Does lymphedema go away on its own? 

Lymphedema will not go away on its own if it occurs >6 weeks after treatment. If there is a diagnosis of secondary lymphedema resulting from head and neck cancer treatment, it’s important to see an SLP, OT, or PT who is trained in complete decongestive therapy of the head and neck. Complete decongestive therapy includes:

1. Manual lymphatic drainage: There are certain pathways in which the lymphatic fluid drains. Manipulation of the impacted region should follow these pathways. Manual therapy should move lymph posteriorly and/or anteriorly as this imitates the natural lymphatic system.  The area of swelling, scars, and other anatomical variations will impact which pathway is the most effective. A trained therapist will be able to determine which is most effective. 
2. Compression: A compression garment should be worn at least 3 hours daily. A therapist will determine which type of compression someone should wear. The purpose of the compression is to keep pressure on the affected area and reduce the rate of lymph buildup. Compression garments will be recommended by your therapist. 
3. Skin care: It’s important to monitor and take care of your skin to prevent infection. If there is an active skin infection, manual lymphatic drainage needs to be cleared by your physician. 
4. Exercise: There are lymph nodes all over the body. The more you move, the more these lymph nodes work to pump lymphatic fluid. 

Taylour Campbell, MS CCC-SLP