We have had several questions concerning the cause, prevention and
treatment of cellulitis. For example, a 32 year old woman was diagnosed
with lymphedema in 1998. Since developing lymphedema,
she has been hospitalized 5 times for cellulitis in the leg with
lymphedema. She has been hospitalized for 1 to 3 weeks with each
infection and has become allergic to penicillin. These recurrent
infections are very disruptive to her life and she has become
understandably frustrated and is searching for a permanent treatment.
Unfortunately, the swelling stretches the tissue making the skin more
susceptible to infection. In addition, the edematous tissue and
lymphatic obstruction prevents adequate tissue drainage and compromises
the immune system. As a result, people with lymphedema are at high risk
of infection.
Unfortunately, for now, we cannot correct lymphedema surgically. Surgical
bypass of the lymphatic obstruction has not been effective because the
lymphatic channels are very delicate. In fact, surgical intervention can
sometimes worsen the condition. We conducted a study in 100 patients
with lymphedema and demonstrated a significant reduction in the infection
rate in patients treated with the ReidSleeve. Effective control of the
lymphedema improves the skin turgor and enhances immune clearing of
bacteria. We have documented cases of patients with multiply recurrent
infections that have had dramatic reductions in the lymphedema and
infection rates due to treatment with the ReidSleeve. Ultimately, we may
be able to enhance the ability of the body to make new lymphatic channels
and permanently cure lymphedema;
however, until then, effective control of lymphedema and prevention (upper - lower)
is the best way to avoid cellulitis.
Tony Reid MD Ph.D