Dr Rosemary

MEDICAL ADVICE COLUMNIST OF THE YEAR

part of the body’s immune system. The fluid (lymph) they contain helps to cleanse the tissues which is then drained away, eventually being returned to the blood.

Lymphoedema occurs when the fluid does not drain away properly, leading to a build-up of fluid under the skin. It can occur anywhere but most commonly affects the arms and legs.

There are two types of lymphoedema. With primary lymphoedema there is a problem in the structure of the lymph vessels which often becomes apparent in puberty or early adult life. Secondary lymphoedema develops when a part of the lymphatic system has been damaged.

Common reasons for this are removal of lymph nodes during surgery for cancer or damage to them during radiotherapy.

Reduced mobility or paralysis after a stroke can also lead to lymphoedema. Unfortunately it cannot be cured and the main treatment is to keep the affected limb as mobile as possible to encourage circulation.

Sometimes wearing a light compression bandage or stockings can help prevent the affected limb becoming too swollen. If your legs are affected make sure you have your feet raised whenever you are resting (above the level of your hips) as this will help prevent pooling of fluid in your feet and ankles.

Losing excess weight always helps and you should take great care of your skin, keeping it well moisturised.

You can get more information from the Lymphoedema Support Network, call 0207 351 4480 or visit lymphoedema.org.

MY 78-year-old mother broke her leg getting out of bed earlier this year. Her leg just seemed to give way as she got up. She’s been in hospital ever since. Could it possibly have been caused by osteoporosis?

ATHERE are probably several factors involved. The fact