What sports can I practice with lymphedema?

Lymphedema should not be a barrier to physical activity. On the contrary, sport has been shown to be beneficial in stimulating lymphatic circulation and improving the quality of life of those affected. All physical activities can be practised without any medical restrictions for lymphedema. There is no type of exercise  that is not recommended as long as it is supervised and progressive(3,7).

Swimming, Nordic walking, yoga: find out which activities are recommended and what precautions you need to take to practice sport safely with your lymphedema.

 

Why is exercising beneficial for lymphedema? 

Physical activity is strongly recommended for people with lymphedema. It tones the muscles, improving blood circulation and stimulating the lymphatic system(5).

The benefits of wearing compression garments when exercising have been scientifically demonstrated(2,3). 

While exercising, blood circulation and lymphatic circulation are intensified. This might be painful in cases of lymphedema(2). 

Compression garments are precisely designed to limit this pain. Worn during exercise, but also during the recovery phase, they limit the onset of pain and oedema(5).

A regular exercise programme helps to :

  • Improve blood circulation and stimulate the lymphatic system(4). 
  • Promote supple skin(4).
  • A positive impact on mental health: Exercise programs, especially those involving group activities or yoga, are highly beneficial. They improve patients' physical and emotional state. They also improve quality of life by reducing fatigue, pain and insomnia(4).
  • Improves the symptoms associated with lymphedema, as well as limb function, physical condition and quality of life(4).

 

What kind of sports can I practice with lymphedema? 

Several disciplines stand out for their effectiveness on lymphatic drainage, but no sport is discouraged (1). Swimming, at the top of the list, provides beneficial hydrostatic pressure. Cycling, has good muscle-pumping action, encourages lymph circulation. Nordic walking, with its use of poles, amplifies arm movement.

 

Gentle sports: walking, aquatic activities, pilates and yoga. 

 

The benefits of sport

 

 

Tips for practising in complete safety 

Listen to your body and adapt the intensity of your exercises. Start slowly and gradually increase the duration and frequency of your sessions(7).

Keep yourself well hydrated before, during and after exercise to encourage lymphatic circulation.  

Remember to :

  • Warm up properly.
  • Alternate the muscle groups exercised.

After exercise, take the time to stretch. If you experience any unusual swelling or pain, stop exercising and consult your doctor.

  1. Nationellt diagnos- och vårdprotokoll (PNDS), primärt lymfödem, Haute Autorité de Santé, februari 2019
  2. Vignes, S. (2024, 10 oktober). FETTVÄVNAD OCH SEKUNDÄR LYMFÖDEM I ÖVRE EXTREMITETEN. https://www.ks-mag.com/article/13922-tissu-adipeux-et-lymphoedeme-secondaire-du-membre-superieur
  3. Vignes, S. (2023). Behandlingar av lymfödem (exklusive operationer och riktade terapier). La Presse Médicale-formationen, 4(4), 369-375. https://doi.org/10.1016/j.lpmfor.2023.07.016
  4. Exekutivkommittén för International Society of Lymphology. Diagnos och behandling av perifert lymfödem: 2020 års konsensusdokument från International Society of Lymphology. Lymfologi. 2020; 53(1):3-19. PMID: 32521126.
  5. Kompressionsterapi: Ett positionsdokument om kompressionsbandage, 2:a upplagan, ILF, 2020
  6. Fletcher J, Borthwick Y, Elwell R et al (2024) Praktiska frågor vid användning av kompressionsplagg och lindor för behandling av lymfödem. Wounds UK: Storbritanniens konsensusdokument. (s. d.). Dans wounds-uk.com. https://wounds-uk.com/wp-content/uploads/2024/10/MULTI24_CD_BLS_WUK_WEB-v3.pdf
  7. Isabelle Quéré, Vad är fördelen med sport vid primärt lymfödem?, JMV-Journal of Vascular Medicine, Volym 49, Nummer 1, 2024, Sida 14, ISSN 2542-4513,
    https://doi.org/10.1016/j.jdmv.2024.01.076. 

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