When people think of lymphoedema management, they often focus on compression, drainage, and exercise. But skin care is just as important. The skin over a lymphoedematous limb is more vulnerable to infection, dryness, and damage — and even a small break in the skin can lead to serious complications like cellulitis.
Why is Skin Care So Important?
Lymphoedema impairs the local immune response in the affected area. The protein-rich fluid that accumulates in the tissues creates an environment where bacteria can thrive. Any break in the skin — a cut, scratch, insect bite, or even cracked dry skin — can become a gateway for infection.
Cellulitis: The Risk You Need to Know About
Cellulitis is a bacterial skin infection that can spread rapidly and requires urgent antibiotic treatment. Symptoms include sudden redness, heat, increased swelling, pain, and sometimes flu-like symptoms. If you suspect cellulitis, seek medical attention immediately — do not wait. Repeated episodes of cellulitis can further damage the lymphatic system and worsen your lymphoedema.
Building a Daily Skin Care Routine
- Wash gently — use a mild, soap-free cleanser with a neutral pH. Avoid hot water as it can dry the skin
- Dry thoroughly — pat the skin dry, paying careful attention to skin folds and between fingers or toes
- Moisturise daily — use a bland, fragrance-free emollient. Apply in the direction of hair growth to reduce the risk of folliculitis
- Inspect your skin — check daily for cuts, cracks, redness, or any changes
- Protect from injury — wear gloves for gardening and household tasks, use insect repellent, and take care when cutting nails
Products to Avoid
- Fragranced lotions and soaps
- Products containing lanolin (can cause sensitivity)
- Alcohol-based hand gels on the affected area
- Very hot water or harsh exfoliants
What to Do if You Get a Cut or Bite
Clean the area with antiseptic, apply a sterile dressing, and monitor for signs of infection. If redness starts to spread, mark the edge with a pen and seek medical attention if it continues to expand. Many lymphoedema patients carry standby antibiotics prescribed by their GP for exactly this situation — speak to your doctor about whether this is appropriate for you.