Phlebolymphedema is a combination of venous insufficiency and lymphatic insufficiency.

The lymphatic and blood circulatory system together form the circulatory system of the body. They work closely together and it stands to reason that should one system be ailing, the other will be affected.

Patients that with long term, poorly managed varicose or venous problems often go on to develop a degree of chronic swelling. And likewise, poorly managed lymphedema has a detrimental effect on the blood circulatory system.

When diagnosing phlebolymphedema, the therapist will be looking for the tell tale sign of hemosideran staining of the skin in combination with the classic signs of lymphedema such a pitting, fibrosis and textural changes to the skin.

Lipolymphedema is diagnosed in patients with lipedema that, without treatment, has negatively impacted the lymphatic circulation in the legs. Lipedema is a fat disorder characterised by abnormal fatty tissue from hip to ankle. The foot is not affected. Once lipedema patients start to experience swelling in the feet and toes we can assume that the lymphatic system has been impacted and that lymphatic insufficiency is present.