This is a condition characterised by swelling of the legs caused by the accumulation of lymphatic fluid. It can be painful and distressing as the legs become more swollen. It is caused either by an absence of the lymphatic drainage channels (primary lymphoedema) or when they have become damaged by infection or surgery for example (secondary lymphoedema). It can be very challenging to treat and the mainstay of therapy remains compression and massage. It is important to exclude any serious underlying conditions that may be causing the accumulation of fluid and this will be assessed during your consultation and examination.