Challenges to effective treatment of lower limb oedema

The incidence and prevalence of lymphoedema and chronic oedema is increasing as a result of the aging population and increased obesity rates. Oedema is frequently recognised but not promptly treated (Hedger, 2006). Practitioners must remember that oedema is a symptom and the cause needs to be established to ensure that appropriate treatment can be initiated. Successful management of chronic oedema involves a continuing partnership between the patient and practitioner to promote self-management. This article describes the progression of chronic oedema and subsequent skin changes, and highlights some of the challenges faced by the practitioner in facilitating effective care.