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Questions:

  1. Lynphaedema and Venous insufficiency
  2. Lymphedema
  3. Totaria Liposomal Lymphatic Drainage Drops
  4. HEAL Trial - Phase 3
  5. Edema/Ulcers
  6. Acebilustat Trial
  7. Lymphedema and Ulcerative Colitis
  8. Freezing of Research Funding
  9. Air Travel
  10. Radiation treatment and lymphatic drainage
  11. Lymphodema leg
  12. Looking for Specialist in Lymphangiectasia
  13. Immunity
  14. Need advice!
  15. Risk of lymphedema after axillary node removal and pregnancy
  16. Tendonitis in affected arm?
  17. Upper thigh bulge
  18. Knee Replacement with Lipedema
  19. had to stop all B/L lymphedema LE’s treatment due to abdominal pain that treatment causes
  20. lower legs lymphodema
  21. lymphodema in both legs, thighs and possible stomach
  22. all LE decongestive methods cause abdominal pain: what to do w LE’s and how to avoid abdominal pain
  23. Imaging and age
  24. Lymphoscintigraphy vs Ultrasound
  25. Safe to use diuretics with lymphedema
  26. Roller for Lipedema/Lymphedema in lower leg
  27. Lipedema treatment when you can’t walk
  28. Compression Garment Study after debulking
  29. Recent SAPL not candidates for LVA
  30. Recurring post-viral like symptoms - primary lymphedema
  31. Immobility
  32. Does lymphedema cause IBS?
  33. Lipodema
  34. lymphovenous bypass
  35. Primary Lymphedema in lower left extremity
  36. Swelling in knee area
  37. Test for Lympodema
  38. Inguinal lymph node swelling with lymphedema diagnosed in 2007
  39. Laser Hair Removal
  40. Lymphaticovenular anastomosis (LVA) for Alzheimer’s
  41. Treatment options for Lymphedema
  42. Treatment Protocol
  43. Unexplained symptoms - lymphatic system
  44. Managing lymphedema
  45. Breast cancer related lymphedema and LVB incision site
  46. Clinical Lead lymphoedema Clinic University College London Hospitals - United Kingdom
  47. Clinical Lead lymphoedema Clinic University College London Hospitals - United Kingdom
  48. lymphedema in lower extremities surgery options
  49. Lipodermatosclerosis
  50. Acebilustat approval
  51. Total knee replacement with lymphedema
  52. Lymph bypass surgery
  53. Captopril for Lymphodema
  54. Bestatin Trial
  55. Lymphangitis/cellultis
  56. Liposuction Cost
  57. Lymphedema study
  58. Calcium Channel Blockers and Lymphedema
  59. Diagnosis
  60. For pianist
  61. Primary Lymphedema Surgery
  62. Primary Lymphedema
  63. Stage 1 arm lymphedema with little swelling
  64. Sun/ heat
  65. Compromised immune system
  66. Acebilustad
  67. Acupuncture in treament of lymphedema
  68. Radioactive Iodine
  69. I never had this much tightness, skin changes, etc. till now.
  70. Lymph Node Removal
  71. Acebilustat
  72. lymphoscintigraphy protocols
  73. Stage 1:  Does it always progress
  74. How long does it take?
  75. Lymph node size
  76. concrete legs
  77. Lymphedema Mass Debulking
  78. Compression
  79. Blood test
  80. Acebilustat
  81. primary lymphedema diagnosis
  82. Ozempic
  83. Acupuncture Question
  84. Ketoprofen therapy for lymphedema
  85. How does a medical student become a surgeon who performs lymphedema procedures?
  86. Bedside diagnosis question
  87. Lymphedema in the scrotum
  88. Newborn Lymphedema
  89. Measuring for compression garment
  90. Existing Nodules
  91. Lipedema
  92. lymphedema type
  93. Lymphatic Vaginal Fistula
  94. Hot tubs
  95. Sleeping habits
  96. Weight loss injections
  97. Varicose Vein
  98. Dr. Rockson Acebilustat
  99. HEAL trial
  100. Lymphatic Drainage Machine
  101. child surgery, high ddimers and edema
  102. Lymphedema vs. edema
  103. How long do patients have from symptom onset before surgery is too late?
  104. Lymph node transplant Surgery
  105. How can I get rid of painful swollen lymph nodes?
  106. Seeking Guidance on Lymphedema Treatment Options
  107. For leg pain
  108. Liza
  109. Clinical trials & Washington DC
  110. Lymphedema & immunosuppressives
  111. Lymphedema & Nanotechnology
  112. Acebilustat
  113. Lower Leg Lymphedema
  114. Stasis dermatitis (SD) skin graphs; Lymphedema; hindering Knee replacement
  115. 53 lymph nodes removed
  116. Contrast pneumatic vs ‘spring’ driven compression garments
  117. Lymphatic drainage
  118. XXXlarge Compression Socks
  119. Congenital pulmonary lymphangiectasia - antenatal diagnosis?
  120. Effects of Diaphragmatic Release on Lymphedema
  121. Ltb4 and Cantu syndrome
  122. Lymphedema
  123. Obesity induced lymphoedema management
  124. Who is the expert?
  125. Ltb4
  1. Lynphaedema and Venous insufficiency
    Question (Daniel, ):
    • I have lymphaedema in both of my legs since approximately age 4 due to Noonan'S Syndrome. I (As of March 2024) was diagnosed with severe venous insufficiency in both of my legs. I am on physical therapy but the progress is slow. How long does the recovery time take?

