When lymph nodes have been surgically removed or lymph vessels irradiated, or when the lymphatic system is impaired in any way.

This list is a guide only to help prevent Lymphoedema:

• Hot water, steam and sun - Avoid hot baths and showers, saunas and sun bathing.
• Injections - No injections (or any needles) to be used on affected limb.
• Blood pressure - No blood pressure to be taken on the affected limb.
• Air travel - Always wear elastic support (compression) sleeve/stocking on affected limb prior to and during flight. Drink plenty of water, eat very little and light food only and exercise regulary during flight. Avoid alcohol and coffee.
• Skin care - Moisturise any dry skin and cracks (for example, heels, toes, elbows and fingers).
• Gloves - Wear rubber gloves when washing up to prevent exposure to hot water, wear durable gardening gloves when pruning, etc., to avoid cuts and abrasions and keep limbs well covered.
• Burns - Cover limbs and wear oven mitts to protect skin from fat spits, hot pans and steam.
• Infections - Take care to avoid cuts and infections. Treat immediately at first sign.
• Hair removal and shaving - Use electric razor only to avoid cuts. No waxing or depilatary creams.
• Insects - Take precautions if living near or visiting mosquito infested areas, etc. .
• Exercises - Walking, swimming or specific exercises for the limbs. No excessive use of the limb without a compression garment (ironing, dusting, aerobics) and no heavy lifting (shopping).
• Wear loose clothing - Tight undergarments, belts, shoes and straps may restrict the lymph flow.