Salem Health’s vascular surgery clinic opened a lymphedema center in 2024 to help patients manage symptoms, access education and learn about available therapy options. Now the clinic is using 75% of their open appointment slots, a number that continues to grow.

“As the word has gotten out about our clinic, we have been receiving more referrals, and our demand has been steadily growing,” said vascular surgery physician associate Darby Jalbert. “We anticipate that this trajectory will continue given the general lack of [other] lymphedema resources in the area.”

What is lymphedema?

Lymphedema is a disorder of the lymphatic system, which is involved in body functions from immune response to fluid balance to waste removal. The system includes vessels and organs that drain extra fluid back into the bloodstream.

Lymphedema occurs when the lymphatic system causes fluid buildup and sometimes abnormal tissue, usually in the arms or legs. This can develop at any time in life.

Causes can include cancer, obesity, infection and inflammatory disorders. Lymphedema is a chronic, progressive disease, and treatment aims to slow progression and reduce complications.

Without treatment, lymphedema patients may face swelling, pain, wounds and infections. People with severe cases may have reduced mobility that worsens symptoms.

“Unfortunately, lymphedema is both underdiagnosed and undertreated,” said Jalbert. “There are very few lymphedema resources available in the Oregon area, and many of our patients have struggled for years with their symptoms before receiving any treatment.”

Providing treatment and relief

Salem Health primarily manages and treats lymphedema in the legs and feet.

“Once we have established a diagnosis, we provide recommendations and referral for compression garments, which are the mainstay of treatment for lymphedema,” Jalbert said. “We also counsel patients on lifestyle changes to improve their symptoms.”

The vascular surgery team teaches patients to use at-home pumps as well, and they’re currently working to expand services for physical therapy and massage therapy.

Overall, Jalbert said patients are expressing gratitude to finally receive a treatment plan.

“We have seen patients experience great quality of life improvements with our treatment recommendations, she said. “We are excited to continue to expand our resources to help our community!”

Vascular treatment at Salem Health

Are you experiencing some of the symptoms of lymphedema? Click here to learn more about the vascular health services provided at Salem Health.