    Answer:
  2. Lymphedema
    Question (Becky, ):
    • I Had breast cancer in 2018 I had a lumpectomy ,4 lymph nodes removed under my left arm , 30 radiation treatments. Can you have lymphedema in your leg,arm & breast all at the same time? Everything swollen on my left side , breast tender, pain. what doc to see?

    Answer:
  3. Totaria Liposomal Lymphatic Drainage Drops
    Question (Robin, ):
    • Is there any research/truth to the effectiveness of this product? Have any of you seen proof that this would help the lymph system? Here is more info: https://www.walmart.com/ip/Totaria-Liposomal-Lymphatic-Drainage-Drops-11-in-1-Organic-Formula-Supports-Lymphatic-Health-Immune-Detox-Vegan-Raspberry-Flavor-2-FL-OZ/16505759988?wmlspartner=wlpa&selectedSellerId=102659572&selectedOfferId=CB285B1B799132BF9D95F64E7FA67077&conditionGroupCode=1&wmlspartner=wlpa&cn=FY25-ENTP-PMAX_cnv_dps_dsn_dis_ad_entp_e_n&gclsrc=aw.ds&adid=2222222229716505759988_102659572_0000000000_21407473164&wl0=&wl1=x&wl2=c&wl3=&wl4=&wl5=9033389&wl6=&wl7=&wl8=&wl9=pla&wl10=5518726512&wl11=online&wl12=16505759988_102659572&veh=sem&gad_source=1&gad_campaignid=21690411341&gbraid=0AAAAADmfBIpmvqoeGsa2PkRF23oCVwsXi&gclid=CjwKCAjw6NrBBhB6EiwAvnT_rueJzjS0XmpzBQsiXrs7yhR8CWDehKDhDUcI_We1fo9tnbFlj8HdsBoCMKEQAvD_BwE

    Answer:
  4. HEAL Trial - Phase 3
    Question (Mairead, ):
    • Assuming the HEAL trial progresses to phase 3, will the criteria to participate remain the same? I have lymphedema in both legs, caused by cancer treatment, so I didn't qualify for phase 2, but I'd love to participate, if possible. Thanks so much for doing this research!

    Answer:
  5. Edema/Ulcers
    Question (Suzanne, ):
    • My husband suffers from edema & leg ulcers. He wears compression socks & takes water pills. I'm looking for a better treatment. Is there one?

    Answer:
  6. Acebilustat Trial
    Question (Catherine, ):
    • Dear Stanley, just wondered if there is any update on the trial and if it is progressing well? Really hoping the medication will come to market soon and give us all something to look forward to.

    Answer:
  7. Lymphedema and Ulcerative Colitis
    Question (Sheryl, ):
    • Is there a connection between lymphedema and the autoimmune disease ulcerative colitis and/or Entyvio biologic used to treat UC? I feel like my lymphedema showed up when my UC came out of remission and I stared Entyvio infusions.

    Answer:
  8. Freezing of Research Funding
    Question (Clara, ):
    • Have the recent government actions to freeze health research funding had or are they expected to have any impact on the Acebilustat Lymphedema trial you are conducting, Dr. Rockson? I am extremely concerned about the future of medical research in general, and selfishly worried about your study specifically. Thank you.

    Answer:
  9. Air Travel
    Question (rj, ):
    • Please share your thoughts on air travel. I have Stage II secondary lymphedema in one leg and have found travel by air challenging. My leg expands and aches substantially even when wearing compression. Your recommendations would be greatly appreciated.

    Answer:
  10. Radiation treatment and lymphatic drainage
    Question (Marcella, ):
    • looking for more information on radiation and manual lymphatic drainage safety and when to begin. Tx during the proliferation stage is important to improve lymphatics and decrease inflammation however, rad. oncologists are hesitant to refer during radiation and prefer weeks to months after radiation. Any articles or research you recommend?

    Answer:
  11. Lymphodema leg
    Question (Britney, ):
    • My mother has lymphodema in her leg and now it hurts to walk on it. Her foot turns in like if she walks she could collapse on it. She has had it looked at and they have said itis nerve damage but it seems like it is something else.?

    Answer:
  12. Looking for Specialist in Lymphangiectasia
    Question (Brian, ):
    • I'm a 54yo male who lives in MI, I'm hoping to find a specialist who has experience and knowledge of Lymphangiectasia(dx 2024) and possibly Lymphomatoid Papulosis(dx 2017). I have other medical issues and curious to know if any correlation. I'm willing to do virtual visits or if needed to travel.

    Answer:
  13. Immunity
    Question (Kathryn, ):
    • Does lymphedema have any impact on the immune system?

    Answer:
  14. Need advice!
    Question (Destiny, ):
    • My mom has been dealing with swelling from the torso down for three months. The source according to her doctor is because of a cancer reoccurance but she is bed ridden and in the hospital so getting up is a problem she has. What are exercises that help?

    Answer:
  15. Risk of lymphedema after axillary node removal and pregnancy
    Question (Brittany, ):
    • I had a lipoma removed, with it came 4 axillary lymph nodes. I am 2 months from surgery with no lymphedema, but would like to start trying to conceive. Would a pregnancy this soon increase my risk of lymphedema? Should I wait longer? I could not find any data myself.

