedema occur after orthopaedic surgery?

It’s normal to have some swelling after an operation, but in certain cases your lymphatic system struggles to cope. Surgery can damage small lymph vessels or nodes and inflammation can slow drainage (there are no paths where fluid can circulate and be drained out, so it gets stocked), reducing range of movement and causing pain and discomfort. If left untreated, this can slow down your rehabilitation and make it harder to get back to everyday activities.

The gentle power of lymphatic drainage

Manual Lymphatic Drainage (MLD) is a gentle form of massage designed to encourage the flow of lymph fluid. Using light, rhythmical strokes, the therapist helps guide fluid towards healthier lymph nodes where it can drain more effectively.

Patients often describe MLD as calming and soothing. Many notice their limb feels lighter and less stiff after just a few sessions. Its benefits include:

• Reducing post-surgical swelling.
• Reducing pain.
• Relieving pressure and discomfort.
• Supporting the healing process.
• Reducing the risk of infection, such as cellulitis.
• Improving range of motion.
• Boosting your immune system.
• Speeding up the recovery process.
• Reducing stress and anxiety.
• Improving your general well being.

By easing the swelling, MLD paves the way for physiotherapy to be more effective. Remember that MLD should be performed by a professional lymphatic drainage therapist certified in lymphoedema management, Seek the one who treats you better!

Physiotherapy: regaining movement and confidence

While MLD addresses fluid build-up, physiotherapy focuses on mobility , strength, and independence. After orthopaedic surgery, it’s natural to feel nervous about moving your operated limb. A physiotherapist will guide you at your own pace, ensuring you regain function safely and confidently.

Physiotherapy helps by:

• Encouraging circulation and lymph flow through safe exercise.
• Restoring flexibility and joint movement.
• Rebuilding muscle strength to support recovery.
• Teaching strategies to protect the operated area.
• Supporting your return to daily activities and routines.

Without physiotherapy, swelling can make it harder to move, and reduced movement can make swelling worse. This is why combining therapies is so effective. Keep in mind that it should be performed by a certified lymphoedema therapist.

Why the combination works best

On their own, both therapies are highly beneficial. But together, they complement each other beautifully:

• MLD reduces swelling, making it easier and more comfortable to move.
• Physiotherapy restores strength and mobility, preventing fluid from building up again.
• Together, they break the cycle of swelling plus stiffness, resulting in more swelling.
• The combined approach speeds up healing and lowers the risk of complications.

Many patients report that this integrated approach not only eases their symptoms but also gives them confidence and reassurance throughout their recovery journey.

Supporting your recovery at home

In addition to professional treatment, small changes at home can make a big difference:

• Wearing compression garments as advised.
• Elevating the operated limb when resting.
• Staying gently active with short walks or light movement.
• Practising good skin care to avoid infection.
• Listening to your body and pacing yourself.

Recovery is a process, and consistency is key. Even small steps each day will move you forward.

Lymphatic Drainage and Physiotherapy: A final word

Lymphoedema after orthopaedic surgery can feel discouraging, but it doesn’t have to hold you back. By combining lymphatic drainage and physiotherapy, you’re not just managing swelling; you’re also supporting your body’s natural healing, regaining movement, and reclaiming your independence.

If you’re experiencing persistent swelling after surgery, speak to your healthcare provider or ask to be referred to a lymphoedema specialist. With the right care, you can recover more comfortably and get back to enjoying life faster after surgery.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

Lymphatic drainage and physiotherapy: References:

https://pubmed.ncbi.nlm.nih.gov/33218497/

https://pmc.ncbi.nlm.nih.gov/articles/PMC4348127/

https://www.sciencedirect.com/science/article/pii/S277263202400031X

https://www.breastcancer.org/treatment-side-effects/lymphedema/reducing-risk/exercise

https://pmc.ncbi.nlm.nih.gov/articles/PMC8565523/

https://journals.cambridgemedia.com.au/wpr/volume-24-number-2/evidence-summary-managing-lymphoedema-complex-lymphoedema-therapy

The post Why combining MLD and Physiotherapy is key in managing lymphoedema after orthopaedic surgery appeared first on Perea Clinic.

