The limb must also be kept spotlessly clean and dried very carefully. A mineral oil cleanser is much less drying and better for the skin than normal toilet soap. In the clinic situation where problems may already have occurred or skin changes are already present, certain other methods may be necessary to deal with the problems. It is then sometimes essential to work in conjunction with a Dermatologist since some of the conditions, especially fungal ones, can be very difficult to eradicate. In extreme cases descaling must be done as part of the daily treatment.
Ulcers also pose their own particular problems and require special dressings under the bandages.
They are also very helpful with the warts and fistulae so often found in lymphoedema. Lodema powder is also an excellent lubricant during the massage part of Complex Physical Therapy . Below is a list of products all of which have their particular place in the care of the lymphoedematous limb. Most are products of Hamilton Laboratories, Adelaide, and are available through pharmacists. We have not tried the others which may do the same job, since we are well satisfied with these.