    Answer:
  16. Tendonitis in affected arm?
    Question (Laura, ):
    • I developed lymphedema in my left arm about 6 months ago. Since I started wearing a compression sleeve, it feels like I am experiencing tendonitis above and below my elbow. I think the night sleeve affects this most. Is this common? Anything I can do differently at night for stabilization?

    Answer:
  17. Upper thigh bulge
    Question (jennifer, ):
    • I have lymphedema of the left leg which is being managed with compression, exercise and koya pump. Neither the pump nor the compression stockings reach the upper thigh and my leg there is increasingly misshapen. I buy the longest stockings and xl pump but these do not address that area.Ideas?

    Answer:
  18. Knee Replacement with Lipedema
    Question (JoAnn, ):
    • I need knee replacement in my left knee soon but with the lipedema, it really scares me! Is it safe? I have so much swelling above the kneecap and along the interior of the knee and have had for 10 years! Please advise asap!

    Answer:
  19. had to stop all B/L lymphedema LE’s treatment due to abdominal pain that treatment causes
    Question (Alina, ):
    • I stopped all treatment due to low abdominal pain for hours caused by lightest MLD/ bandaging/compression after 1 y of daily LEs pump, daily and nightly compression w no pain. All possible GI and vascular tests r negative. With no treatment leg is huge, shiny, pink getting worse. whattodo?

    Answer:
  20. lower legs lymphodema
    Question (Carol , ):
    • 1) do mechanical pump garments work for lower legs, like the " Active compression treatment device"? 2) when they do manual lymphodema message do you wear compression capris or any other garments.

    Answer:
  21. lymphodema in both legs, thighs and possible stomach
    Question (Carol , ):
    • Wrap therapy done twice, reduced size of legs but the custom made compressions both times were impossible for me to put on . Legs became worse. Now i have velcro wraps but they keep loosening up the moment i move. what do i do? I also wear compression capris.

    Answer:
  22. all LE decongestive methods cause abdominal pain: what to do w LE’s and how to avoid abdominal pain
    Question (Alina, ):
    • What to do with B/L LEs that are getting worse since I had to stop lymphedema pump, MLD (done to LE's only), compression due to unbearable abdominal pain that they all cause. what to do that will not force fluid from LEs towards abdomen causing pain?

    Answer:
  23. Imaging and age
    Question (Tina , ):
    • Is there an ACTUAL imaging procedure that can locate the area, of the lymphatic system that is damaged, and is there an age limit for something like this? If so, where?

    Answer:
  24. Lymphoscintigraphy vs Ultrasound
    Question (Tammy , ):
    • I thought I was going for a diagnosis of lipedema but after 2 types of ultrasounds I was diagnosed with lymphedema. Saw another specialist who sent me for lymphoscintigraphy and the results were negative. I still have swelling on right side of body. What are your thoughts? Thanks!

    Answer:
  25. Safe to use diuretics with lymphedema
    Question (Robin, ):
    • Is it safe to use hydrochlorothiazide 25 mg when one has lymphedema in left arm/under arm? I take this water pill with losartan potassium 50 mg for high blood pressure. Thanks very much.

    Answer:
  26. Roller for Lipedema/Lymphedema in lower leg
    Question (ELLEN, ):
    • Hello: I am looking for a suggestion for a Roller for my Lipedema/Lymphedema in my lower leg to hopefully break up the swelling. Thank you in advance, Ellen

    Answer:
  27. Lipedema treatment when you can’t walk
    Question (Suzannah, ):
    • My mother in law suffers from Lipedema as well as a number of issues that make her unable to walk (herniated disc, torn meniscus… and other things). Is there treatment besides lipo that could help her since she can’t walk? She’s tried keto and compression but is hasn’t don’t much

    Answer:
  28. Compression Garment Study after debulking
    Question (Dolores, ):
    • Good Morning, I recently had the debulking surgery in Boston. My surgeon is following your compression regiment very carefully. My question is what is the purpose of the waist high garment? Have you ever made any exceptions? I find it very restricting and uncomfortable. Thank you.

    Answer:
  29. Recent SAPL not candidates for LVA
    Question (Shannon, ):
    • I had a recent SAPL that was supposed to be completed with an LVA however when my surgeon completed the lymphoscintogaphy while in OR he said I did not have sufficient veins. Is this common? I had preop testing and this was never mentioned as problematic even with venous insufficiency.

    Answer:
  30. Recurring post-viral like symptoms - primary lymphedema
    Question (Kristin, ):
    • Do people with PL get post-viral symptoms - aching in joints, increasing pain in lymph nodes which results in fatigue, etc. every 2-3 years and lasting 3 to 4 months? My PL appeared at age 42. I am active & fit, but have had PVS since I was a child.

    Answer:
  31. Immobility
    Question (Jeanna, ):
    • A cellulitis infection last year turned to sepsis and I haven't been able to walk since. I do all the PT exercises and movements with ease, but don't have the strength to stand on my own. What can I do to make PT more effective? I need to walk again.

    Answer:
  32. Does lymphedema cause IBS?
    Question (Melinda, ):
    • I have radiation-induced lymphedema in my abdomen and upper thighs (uterine cancer). Five plus years out from treatment, I find myself having severe stomach pain and diarrhea, with no apparent link to diet or illness, or other trigger. Could it be IBS from the lymph pooling in my abdomen?

    Answer:
  33. Lipodema
    Question (Kimberly, ):
    • What's the best form of lipo for lipodema?

