Lymphology Association of North America (LANA) Practice Exam

What is a critical first step in management of lymphedema?

1. Movement therapy

2. Weight loss

3. Compression therapy

4. Skin care

The correct answer is: Compression therapy

The critical first step in the management of lymphedema is compression therapy. This approach is essential as it helps to reduce the volume of lymphatic fluid in the affected area. By applying external pressure to the skin and underlying tissues, compression therapy facilitates the reabsorption of excess interstitial fluid, thereby alleviating the swelling associated with lymphedema. This method not only helps to decrease limb size but also plays a significant role in promoting healthier lymphatic function and preventing complications such as infection. In addition to its primary role in volume reduction, compression therapy is also crucial for the prevention of skin issues related to lymphedema, such as skin breakdown or ulceration, which can occur when the area is swollen and at risk. By re-establishing functional lymphatic drainage, compression therapy can also enhance the effectiveness of other management techniques that may be employed later in treatment, such as movement therapy, weight loss, and skin care. Movement therapy, while beneficial in maintaining range of motion and improving overall mobility, is typically more effective when combined with compression therapy. Weight loss can aid in overall health and may reduce the burden on the lymphatic system, but it is not an immediate management strategy for lymphedema itself