Lymphoedema
Resource hub covering recognition, diagnosis, measurement, compression, movement, and treatment.
DAPHNE
Diagnostics, options, and where the evidence stops.
This site distinguishes lived experience from medical documentation.Deze site onderscheidt geleefde ervaring van medische documentatie.
Resource hub covering recognition, diagnosis, measurement, compression, movement, and treatment.
Practical guide to referrals, specialists, appointment preparation, and record-keeping.
Visualized measurement data, timeline, and photography with progressive disclosure.
Curated external links, organized as Start Here, Go Deeper, and My Experience.
Entry point guiding new visitors to the journey that fits why they came.
Agency became concrete when I learned to ask for wording corrections, written plans, copies, dates, and specificity before accepting what a file said about me.
Agency means participating in the record, not simply being recorded by it.
Agency is not being offered a form. Agency is having a meaningful choice before the form becomes the record.
A GP referral could be clinically sensible and still fail at reception because insurer contracting required a different route.
A clinically sensible path and an administratively permitted path can diverge.
The patient should not be the API between institutions.
Portals, screenshots, calendar systems, and digital records sometimes helped, but they also created new work. My own screenshots often became the durable record of cancellations and requests.
A digital system can be efficient for an institution while transferring uncertainty to the patient.
A portal is not patient empowerment if the patient still has to screenshot everything to preserve the truth.
The clearest access failure was an out-of-network referral sequence where clinical urgency and administrative permission did not align.
Transitions are where responsibility becomes ambiguous unless ownership is explicit.
Every handoff needs an owner, a deadline and a receipt.
My lymphatic system no longer moves fluid efficiently through my right leg. Fluid can accumulate in the tissues, causing swelling, heaviness, pressure and changes in how the limb feels and functions. Because pelvic lymph nodes were removed during cancer surgery, the lymphatic system has less capacity than it once had.
This is a patient description, not medical instruction. The final wording here should be reviewed by a qualified lymphoedema professional before it is treated as clinical guidance.
Swelling of the right ankle, foot and lower leg. Loss of the normal ankle outline. Pitting, where a thumb leaves a visible indentation. Heaviness. Warmth. Pressure or throbbing. Shoe fit changing. Compression marks. Symptoms extending toward the knee. After severe flares, pins and needles or areas of altered sensation.
Long periods of sitting and travel can make management more difficult.
The earliest signs I currently place in 2023. I noticed swelling and changes in shoe fit at work. Initially I was able to hide or minimize it. The first major event that made it impossible to dismiss happened in January 2024, when my right shoe would no longer fit normally and the ankle had visibly changed shape.
In January 2024 my GP examined the swelling and urgently referred me to hospital because thrombosis needed to be excluded. An ultrasound did not show thrombosis. The hospital assessment then pointed toward lymphoedema.
That distinction mattered enormously: I had gone in afraid of an acute clot and came out facing a chronic condition that would require ongoing management.
Yes. I track measurements at the foot, ankle, calf, knee and thigh, together with photographs and symptoms.
For the public website I publish trends rather than every raw number initially โ for example, "ankle circumference increased during a flare," "shoe fit changed," "swelling became visibly asymmetric," "measurements improved or worsened following treatment or travel." A detailed measurement table could later live in an evidence/data section if there is a clear reason for publishing it.
Compression is a central part of management. I have used compression stockings and, particularly around travel or more significant swelling, compression wrapping/bandaging.
It is effective management, but it is also labour: putting it on, getting the fit right, tolerating pressure, monitoring the skin and planning clothing and travel around it.
Movement is important to me and forms part of how I manage the condition. Walking has been particularly important throughout my recovery history. I also monitor activity because there is a difference between helpful movement and simply forcing a swollen leg through another workday.
Any exercise recommendations here are my experience rather than universal medical advice.
Compression. Manual lymphatic drainage / lymphatic treatment. Bandaging or wrapping. Movement. Elevation. Photographic tracking. Circumference tracking. Self-management around travel and prolonged sitting.
Treatment is management rather than a claim of cure.
The most important acute test in the record is the January 2024 investigation to exclude thrombosis. An ultrasound did not show a blood clot.
Further specialist investigations should only be listed when the medical reports are confirmed and in hand.
I have not had lymphoedema-related surgery. If surgical options are being considered or discussed at any point, that stays private until a specialist consultation and treatment plan are confirmed.
Travel requires more planning than it once did. I think about compression, sitting time, movement, swelling, shoe choice, the ability to elevate the leg and what happens after the flight.
A long journey does not end when the plane lands. My leg can continue responding after I arrive.