Compression Therapy in a Patient with Lymphedema Bilateral Lower Extremities and Heart Failure: A Case Report

Authors

• René Thomas, Medical University of South CarolinaFollow

Abstract

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario.

Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management.

Conclusion:This case demonstrates both the

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario. Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management. Conclusion: This case demonstrates both the potential benefit and risk of compression therapy in heart failure–related lymphedema. Safe implementation requires close monitoring, multidisciplinary collaboration, and specialized expertise. Further research is needed to establish clear guidelines for this high-risk population.

Author Bio(s)

René Thomas, PT, DPT, DHSc, CLT-LANA, is the Director of Clinical Education and Assistant Professor at the Medical University of South Carolina Doctor of Physical Therapy Program-Hybrid.

Recommended Citation

Thomas R. Compression Therapy in a Patient with Lymphedema Bilateral Lower Extremities and Heart Failure: A Case Report. The Internet Journal of Allied Health Sciences and Practice. 2026 Sep 01;24(3), Article 3.