Phlebolymphedema

When Vein and Lymphatic Disorders Overlap

Phlebolymphedema is a condition that occurs when chronic venous insufficiency (CVI) and lymphedema coexist—meaning both your venous and lymphatic systems are impaired. This combined issue leads to more persistent, complex swelling, often in the lower legs, and requires specialized care for proper management.

Many people with long-standing vein issues (such as varicose veins or deep vein thrombosis) may unknowingly develop phlebolymphedema over time. Understanding this condition is key to getting the right treatment and improving your quality of life.

What Causes Phlebolymphedema?

When veins in the legs don't efficiently return blood to the heart (CVI), fluid can leak into surrounding tissues. Over time, this overwhelms the lymphatic system, which is responsible for draining excess fluid. As the lymphatics become less effective, swelling becomes chronic—this is phlebolymphedema.

Signs You May Have Phlebolymphedema:

Persistent swelling in the lower legs, ankles, or feet
Thickened, hardened, or discolored skin (often brownish or reddish)
Varicose veins and/or a history of DVT or vein disease
Recurrent skin infections (e.g., cellulitis)
Skin folds, weeping, or signs of lymph fluid leakage
Feeling of heaviness, aching, or tightness in the legs

Without treatment, this condition can worsen and lead to serious skin changes or wounds.

How We Treat Phlebolymphedema

At our clinic, we specialize in managing combined venous and lymphatic disorders with a comprehensive approach that supports both systems. Treatment may include:

Complete Decongestive Therapy (CDT)

A combination of manual lymphatic drainage, compression therapy, exercise, and skin care to reduce swelling and protect the skin.

Specialized Compression Garments

Tailored compression options that support both venous return and lymphatic drainage.

Education & Self-Care Tools

We empower you to manage your symptoms between visits and prevent progression.

Coordination with Vascular Providers

We work closely with vein specialists and primary care providers to ensure well-rounded care.

You're Not Alone—And You're Not "Just Swollen"

Phlebolymphedema is often misunderstood, but it's treatable. If you've been dealing with leg swelling that doesn't go away, you deserve answers—and expert support. We're here to help you take the next step toward relief, comfort, and control.

Ready for Specialized Phlebolymphedema Care?

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