Post-orthopaedic lymphoedema and compression therapy: After orthopaedic surgery one of the most common complications is lymphoedema, caused by trauma in the lymphatic system during the procedure. Lymphoedema main symptom is persistent swelling due to impaired lymphatic drainage. Managing this condition early and efficiently is crucial for optimal recovery; for that reason, compression therapy and Manual Lymphatic Drainage stand out as one of the most effective non-invasive strategies to treat and manage this condition. Lest´s see how it works…

How do compression garments and wraps reduce swelling?

Compression therapy, e.g., garments (sleeves and socks) and bandaging, plays a pivotal role in treating post-surgical lymphoedema. It should be always advised by your surgeon to avoid circulatory complications and accompanied with MLD for better lymphatic and blood flow. Let´s see how compression therapy can help:

• Reduces fluid accumulation

It applies consistent and controlled pressure to the affected area, helping to prevent the buildup of lymphatic fluid and consequently reducing swelling.

• Improves lymphatic flow and venous return

Compression garments help your lymphatic system in movilising excess fluid away from the surgical area, while increasing venous return; as a result, decreasing the risk of fluid stasis.

• Prevents complications

It limits space available for fluid to collection, so it reduces the chances of developing seromas (fluid pocket) and other complications associated with stocked fluid.

• Tissue healing support

Compression provides structural support to the healing tissues, promoting alignment and reducing strain during movement, which is important for both comfort and the healing process.

• Reduces pain and promotes faster recovery

Patients, in recent studies, showed less swelling. Besides, some cases reported pain reduction, especially in the immediate post-operative period.

Disclaimer

As these kinds of procedures go deep in order to repair tissues, sometimes the nearest area to the surgery can´t be wrapped (even if fluid is retained and is swollen), so compression should always be prescribed by your surgeon and assisted with manual lymphatic drainage to treat the area that cannot be compressed. 

Post-orthopaedic lymphoedema and compression therapy: What are the types of compression garments and wraps?

• Bandages

There are multi-layer and long-stretch bandages; for best results use them right next the post-operative phase, especially when significant edema is present. It is key to wear tailor-graded pressure, which is especially beneficial for severe or diffuse swelling.

• Compression stockings/sleeves

Patients wear them in their limbs (arms or legs) and come in various compression strengths. Stockings are ideal for gradual, sustained compression during daily activities or for periods after the initial acute swelling goes down (but you can continue using bandages if wanted).

• Tailored made garments

Specially confectioned for patients whose limb size or shape does not fit standard sizing.

Choosing the right compression level

Choosing the appropriate compression level, in your garments, maximises treatment efficacy and ensures comfort, always advised by your lymphoedema team. Here, a summary chart of the available compression levels:

Disclaimer: Always consult a healthcare professional (your lymphoedema team) before selecting compression garments to ensure the correct pressure for your condition and anatomy .

To keep in mind: garment’s tips

• Fit Matters

Choose compression garments that fit tight but comfortably; improper fit may reduce efficacy, reduce circulation or cause discomfort.

• Consistency + follow advice

 Wear garments as recommended by your lymphoedema team: surgeon, lymphoedema therapist, etc. Most patients wear them during the day and remove them at night unless advised otherwise.

• Customisation

 Patients who require (unique limb shapes or sizes) custom-fit garments ensure  proper compression.                

A final word

Compression therapy (when properly tailored) is pivotal and offers a lot of benefits to patients when managing post-orthopedic lymphoedema. It helps to reduce swelling and pain; gives support; speeds up the recovery process and prevents complications. Choosing the right compression garment and level guarantees best outcomes. Always work with your lymphoedema team, who treat you better, to create a treatment plan according to your needs.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

Post-orthopaedic lymphoedema and compression therapy-References:

https://pubmed.ncbi.nlm.nih.gov/30967135/

https://pubmed.ncbi.nlm.nih.gov/33218497/

The post The Role of Compression Therapy in Managing Post-Orthopaedic Lymphoedema appeared first on Perea Clinic.

