Lymphedema
What is Lymphedema?
Lymphedema is a build-up of lymph fluid in the fatty tissues just under your skin. This build-up might cause swelling and discomfort. It often happens in the arms or legs, but can also happen in the face, neck, trunk, abdomen (belly), or genitals. The lymphatic fluid does not follow its normal path of drainage. This can occur due surgical removal of lymph nodes, radiation treatment, trauma, and prolonged edema of any cause (such as chronic venous insufficiency). One can develop lymphedema many years after the surgery or injury, making it an important condition to be aware of. Ask your doctor if you have any concerns. Lymphedema commonly occurs in the limbs but can occur in any part of the body as well.
Common signs of Lymphedema include:
- Feeling of fullness, tightness, or pressure in the affected area
- Sensation of swelling or an increase in size of the limb or affected area
- A feeling of heat in the affected limb or area
Common treatment techniques can involve:
- Manual lymph drainage (a specialized light massage)
- Individualized gradient compression bandaging
- Use of compression garments
- Pneumatic compression
- Instruction in skin care
- Instruction in self-drainage techniques
- Specific therapeutic exercise
Contact Lymphedema Care Services at:
Phone: 509-682-8523
Fax: 509-682-5840
Providers
Beth Shaw
Beth Shaw is a Physical Therapist Assistant (PTA) and Certified Lymphedema and Wound Therapist (CLWT) who joined the Lake Chelan Health Rehabilitation Department in September 2017. She received her degree from Whatcom Community College in Bellingham, WA. Beth works with the physical therapist to provide outpatient and inpatient physical therapy for adults as well as wound and lymphedema care.
Beth enjoys outdoor activities and spending time with her family.
Beth Shaw
PTA
Javier Ascanio
Javier Ascanio earned his Doctorate in Physical Therapy (DPT) in 2020 from University of Nevada, Las Vegas. Javier is a board certified Orthopedic Clinical Specialist (OCS) and board certified in Wound Care (CWS). Following his doctorate, Javier completed a post-professional orthopedic residency with Memorial Hermann Sports Medicine and Rehabilitation where he had the opportunity to work with individuals of all ages, including high level athletes. Javier’s philosophy when treating is that the best treatment is centered around the patient’s values and goals using the best available evidence. Javier is also a Certified Strength and Conditioning Specialist (CSCS), volunteering with the local school athletic programs. Javier earned his undergraduate degree from Brigham Young University where he also met his wife.
In his off-time, Javier enjoys volunteering with the Manson Fire Department as a Firefighter/EMT and spending time with his wife and three boys in the outdoors.


