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Health Service Executive. All-Ireland lymphoedema guidelines 2022 for the diagnosis, assessment and management of lymphoedema. 2022. (accessed 13 March 2023)

Hobday A. An introduction to skin care for those managing lymphoedema.: University of Worcester; 2021

Skin care protocol: suggesting a routine

01 April 2023


Skin care is an essential part of lymphoedema management, and has been classed as one of the ‘four cornerstones of lymphoedema care’ by the British Lymphology Society. However, there is a lack of evidence-based guidelines and skin care protocols, which advice individuals with lymphoedema on how to look after their affected skin. In this article, Anita Hobday provides guidance on how to create a skin care routine for people affected with lymphoedema.

Skin care remains a fundamental part of care for those with lymphoedema. This can either be done by the individuals themselves, or, in certain circumstances, can be therapist-led. The British Lymphology Society (BLS) have advocated the importance of good skin care as far back as 2001 (BLS, 2001). They have historically classed it as one of the ‘four cornerstones of care’. However, there remains little in the way of evidence-based advice that can promote a minimum standard of care.

When discussing the importance of skin care for patients with lymphoedema, it is essential to remind ourselves what the skin does and how it relates to the lymphatics. Many diagrams of the skin do not include the lymphatics; therefore, it is not always clear how one has an impact on the other, and vice-versa. Figure 1 shows how the superficial lymphatics appear in a cross-sectional diagram. The proximity and position of these in relation to the other structures offers some explanation as to why there are interactions.

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