When we think of lymphoedema, cancer treatment often comes to mind. But it can also happen after orthopaedic surgery—such as a knee replacement, hip operation, or spinal procedure. If you’re noticing swollen legs after an operation, a feeling of heaviness, or tightness in the limb, it might be more than just standard recovery. It could be lymphoedema.

In this post, we’ll explore why lymphoedema can develop after surgery, what symptoms to look out for, and how to manage it with safe, effective treatments like manual lymphatic drainage (MLD)—always delivered by a qualified professional.

What Is Lymphoedema?

Lymphoedema is a type of chronic swelling that happens when the lymphatic system (your body’s internal “waste drainage” system) becomes sluggish or blocked. It typically affects the arms or legs but can also appear in other areas.

When caused by surgery or trauma, it’s referred to as secondary lymphoedema. In the case of orthopaedic procedures, this can happen weeks or even months after your operation.

Why It Happens After Orthopaedic Surgery

Orthopaedic surgeries often involve joints, bones, and surrounding soft tissues. Even with careful techniques, some impact on the lymphatic system is possible. Here’s how that can lead to post-surgical swelling:

1. Damage to Lymphatic Vessels

Procedures like hip or knee replacements can disrupt small lymphatic vessels. When these vessels are cut or compressed, lymphatic fluid may start to build up instead of flowing freely.

2. Inflammation After Surgery

Some swelling is normal after surgery due to inflammation. But if the inflammation is intense or long-lasting, it can overload the lymphatic system—especially in people with existing circulation or lymphatic issues.

3. Limited Mobility

During recovery, movement may be restricted. This affects the natural pumping action of your muscles, which normally helps lymph fluid move around. Without it, post-op swelling may increase—particularly in the legs.

4. Scar Tissue and Adhesions

Scar tissue can sometimes block or compress lymphatic pathways, especially if healing is uneven or slow. This can make your lymphoedema more stubborn.

5. Use of Tourniquets

Tourniquets used during orthopaedic surgeries to control bleeding can temporarily restrict lymph and blood flow. If this pressure is prolonged, it might lead to complications later.

Who’s at Risk?

You’re more likely to develop lymphoedema after orthopaedic surgery if:

• You’ve had multiple surgeries in the same area
• You have a history of poor circulation or venous insufficiency
• You experience infection after surgery (like cellulitis)
• You’re less mobile during recovery
• You have a previous history of swelling or lymphatic issues

Symptoms to Watch Out For

Some people experience symptoms soon after surgery, while for others it may be delayed. Look out for:

• Swollen legs after surgery, or puffiness that lingers
• A feeling of heaviness, tightness, or tingling in the limb
• Skin changes like thickening, hardening, or dryness
• Recurring infections in the same area

If these symptoms sound familiar, don’t wait, early intervention is key!

How to Treat and Manage It

Lymphoedema doesn’t go away on its own, but it can be effectively managed. Some of the best options include:

• Manual Lymphatic Drainage (MLD): A gentle, hands-on therapy that encourages fluid movement.
  Important: This should only be performed by a trained professional such as a certified lymphoedema therapist. General massage therapists may not have the correct training in post-surgical lymphatic care.
• Compression for lymphoedema after surgery: Wearing compression garments supports the body’s natural drainage
• Lymphatic massage for swollen legs: Focused work from a qualified therapist can help shift fluid and ease pressure
• Anti-inflammatory diet and hydration: Reducing processed foods and increasing water intake can support healing
• Gentle movement: Walking, light stretching, and guided exercise boost circulation without overexertion
• Post-op recovery tips: Follow medical advice carefully—especially wound care, positioning, and activity levels

A final word…

Lymphoedema after orthopaedic surgery isn’t uncommon and it doesn’t mean anything went wrong with your operation. Your lymphatic system may just need extra support to bounce back.

With the help of a professional lymphoedema therapist in the UK or near you, symptoms can often be well managed using therapies like MLD, compression, and lifestyle support. The earlier you start, the better your chances for lasting relief and smoother recovery.