    Answer:
  34. lymphovenous bypass
    Question (Kathy, ):
    • Am 70 yrs old & has lymphedema in my leg as a result of abdominal surgery. I have had it for about 15 yrs. My leg has increased slightly over time. I went to a new dr who is discussing lymphovenous bypass. Is this sucessful? Do the results last?

    Answer:
  35. Primary Lymphedema in lower left extremity
    Question (Amitai, ):
    • I have primary lymphedema in my leg and have been treating it with MLD and Tribute night garment. It is slowly progressing and I am exploring other methods to improve my condition. Is there a doctor I can see and speak with about my options? I am 22 years old.

    Answer:
  36. Swelling in knee area
    Question (Michelle , ):
    • I have been using the medi grade wrap for the lower part of leg. Since my knee is affected would I be best with a full leg medi grade wrap. I thought maybe this stops all the pressure coming to my knee.

    Answer:
  37. Test for Lympodema
    Question (Michelle , ):
    • I was diagnosed with lympodema and have struggled wirh complications.. I went to a dr that treats thus and he says he doubts I have it. He told me he would give me a test that runs dye in feet that runs up legs has anyone ever heard of this?

    Answer:
  38. Inguinal lymph node swelling with lymphedema diagnosed in 2007
    Question (Lisa, ):
    • I have lymph node swelling both right and left 2.1 cm is largest. I can’t get into a lymphedema specialist until Jan and don’t want a biopsy for obvious reasons unless absolutely necessary. Is nodal swelling common after this long and I have never had before.

    Answer:
  39. Laser Hair Removal
    Question (Sharon, ):
    • Can you advise me if it is safe to have underarm laser treatment to reduce underarm hair on my well-controlled lymphatic-affected arm?

    Answer:
  40. Lymphaticovenular anastomosis (LVA) for Alzheimer’s
    Question (Gary, ):
    • Is anyone performing LVA surgery on neck lymphatics to improve the abnormal accumulation of Aβ-amyloid protein and abnormal phosphorylation of tau protein in the brain, which are two important causes of Alzheimer's disease. See https://gpsych.bmj.com/content/37/3/e101641

    Answer:
  41. Treatment options for Lymphedema
    Question (Christina, ):
    • Greetings, What are the best treatment options for Lymphedema in the geriatric populations? Any recommendations for home bound and very ill elderly in assisted living facilities? I live in a remote area with limited resources. On Medicare Advantage. Thank you!

    Answer:
  42. Treatment Protocol
    Question (Sara, ):
    • I saw my PT dr for swelling and pain in my arm. Bioimpedence measurement increased from 2.1 to 17.5, and my right arm is 20% bigger than my unaffected arm. They won't start any treatment until I see lymphedema specialist. Is waiting 2 weeks too long to go without intervention?

    Answer:
  43. Unexplained symptoms - lymphatic system
    Question (Chantelle , ):
    • I have been experiencing a headache for over 3 years since covid vaccine, it feels vascular but neurology can’t find cause. It radiates to my eye and occipital area as well as down my neck, I also have painful spleen and sone strange skin patches. Wondering if lymphatic system related

    Answer:
  44. Managing lymphedema
    Question (Jeffrey, ):
    • I was diagnosed with lymphedema in October 2023,after external beam radiation for prostate cancer.I have used compression socks or wraps ever since. Also had lymphatic massages for 10 months.Swelling is essentially gone.Can I ever stop using compression garments?

       I also have used a lymphatic pump for 4 months.

    Answer:
  45. Breast cancer related lymphedema and LVB incision site
    Question (Jinli, ):
    • We all know that lymphatic drainage is from distal to proximal. LVB in dorsal forearm treating lymphedema of localized inner upper arm sounds like building a highway in Florida to solve the traffic jam in New York. Is it going to be effective ? What is the the theory behind?

    Answer:
  46. Clinical Lead lymphoedema Clinic University College London Hospitals - United Kingdom
    Question (Carla, ):
    • Will you recommend to undergo intensive treatment before LVA surgery? What type of compression you recommend after LVA if the patient has already moderate lymphoedema? How often would you recommed to follow up the patient after LVA?

    Answer:
  47. Clinical Lead lymphoedema Clinic University College London Hospitals - United Kingdom
    Question (Carla, ):
    • One of my upper arm lymphoedema patients that suffer from recurrent cellulitis will undergo LVA soon, she is on low dose antibiotics. The surgeon will prescribe a course of antibiotics for the surgery, shall she stop taking low dose after LVA?

    Answer:
  48. lymphedema in lower extremities surgery options
    Question (Jane, ):
    • What are the steps to take to determine if there are surgery options to help with lymphedema in lower extremities (bilateral)? Major issue is hardened fibrotic tissue in feet. And how does one find the hospitals that do such surgery.

    Answer:
  49. Lipodermatosclerosis
    Question (Karen, ):
    • I have advance lipedermatoscleosis on my leg and swelling (champagne bottle). I am having difficulty finding anyone that can help I need a TKR and surgeon is wary to do it until my leg improves

    Answer:
  50. Acebilustat approval
    Question (Catherine, ):
    • Can I ask if it will be possible if phase 3 can be skipped if phase 2 successful? Also will we get a webinar update on progress like you gave last year which was great? It is great to get hope.

