Lymphedema pumps are medical devices that help manage lymphedema, a chronic condition where lymphatic fluid accumulates, causing swelling, usually in an arm or leg. Also known as pneumatic compression devices, these pumps use controlled air pressure to reduce swelling and promote lymphatic drainage. They work by inflating and deflating a garment worn on the affected limb, mimicking the lymphatic system’s natural pumping action to move fluid towards the body’s core for elimination. Many lymphedema pumps are designed for convenient home use, offering flexible therapy incorporation into daily routines.
Getting Ready for Treatment
Before starting lymphedema pump therapy, consult a healthcare provider to ensure it’s appropriate. A medical professional will assess your condition and provide a prescription with personalized pump settings, including pressure levels and treatment duration. These prescribed settings are tailored to individual needs and should not be adjusted without medical guidance.
Gather the pump unit, appropriate compression garment or sleeve, and connecting tubing. Prepare the limb by ensuring the skin is clean and dry. Some therapists advise applying a thin layer of clothing or a compression bandage underneath the pump sleeve to prevent irritation and absorb perspiration. Find a comfortable position for treatment, such as lying down or sitting with the limb slightly elevated, which can help stimulate lymphatic flow.
Operating the Lymphedema Pump
Carefully apply the compression garment to the affected area. Ensure it fits snugly and comfortably. For leg garments, position the zipper on the front; for arm sleeves, position air inlet ports away from the inside of the arm. If the garment has a zipper, attaching a string or wand to the pull can help with easier closure, especially if reaching is difficult.
Connect the air hoses from the pump unit to the garment’s inflation ports. Most pumps have color-coded or marked connections. Ensure all connections are secure to prevent air leaks and maintain proper pressure. Place the pump unit on a clean, dry, flat surface, plugged directly into an electrical outlet with adequate airflow.
Turn on the pump and verify settings match your healthcare provider’s prescription. The pump will begin inflation and deflation cycles, sequentially moving fluid from the extremity towards the body. During treatment, monitor your comfort and observe skin for irritation or discomfort. If pain or significant discomfort occurs, stop the session and consult a professional.
After Treatment and Ongoing Care
Once the session is complete, turn off the pump and allow the garment to fully deflate. Disconnect the tubing from both the pump and garment, then carefully remove the garment from the limb. Inspect the skin for any redness, irritation, or unusual marks. Mild indentations or ridges from the garment are common and typically disappear within 25 to 30 minutes. Moisturize the skin after treatment to prevent dryness or cracking.
Maintain the pump and garment for longevity and hygiene. Spot clean the pump unit and tubing with a damp cloth, ensuring the pump is unplugged. Clean compression garments regularly, often daily, using mild soap or detergent free of bleach, chlorine, fabric softeners, or harsh chemicals, as these can damage fabric fibers. Hand-wash garments in cool to warm water (86-104°F), then rinse thoroughly and air-dry away from direct sunlight.
If the pump does not operate, first check it’s securely plugged into a working electrical outlet and the power cord is undamaged. If the sleeve doesn’t inflate properly, ensure the pressure knob is set correctly, the air delivery tube isn’t kinked or pinched, and there are no holes in the sleeve or tubing. Contact your healthcare provider or equipment supplier if issues persist, or if you experience increased swelling, pain, skin redness, or fever after using the pump, as these may indicate a need for medical attention.