Need help with post-surgical lymphoedema?
Book a consultation with a trained lymphatic drainage therapist today — your recovery doesn’t have to be uncomfortable or overwhelming.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/21871990/

https://www.rcseng.ac.uk/news-and-events/media-centre/media-background-briefings-and-statistics/orthopedic-surgery/

https://pubmed.ncbi.nlm.nih.gov/26753640/

The post Lymphoedema after Orthopaedic Surgery: Why it happens? appeared first on Perea Clinic.

How lymphatic drainage and other techniques can help reduce swelling and speed up recovery.

Post-orthopaedic surgery lymphoedema requires a structured approach to minimise swelling and enhance recovery. Combining lymphatic drainage techniques, targeted physical therapy, and strategic movement can significantly improve outcomes for patients with pre-existing lymphoedema or those at risk of post-surgical fluid retention.

What is a joint replacement surgery and why is it performed?

Joint replacement surgery ( arthroplasty) is typically recommended when a joint is severely damaged and conservative treatments are no longer effective (exercise, physiotherapy, or other manual techniques). 

Most common causes of joint replacement (arthroplasty)

1. Osteoarthritis

• A degenerative joint disease that wears down cartilage, causing pain, stiffness, and loss of mobility.
• Typically affects older adults, but can also affect younger people.

2. Rheumatoid Arthritis

• An autoimmune disease causing chronic inflammation of the joints.
• Symptoms: pain, swelling, and deformity over time leading to joint damage.

3. Post-Traumatic Arthritis

• Occurs after an injury such as a fracture or ligament tear.
• Damage from trauma can lead to arthritis and joint deterioration.

4. Avascular Necrosis (Osteonecrosis)

• It is the result of blood supply disruption to the bone, leading to bone death and joint collapse.
• Common causes are: severe trauma, steroid and alcohol abuse, and other certain medical conditions.

5. Congenital or Developmental Joint Disorders

• Some people are born with joint deformities or abnormal joint development (e.g., hip dysplasia). These conditions can lead to early joint degeneration.
  

6. Infection (Septic Arthritis)

• A joint infection can severely damage or even destroy cartilage and bone, requiring surgical replacement.

7. Tumors or Bone Cancer

• When a tumor or bone cancer is located in the joint it might need joint replacement to preserve mobility on the affected limb.

8. Complications or side effect of previous surgeries

• Previous surgeries (like partial replacements or arthroscopies) that fail to relieve symptoms or cause complications may lead to full joint replacement.
  

Joint replacements are most commonly done for the hip, knee, and shoulder, but other joints like the elbow, ankle, and fingers can also be replaced.

Post-orthopaedic surgery Lymphoedema: Available treatments  

How lymphatic drainage and other techniques can help reduce swelling and speed up recovery.

Manual Lymphatic Drainage (MLD)

This specialised massage technique uses gentle, rhythmic strokes to stimulate lymph flow. Studies show MLD reduces pain biomarkers like lactate dehydrogenase (LDH) and improves post-surgery pain thresholds, due to its direct impact on surgical oedema reduction while improving mobility ranges. For best results, start as soon as possible (ask your surgeon first) and be performed by certified therapists who treat you better.

Compression Therapy

• Bandaging. Pre- and post-operative compression bandaging helps manage swelling and supports joint stability while recovering.
• Garments. Proper graduated compressions (sleeves, stockings, etc.) maintain pressure on tissues to prevent fluid accumulation, ask your surgeon, physio or lymphoedema therapist for the right compression according to your needs.

Physical Therapy Strategies

A tailored physical therapy program addresses both mobility and lymphatic function:

• Range-of-motion exercises. Gentle joint bends activate muscle pumps, increase blood and lymphatic flow while reducing fluid buildup.
• Resistance training. Light resistance bands or bodyweight exercises strengthen muscles without overloading the joint. Always advised by your physiotherapist.
• Diaphragmatic breathing and other breathing exercises. They Enhance lymphatic circulation through pressure changes in the thoracic cavity. In addition, specific breathing techniques help to reduce pain, stress and anxiety due to surgery.

