In chronic edema management, which combination is commonly used?

• A. Lymphatic drainage techniques only
• B. Compression with graduated garments
• C. Lymphatic drainage techniques and compression with graduated garments
• D. Elevation alone

Answer: (C)

Chronic edema is best managed with a combination approach that both moves lymph fluid and supports its return. Manual lymph drainage reduces the lymphatic load by guiding fluid toward functioning pathways, helping to lessen swelling. But without external support, fluid can reaccumulate, especially in dependent positions or with ongoing venous/lymphatic overload. Compression garments provide graduated pressure that supports venous and lymphatic return, helps prevent reaccumulation, and maintains the gains achieved with drainage. Elevation can aid circulation but falls short as a stand-alone strategy in chronic edema. Together, lymph drainage and graduated compression offer the most effective and sustained edema reduction.