    Answer:
  51. Total knee replacement with lymphedema
    Question (Rachel, ):
    • Hello I had surgery for a root tear in my meniscus last September, and developed lymphedema due to May Thurner syndrome. I was recently told that I will probably have to have a total knee replacement in the same leg with lymphedema. How does that work with lymphedema?

    Answer:
  52. Lymph bypass surgery
    Question (Marion, ):
    • Is there an upper age limit for performing bypass surgery. I have been living with left arm lymphedema (as result of breast cancer surgery) for over 30 years. I control it with compression 24/7. I am 79 years old. Thank you for your reply.

    Answer:
  53. Captopril for Lymphodema
    Question (Catherine, ):
    • Dear Stanley As captopril is an LTA4H inhibitor, can it be of any use for Lymphodema? Have you heard of any research on this? Thanks so much

    Answer:
  54. Bestatin Trial
    Question (Warren, ):
    • Is the bestatin trial over? Results? I have secondary lymphedema in my right leg and am interested in trial participation.

    Answer:
  55. Lymphangitis/cellultis
    Question (Edwina, ):
    • I am recovering from breast cancer. I have lymphedema in my right arm/breast/back area. Now I’m dealing with Lymphangitis/cellulitis when I get bug bites. Is there a specialist that deals with this vs going to the ER everytime? Is it related to cancer recovery?

    Answer:
  56. Liposuction Cost
    Question (Warren, ):
    • What is the estimated cost of liposuction for a full leg?

    Answer:
  57. Lymphedema study
    Question (Linda, ):
    • Very interested in joining a study. Please advise. Thanks.

    Answer:
  58. Calcium Channel Blockers and Lymphedema
    Question (Carolyn, ):
    • Should lymphedema patient take calcium channel blockers for high blood pressure? Is there a class of HPB medication that is better suited to patients with lymphedema?

    Answer:
  59. Diagnosis
    Question (Vero, ):
    • I had 2 lymphoscintigraphy, both says that I have lymphoedema-feet to knee. However a very reputed Hôpital specialised in lymphoedema, claim I don't have lymphoedema but don'texplain how despite the exams.After ovary surgery, the swollen only occur when I sit down along with the belly. What to do?

    Answer:
  60. For pianist
    Question (Makiko, ):
    • I did LVA Surgery on this April. It was succeeded but During the operation we find that All my left hand Lymph was Probably destroyed by Chemotherapy. Could you please give me any advice is to protect my hand to play the piano as long as possible?

    Answer:
  61. Primary Lymphedema Surgery
    Question (Tammy , ):
    • Hello, What type of surgery will help those with primary lymphedema? Right now I’m stage 1 in my right calf and believe I also have it in my right arm and head and face. I feel like I’m a hopeless case and my only choice is to progress.

    Answer:
  62. Primary Lymphedema
    Question (Tammy , ):
    • Hello, it looks like the majority of research and surgery is directed towards secondary lymphedema. Is there anything on the horizon for those of us with primary?

    Answer:
  63. Stage 1 arm lymphedema with little swelling
    Question (Tracy, ):
    • I have no pain and little swelling. None, or the other day it was a half percent bigger than the other arm. Wearing a sleeve all day long seems like a lot. I've been wearing it before, during, and after exercise, about 5 hours per day. Is this enough? Thanks.

    Answer:
  64. Sun/ heat
    Question (DANA, ):
    • Hi Dr Rockson! How common is it to develop lymphedema due to heat/sun on the face! I had small swelling in one side of my face which has now turned into swelling in the mouth, eyelids!Pressure in the head, neck, ear and difficulty swallowing 2 months now

    Answer:
  65. Compromised immune system
    Question (Kathy, ):
    • I have secondary lymphedema of the left arm due to breast cancer. I have received conflicting responses from various healthcare providers whether or not lymphedema impacts my immune system. Do you have any data/studies that address this?

    Answer:
  66. Acebilustad
    Question (Nina, ):
    • Hi Dr. Rockson! I have a question regarding the research you are conducting on the drug Acebilustat! If the results prove to be successful, do you think there is a high chance of finding a cure for Lymphedema for those who have it? Best regards

    Answer:
  67. Acupuncture in treament of lymphedema
    Question (ANNE, ):
    • What is your opinion of using acupuncture for treatment of lymphedema? I'd like to try but am afraid of infection. Thank you.

    Answer:
  68. Radioactive Iodine
    Question (Gina, ):
    • Is it possible to develop lymphedema of the neck (either internal or external) as a result of radioactive iodine treatment for thyroid cancer? I'm a CLT, but don't know how to answer this question for my patient. Thank you!

    Answer:
  69. I never had this much tightness, skin changes, etc. till now.
    Question (Becky, ):
    • Using what I LEaRNed, I believe I had successfully managed leg LE stage 1-2 (worse on rt)esp to prep4 TRHR 1 year ago and a TRKR 4 weeks ago. Would the tourniquet cause an LE flare? This does NOT seem like post-op swelling!! "Hoping" I will get attention and diagnosed.

    Answer:
  70. Lymph Node Removal
    Question (Janet, ):
    • Following a lumphectomy in June 2023, a total of 11 lymph nodes were removed. Follow-up treatment was radiation. I was diagnosed with lymphedema. In January 2024 my eye lids have turned red and swollen. Wonder if the eye lid problem is a result of poor drainage?