Examples of recommended movement protocols (always seek the advise of a specialist)

Early Post-Op Exercises (Days 1–7)

1. Ankle pumps:  Move your feet up and down gently. Do 10–15 repetitions hourly while awake to stimulate calf muscle pumps.
2. Straight-leg raises: 10–15 repetitions, 2–3 times daily. This upside down position helps blood return to heart and increase lymphatic flow.
3. Supported walking: Assisted short walks (with assistive devices or company) help to promote circulation.

Weeks 2–6

• Low-impact aerobic activities: longer walks, swimming or stationary cycling improves lymph flow without joint stress.
• Progressive resistance: Leg presses and step-ups rebuild strength while monitoring swelling. 

Lead your team: multidisciplinary professionals

Successful management requires collaboration between:

• Orthopedic surgeons to optimise surgical technique for lymphatic preservation.
• Lymphedema therapists for MLD, Lymphoedema management strategies advice and compression garment fitting.
• Nutritionists to implement anti-inflammatory diets and weight management strategies.

Post-orthopaedic surgery Lymphoedema: Homework

What you can do to help reduce inflammation:

• Introduce an anti-inflammatory diet to your daily routine 
• Sodium restriction to reduce fluid retention.
• Smoking cessation before and after surgery  (if you quit it is best for your health) to improve microvascular function.
• Stay hydrated to improve lymphatic flow.

A final word…

Patients who have followed these protocols reported:

• 85% satisfaction rates with joint function post-replacement.
• 50% faster return to daily activities compared to non-structured rehab.
• Reduced infection rates (under 2%) when combining compression and MLD.

Remember that while surgical oedema typically resolves within 6–12 weeks, those with chronic lymphoedema require ongoing maintenance therapy. By integrating these evidence-based approaches, patients can achieve better surgical outcomes and long-term mobility.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC10763325/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9674715/

https://cancerrehabpt.com/blog/exercises-to-reduce-knee-fluid/

The post Lymphoedema Management Post-joint Replacement: Available treatments appeared first on Perea Clinic.

Preventing lymphoedema after orthopaedic surgery  is pivotal for patients who have undergone procedures in their knees, hips, shoulders, elbows, etc; and where due to the procedure the lymphatic system has been affected. While not all cases of lymphoedema can be avoided, adopting practical strategies (preventive tips) can significantly reduce risks and help you maintain your quality of life. Let’s see how…

What causes post-Orthopaedic surgery Lymphoedema?

Lymphoedema occurs when lymph fluid builds up in tissues, causing swelling; most seen in limbs (arms or legs). Post-orthopaedic surgery lymphoedema is caused by damage or disruption on the lymphatic vessels or nodes near the treated area. For that reason, early intervention and proactive management are crucial for minimising risk and severity of symptoms.

Lymphoedema after orthopaedic surgery: 7 preventive tips

1.Early movement and post-op care

• Start gradually to reintroduce movement of the affected limb. Gentle movement helps stimulate lymphatic flow and prevents stiffness.
• Follow the instructions of your physio and lymphoedema therapists.
• At the beginning, practice low-impact exercises tailored to your condition for example yoga, swimming, walking, etc.

Exercise is important, but be careful not to overdo it, as excessive activity could increase swelling (edema). Focus on controlled, low-impact movements and monitor how your body responds. If you notice increased swelling or discomfort, ease back and allow time to recover.

2.Elevate the affected limb

• When you raise the affected limb (legs or arms) above the level of the heart it helps to reduce swelling by encouraging lymphatic fluid and blood to move back toward the center of the body. This is especially helpful after long periods of sitting or standing.
• Supportive Devices for elevation. using a recliner or a pile of pillows to keep the limb comfortably elevated, especially during rest or sleep.

3.Compression Garments

• Wearing a compression sleeve, glove, stocking, or other garment applies gentle pressure to the limb, supporting lymphatic drainage and reducing swelling. These should be worn as recommended by your surgeon and lymphoedema therapist. Start wearing it during the day and remove it at night, then, continue as instructed by your GP and therapist.
• The compression garments should be put on in the morning when swelling is minimal.
• Ensure your garment covers and fits all swollen or treated areas.

4.Take care of your skin to prevent infections

• Keep your skin clean and moisturised.
• Too dry or cracked skin is more prone to infection.
• Use gentle, fragrance-free moisturisers and avoid harsh chemicals.
• Avoid too high temperatures in water while showering.
• Avoid injury. Use protective clothes or devices in your daily activities (cook, gardening, etc.) to prevent burns or cuts.
• In case of injury, treat it as soon as possible.
• Clean and care for any cuts, scrapes, or insect bites immediately to prevent infection.

5.Avoid tight clothing and jewelry

• In case of inflammation, tight clothes and jewelry obstructs proper lymphatic and blood circulation.
• Choose comfortable and nonrestrictive (loose) clothes.

6.Nutrition

• Take care of what you eat, proper nutrition is pivotal in order to reduce inflammation and avoid it.
• Introduce anti-inflammatory foods like berries, leaf green, nuts, turmeric, ginger, cinnamon, etc.
• Opt for an anti-inflammatory diet like Mediterranean or keto (always supervised by a nutritionist).

7.Maintain a healthy weight

• Excess weight puts additional strain on your lymphatic system and increases your risk of lymphoedema
• Exercise frequently.
• Monitor your BMI (Body Mass Index). A body mass index (BMI) over 30 is associated with a higher risk of lymphoedema. 

Lymphoedema after orthopaedic surgery: symptoms

Be aware of early signs of lymphoedema, such as:

• Abnormal swelling after the procedure
• Heaviness, pain, or tension in the limb
• Tightness or a “bursting” feeling
• Clothing, shoes, or jewelry feeling tighter

If you notice any of these symptoms, contact your surgeon and lymphoedema therapist promptly for assessment and early intervention.

A final word…

Preventing lymphoedema after orthopaedic surgery is possible with proper strategies and proactive care. The listed tips above which include gentle movement, limb elevation, compression therapy, skin care, proper nutrition, weight management, and awareness of early symptoms are pivotal to reduce post-op lymphoedema risks, in addition to support and speed up your recovery process. Always consult your healthcare team for a tailored treatment plan.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/26753640/

https://pmc.ncbi.nlm.nih.gov/articles/PMC8620266/

https://www.bupa.co.uk/health-information/cancer/lymphoedema

https://www.ncbi.nlm.nih.gov/books/NBK537239/

https://www.lympho.org/uploads/files/files/Surgery-final.pdf

The post How to reduce the risk of Lymphoedema after orthopaedic surgery appeared first on Perea Clinic.

Post-surgical lymphoedema is a condition that can arise as a side effect after orthopaedic surgeries, particularly those involving trauma or joint replacements. It occurs due to impaired lymphatic drainage, which leads to fluid accumulation in the affected limb. Lymphoedema may be caused by direct damage to lymphatic vessels or nodes or by an overload of the lymphatic system due to excessive fluid production. Early detection is esential to prevent the advance of the condition and ensure effective management. In this blog, we explore the symptoms to look for, potential causes, risk factors, and the importance of timely intervention.

What is Post-Surgical Lymphoedema?

Post-Surgical Lymphoedema is a type of chronic oedema. Its main characteristic is swelling due to the accumulation of lymph fluid caused by a blockage, damage, or overload in your lymphatic system—specifically, vessels or nodes near to the treated area. In orthopaedic patients, this can result from surgical interventions or trauma that disrupt the lymphatic pathways. Secondary lymphoedema often manifests after procedures such as joint replacements or open fractures.

While post-surgical swelling is normal, in some cases, it can become prolonged and problematic. Understanding the causes, risk factors, and management of chronic oedema can help patients and healthcare providers address the condition effectively.

How Does Lymphoedema Develop After Orthopaedic Surgery?

Orthopaedic procedures can directly or indirectly affect the lymphatic system in several ways:

1. Surgical Trauma

Incisions, tissue manipulation, or repositioning of body parts during surgery may damage lymphatic vessels or nodes. For example, hip or knee replacements often involve deep tissue dissection, raising the risk of lymphatic disruption.

2. Immobility

Reduced movement post-surgery limits muscle contractions that normally pump lymph fluid. Prolonged bed rest or the use of casts can exacerbate fluid pooling, particularly in the legs or arms.

3. Inflammatory Response and Fluid Overload

Surgical trauma increases local inflammation, elevating interstitial protein levels. This creates a cycle where protein-rich fluid overwhelms compromised lymphatic drainage. In some cases, the lymphatic system is simply overwhelmed by excess fluid production, even if it remains structurally intact, leading to lymphoedema.

Recognising the Early Signs of Post-Surgical Lymphoedema

Early detection of lymphoedema is vital for successful management and treatment. The sooner the signs are recognised, the better the outcomes in preventing progression to more severe stages. Patients recovering from orthopaedic surgeries should be vigilant for the following symptoms:

• Persistent Swelling: Swelling that continues or worsens several weeks after surgery. It may initially appear mild but become more pronounced over time or in hot weather.
• Heaviness or Tightness in the Limb: A feeling of heaviness, tightness, or pressure in the affected arm or leg that can interfere with mobility and daily activities.
• Pitting Oedema: Pressing the swollen area may leave a temporary indentation, indicating fluid build-up.
• Reduced Range of Motion: The affected limb may feel stiff or limited in movement due to swelling or discomfort.
• Thickened Skin: Skin may feel firmer, appear shiny, or become itchy or mildly red.
• Pain or Tenderness: Particularly if inflammation is present and persistent.
• Recurrent Skin Infections: Swelling increases the risk of infections, which can further complicate recovery.
• Clothing or Jewellery Feeling Tighter: Items such as rings, watches, or trousers may feel tighter on one limb compared to the other.

Why Early Detection is Key

Early detection of symptoms in post-op orthopaedic surgery patients can significantly reduce the risk of lymphoedema progression. On the other hand, it improves outcomes and speeds up the recovery process. Timely detection and intervention also:

• Prevents Chronic Disability
• Reduces Risk of Complications: Such as delayed wound healing, infections, excessive pain, reduced mobility, and in some cases, wound dehiscence (where sutures may reopen due to swelling pressure).
• Improves Quality of Life: Timely treatment allows patients to regain function and comfort quickly.

What to Do After Detecting Lymphoedema: Management Strategies

Once identified, post-surgical lymphoedema can be managed effectively through:

• Compression Therapy: Bandages or compression garments help reduce swelling by improving fluid circulation. Long-stretch garments may offer better results than standard wraps—always seek guidance from  your surgeon  or a lymphoedema therapist.
• Manual Lymphatic Drainage (MLD): Specialised massage techniques stimulate lymphatic flow, support the immune system, and alleviate symptoms. Make sure your therapist is a lymphoedema specialist registered with MLD UK or the relevant authority in your country
• Exercise and Movement: Gentle, guided exercises help promote lymphatic flow and prevent fluid retention.
• Nutrition: Introduce an anti-inflammatory diet and ensure adequate hydration.
• Medications (if needed): Anti-inflammatory drugs may be prescribed in some cases to reduce swelling and discomfort.

A final word

Post-surgical lymphoedema is a common complication following damage or overload of the lymphatic system during orthopaedic surgeries. Understanding the early signs of persistent swelling, tightness, heaviness, pain, and changes in the skin—allows patients to seek timely medical attention. Not all patients will develop lymphoedema, but those undergoing complex procedures or with other health conditions should be monitored closely. Early intervention not only prevents long-term disability but also ensures a smoother, faster recovery and a better quality of life.

References:

https://pubmed.ncbi.nlm.nih.gov/26753640/

https://pmc.ncbi.nlm.nih.gov/articles/PMC8620266/

https://www.bupa.co.uk/health-information/cancer/lymphoedema

https://www.ncbi.nlm.nih.gov/books/NBK537239/

https://www.lympho.org/uploads/files/files/Surgery-final.pdf

The post Recognising the Early Signs of Post-Surgical Lymphoedema appeared first on Perea Clinic.