Lymphedema

Lymphedema is a condition that happens to some cancer patients in which excess fluid collects in tissue and causes swelling in the arm. While there is no cure for lymphedema, with proper treatment and care it can be managed to reduce the swelling and return the arm back to normal or near normal size.

Secondary lymphedema can be caused by lymph node removal surgery and/or radiation therapy. This is the number one type of lymphedema in the United States. Although there is no cure for lymphedema it is a manageable disease process. The best approach is to be educated on what can cause lymphedema as well as the daily management techniques for those who have lymphedema and those who are at risk for developing lymphedema.

Tallahassee Memorial offers the Big Bend’s only Certified Lymphedema Specialist Marilyn Gordian. Also a physical therapist, Marilyn provides treatment, education and guidance to patients with lymphedema or those at risk for developing lymphedema. In addition, TMH recently received an Impedimed diagnostic machine which uses electrodes to aid in early detection of the disorder.

The treatment provided at TMH includes manual lymphatic drainage (MLD) and complete decongestive therapy (CDT). MLD is a form of gentle skin stretching as a means of rerouting the lymph flow around blocked areas into healthy lymph vessels. Complete decongestive therapy includes MLD, compression bandaging, skin care, remedial exercise and education on home care. When decongestion of the limb is attained we fit the patient for a compression garment and educate on independent self home management.

For more information or to make an appointment call 850-431-5440.


Marilyn Gordian, PT, CEAS, CLT
Certified Lymphedema Therapist

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(850) 431-LIFE (5433)

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