    Answer:
  71. Acebilustat
    Question (VERA, ):
    • How long will the drug research on humans take and how many people should participate. How long does it take after the research is completed to get permission from the FDA to sell the drug? I hope that we patients will not have to wait long. Best Regards Vera Jeremic,

    Answer:
  72. lymphoscintigraphy protocols
    Question (Chloe, ):
    • I've noticed a lot of variation in protocols for lymphoscintigraphy (tracer material and dose, injection sites, timings of scans, rest/active, etc) depending on the medical system. What are the correct (or best) protocols for a diagnostic lymphoscintigraphy to test for possible lymphedema in the legs? What protocols does Stanford use?

    Answer:
  73. Stage 1:  Does it always progress
    Question (Tracy, ):
    • I've been diagnosed with stage 1 arm lymphedema. I'm wondering if it always progresses. Could there be a time I don't have to wear the compression sleeve all day? Thank you.

    Answer:
  74. How long does it take?
    Question (Pat, ):
    • How long from the initial contact or referral does it take to get surgical treatment or genetic targeted pharmaceutical treatment?

    Answer:
  75. Lymph node size
    Question (Katherine, ):
    • I am 49, have had primary lymphedema since childhood. I have swollen lymph nodes that never show up on ultrasound or CT! Is it possible that my nodes are smaller than "normal" to begin with? I am concerned that I need a biopsy, but nobody taking me seriously.

    Answer:
  76. concrete legs
    Question (Andrea, ):
    • I am wondering when this feeling of walking through concrete will end. My lymph came from being obese and was in remission when a recent trip to the hospital inflamed it.

    Answer:
  77. Lymphedema Mass Debulking
    Question (LAURA, ):
    • Hello! I am eligible to have the lymphedema mass on my leg removed or debulked but I am having trouble locating a physician skilled in this area at a reputable hospital that will take a patient with over a 35 bmi. I am curious how to navigate thisz

    Answer:
  78. Compression
    Question (Vero, ):
    • My juzo compression foot to knee is helpful to limit lymph infiltration but when i seat down, after 2 days it gives me great headache 1st thing in the morning pushing me to give up wearing. Is the compression ill fitted? Secondary lymph after pelvic surgery. Thank you

    Answer:
  79. Blood test
    Question (Ellen, ):
    • Dear doctor, i have primary le onset 19yo - now 40. I have a newborn and wondering weather there is a non invasive test ( fe blood test) ti check if she has general hypoplasia as well so that I can be alert/ careful to prevent or postpone le onset.

    Answer:
  80. Acebilustat
    Question (Ellen, ):
    • Dear doctor When can we expect an update on the clinical trial? Thank you

    Answer:
  81. primary lymphedema diagnosis
    Question (Chloe, ):
    • I have suspected primary lymphedema (age 34.5 onset). Chronic swelling in one leg since long flight, no swelling in foot, no known cause. Venous ultrasounds and abdominal CT are clear. Bad reaction to bandaging. What kind of specialist can diagnose me? Should I get a lymphoscintigraphy despite false negatives?

    Answer:
  82. Ozempic
    Question (Tina, ):
    • I am wondering,I have been hearing when individuals where on the ozempic they did not get tough, fiberous skin(tissue),but when they went off of it the skin in the affected area flaired up,the skin got hard,fiberous and so forth.I was on ozempic and found that to be true also.are youhearingthatalso?

    Answer:
  83. Acupuncture Question
    Question (Zhang, ):
    • Is acupuncture contraindicated for lymphedema? Or is it less so as it used to be?

    Answer:
  84. Ketoprofen therapy for lymphedema
    Question (Karl , ):
    • 6 months on Ketoprofen is working. Just diagnosed with colon cancer doctor thinks is early. The Yin Yang of LTB4 mediated inflammation in cancer study indicates LTB4 can be a plus? I would be advised to stop ketoprofen? Or continuing might help? Google colon cancer and LTB4, for positive excerpt.

    Answer:
  85. How does a medical student become a surgeon who performs lymphedema procedures?
    Question (Jordan, ):
    • How can a medical student pursue a specialty that performs lymphedema-related procedures, such as LYMPHA, LVA, and VLNT procedures? Does a medical student need to pursue a plastic surgery residency, in order to perform such procedures?

    Answer:
  86. Bedside diagnosis question
    Question (Chloe, ):
    • In Dr. Stanley Rockson's lecture on YouTube, he said a trained primary care physician should be able to diagnose lymphedema with a 15-minute physical exam, without tests/imaging. How do I find a doctor qualified to do this and confirm they're qualified? How do they diagnose it?

    Answer:
  87. Lymphedema in the scrotum
    Question (Nasri, ):
    • Hello Prof. Hakan, My close relative is suffering from lymphedema in the scrotum. We believe it is now at the end of stage 2 or maybe beginning of stage 3. Do you treat lymphedema in this area of the body? If so, what would the medical procedure that you use?Thanks

    Answer:
  88. Newborn Lymphedema
    Question (Ekaterina, ):
    • Hello! My child was born with swollen feet and toes. Please advise how Lymphedema could be diagnosed at this early age and if anything could be done to prevent the progress of lymphedema?

    Answer:
  89. Measuring for compression garment
    Question (Shari, ):
    • I have lymphedema in my left arm due to breast cancer lumpectomy and radiation. Is there a best time during the day to be measured/fitted for a new compression sleeve? Morning or later in the day? Thank you!

