Lymphoedema can significantly affect foot health due to the build up of lymphatic fluid in the tissues, which leads to swelling, discomfort, and an increased risk of complications. Here’s how lymphoedema impacts the feet:
1. Swelling (Edema)
The Primary symptom of lymphoedema is persistent swelling in the feet and ankles.This swelling can make shoes difficult or painful to wear, affect mobility, and alter gait or balance.
2. Skin Changes and Infections
The skin over the swollen area can become thick, tight, or hard (fibrosis), reducing flexibility and increasing discomfort. Increased risk of infection (such as cellulitis or fungal infections) because the lymphatic system helps fight infections, and when it's impaired, pathogens can proliferate more easily. Skin may crack or develop ulcers, especially between the toes or under pressure points.
3. Pain and Discomfort
Swelling and tissue changes can cause aching, heaviness, and sensitivity in the feet. Pain may worsen with standing or walking for long periods.
4. Reduced Mobility
Swollen feet may affect range of motion and balance, leading to reduced activity levels.Altered gait can also contribute to secondary issues like knee, hip, or back pain.
5. Toenail and Foot Care Challenges
Toenail trimming and foot hygiene become more difficult, increasing the risk of ingrown toenails, fungal infections, and other foot problems. Swelling can distort the shape of the toes and nails.
6. Compromised Circulation
Prolonged lymphoedema may affect blood circulation, slowing wound healing and increasing the risk of pressure sores or infections.
Here are some Preventative and Management Tips
Compression therapy (bandaging or garments) to reduce swelling issued by your professional team.
Elevation of the feet when sitting or lying down.
Manual lymphatic drainage (MLD) or gentle massage by trained professionals.
Foot hygiene: daily washing and moisturising to prevent cracking.
Proper footwear: supportive, well-fitted shoes to accommodate swelling and reduce friction.
Regular monitoring for signs of infection or skin changes.
If you or someone else is managing lymphoedema in the feet, regular care from a podiatrist and a lymphoedema specialist is important to prevent complications.