    Answer:
  90. Existing Nodules
    Question (Emily , ):
    • Hi. I am wondering if this new drug has promise to remove lipedema nodules. It is hard to imagine anything could disolve them besides surgical removal. On a level separate from this specific medication… is it even possible for a medication to do that? Selectively remove diseased fat only?

    Answer:
  91. Lipedema
    Question (Emily , ):
    • Hi. I am wondering if this new drug has promise to remove lipedema nodules. It is hard to imagine anything could disolve them besides surgical removal. On a level separate from this specific medication… is it even possible for a medication to do that? Selectively remove diseased fat only?

    Answer:
  92. lymphedema type
    Question (Robert, ):
    • My 37 year old son has it in both legs and also has type 1 diabetes, heart disease and gastroparesis making treatment very difficult. He has not had cancer. How can we tell what his lymphedema is caused by and does it matter? We would gladly join a research program.

    Answer:
  93. Lymphatic Vaginal Fistula
    Question (Mary, ):
    • Recommend treatment? 10+ year history of cyclic vaginal drainage of chyle. The past six months malodorous pus has replaced chyle. MRI confirms fluid collection above vaginal cuff GYN and colorectal surgical history.

    Answer:
  94. Hot tubs
    Question (Jessica, ):
    • Is it true that you cannot use hot tubs when you have lymphedema?

    Answer:
  95. Sleeping habits
    Question (Jessica, ):
    • I have lymphedema in my left lower leg. I am also a side sleeper and prefer my left side. Does sleeping and putting pressure on the leg affected worsen the lymphedema? Should I sleep with legs elevated? Should I sleep with compression?

    Answer:
  96. Weight loss injections
    Question (Jessica, ):
    • Diagnosed with lymphedema in left leg, lipodema in both legs, and hypothyroid. Wanting to lose weight to alleviate some of the symptoms but losing weight seems impossible so far. Would weight loss surgery or even weight loss injections work considering all the diagnosis above?

    Answer:
  97. Varicose Vein
    Question (Jessica, ):
    • Recently diagnosed with "dilated lymphatics", Venus Insufficiency, lipedema, and large saphenous vericose vein by a vein doctor. They were unable to answer basic questions. 1. Is dilated lymphatics actually lymphedema? 2. Will fixing the vericose help/reverse the disease? 3. Does lipedema complicate things? 4.  What if I also have Hidradenitis Suppuritiva and hypothyroidism. Do these affect lymphedema as well?

    Answer:
  98. Dr. Rockson Acebilustat
    Question (Dolores, ):
    • It's my impression based on some of your presentations that you may not need to open the study to lower extremity? Will you get enough info from the arm and lipedema participants? I may qualify for liposuction soon but don't want to upset my chances for participating. I have LEfromcancer.

    Answer:
  99. HEAL trial
    Question (Emma, ):
    • When are the results of the HEAL trial likely to be published? (They are eagerly awaited!) Will any preliminary results be available soon? Many thanks.

    Answer:
  100. Lymphatic Drainage Machine
    Question (William, ):
    • Machines currently available are not very portable (I have the smallest lymphapress for home use). Is anyone aware of one that might be smaller and more easy to take on trips?

    Answer:
  101. child surgery, high ddimers and edema
    Question (Grzegorz, ):
    • Is it justified to perform lymphedema surgery in an 11-year-old boy or should we wait? Can lymphedema be accompanied by very high ddimers (of 5000), increased CRP and OB? How to treat edema with such high ddimers?

    Answer:
  102. Lymphedema vs. edema
    Question (jered, ):
    • Half of my medical team has diagnosed my swollen feet and calfs as being lymphedema and the other half has made the edema diagnosis. I am leaning towards the lymphedema team. Reasons being (1) lymphedema clinic was successful and(2)radiation/esophagectomy a year prior to onset. How can I tell the difference?

    Answer:
  103. How long do patients have from symptom onset before surgery is too late?
    Question (Shane , ):
    • I’m reading how how lymph node transfer only works early in the process. How early. My symptoms appeared seven months ago in my lower legs. Also, if one begins decompression therapy and wears compression stockings will this buy additional time to consider surgery?

    Answer:
  104. Lymph node transplant Surgery
    Question (Shane , ):
    • Just diagnosed with Lymphadema in lower legs and ankles. Apparently caused from being overweight but it began after a bout with Covid, Believe I am in an early stage as swelling is gone in the morning. Might I be a candidate for surgery? Does Medicaid cover this?

    Answer:
  105. How can I get rid of painful swollen lymph nodes?
    Question (Samuel, ):
    • Hello Dr I had mono in October of 2022, my lymph nodes were very swollen and they gave me prednisone to help with swelling. Initially it stopped. After a month my lymph nodes began to hurt again and haven’t stopped. I need help on what to do.

    Answer:
  106. Seeking Guidance on Lymphedema Treatment Options
    Question (Angel , ):
    • Dear Stanley, I'm seeking advice regarding long-standing lymphedema issues post-pregnancy. Previous consultations offered limited hope, emphasizing physiotherapy as the sole treatment. I'm eager to explore potential treatments, assess severity, and discuss lifestyle modifications. Your expertise would be invaluable. Thank you

    Answer:
  107. For leg pain
    Question (Ekta, ):
    • I am pediatrician 47 yr old, diagnosed with tarda. I am not overweight annd very active. Any suggestion for leg pain? And i do yoga, does hot hot yoga ok? Thank you i really appreciate it

    Answer:
  108. Liza
    Question (Liza, ):
    • Can lva be done on the armpit. I had bialateral mx with node clearance , no radiation therapy, followed by LD flap surgery . I had LVA done on the lower arm same side in Oxford and it worked great! I would love to know thanks

    Answer:
  109. Clinical trials & Washington DC
    Question (Susan S, ):
    • Since patients with lymphedema aren’t able to travel bt air, would you be willing to collaborate with Georgetown University in your clinical trials? We live in the DC area of VA. My loved one would be interesting in clinical trials within driving distance.

    Answer:
  110. Lymphedema & immunosuppressives
    Question (Susan S, ):
    • A loved one has lymphedema which was worsened due to prednisone for a rare autoimmune disease. My loved one is now on cell cept for maintenance of the autoimmune disease. Do all immunosuppressive drugs worsen lymphedema?

    Answer:
  111. Lymphedema & Nanotechnology
    Question (Susan S, ):
    • Are you aware of this study at GIT: https://www.sciencedaily.com/releases/2023/03/230320143114.htm What do you think?

      Nanotechnology could treat lymphedema | ScienceDaily

    Answer:
  112. Acebilustat
    Question (Catherine , ):
    • I heard acebilustat will be available for a lipedema trial soon. Does it have any promise for very skinny people with lipedema? Some of us are quite thin but most of our fat is lipedema tissue. Does it hold any promise for building muscle? Most of us have lost it.

    Answer:
  113. Lower Leg Lymphedema
    Question (Helen, ):
    • I had a hysterectomy (Cervical ca) with lymph node dissection and radiation in 1980. My left ankle began swelling around 1991 but the calf only the five years, and my thigh the last two. Is this normal, only one side and so long after?

    Answer:
  114. Stasis dermatitis (SD) skin graphs; Lymphedema; hindering Knee replacement
    Question (Dan, ):
    • Am now 69 YO male was active carpenter/teacher. Now confined to wheelchair after infected artificial R knee was removed and replaced with an anti-biotic spacer. Had skin graphs SD on chins. Surgeon won't replace knee till swelling from lymphedema subsides and skin color returns to normal. Is that possible?

    Answer:
  115. 53 lymph nodes removed
    Question (Kim, ):
    • I had ovarian cancer surgery in 2015 and53 lymph nodes were removed from many areas of my abdomen during exploritory surgery. Ive been dealing with pain, swelling, and pressure in one leg, abdomen and hip and17 fibrosis continues to advance. How can lymph possibly be moved back to the heart?

    Answer:
  116. Contrast pneumatic vs ‘spring’ driven compression garments
    Question (Brenda, ):
    • Is there research being done to quantify outcomes of a Dayspring-type compression device vs traditional pneumatic compression device? What is your opinion on the efficacy of the spring-type portable device? Thank You!

    Answer:
  117. Lymphatic drainage
    Question (Michael, ):
    • I have had drainage from my leg for over a year. Is that healthy for that long? I change dressings daily and visit the wound clinic 2 times a month. I’m very discouraged. Thanks

    Answer:
  118. XXXlarge Compression Socks
    Question (Robin, ):
    • My 35 yo son had broken is ankle - after 2 surgeries contracted Lymphedema. We can't find compression socks to fit his massive ankle and calf (6X plus) - any suggestions?

    Answer:
  119. Congenital pulmonary lymphangiectasia - antenatal diagnosis?
    Question (Ella, ):
    • My daughter was diagnosed with primary CPL posthumously after developing severe Hydrops fetalis. Could CPL be diagnosed in future pregnancies prior to any onset of effusion? Any further understanding of CPL would also be greatly appreciated with such limited information available.

    Answer:
  120. Effects of Diaphragmatic Release on Lymphedema
    Question (Justine, ):
    • Can Diaphragmatic Release cause issues in patients with lymphedema if not done in conjunction with MLD or at least clearing the cervical, thoracic and axillary lymph nodes prior? I have primary lower limb lymphedema and PFD. After PFD treatment I have back/ab pain/stain, constipation and more swelling in my stomach.

    Answer:
  121. Ltb4 and Cantu syndrome
    Question (Celia , ):
    • Cantu syndrome is a connective tissue disorder with a high incidence of lymphededema due to hyper active potassium ion channels. -from what you see about Cantu is it reasonable to assume lymphemdema in Cantu may have a different cause and more importantly therefor treatment?

    Answer:
  122. Lymphedema
    Question (Karen , ):
    • Following double mastectomy & radiation I have Lymphedema in both arms, left hand due to blood draw, back & chest. I am required to have blood work and infusions. No one will use my foot. What do I do?

    Answer:
  123. Obesity induced lymphoedema management
    Question (Yin Ying, ):
    • Seeking advice on how to bandage a 200cm circumference obesity induced lymphoedema on right upper leg with lobules

       Or what is the recommended management?

    Answer:
  124. Who is the expert?
    Question (Amelia, ):
    • I have a very strange case of lymphedema, cancer related, the doctors are afraid to address it. I would love to consult with a knowledgeable person, just who is the question? Is a physical therapist trained in lymphedema more highly trained than an occupational therapist in regards to treating lymphedema.

    Answer:
  125. Ltb4
    Question (Celia , ):
    • I understand. Is there a preclinical model of some sort of the cells indicating they might respond to ltb4? Or is there a reason to think ltb4 is implicated in lipedema tissue growing? Is there a trial starting?

    Answer: