307-746-4491 dpisciotti@wchs-wy.org

Lymphedema Treatment now available at WCHS

Weston County Health Services now offers treatment for lymphedema. Nathina Lewis, OTR/L and Cassie Munoz, COTA/L are certified and specially trained therapists who can evaluate and provide treatment for patients with lymphedema.


Lymphedema is the swelling of a body part, which occurs most often in the arms and legs. It may also occur in the face, trunk, and other body areas. Lymphedema is an abnormal accumulation of protein-rich fluid in the superficial tissues that occurs due to damage to the lymphatic system.


  • Secondary lymphedema, which is more common, occurs as a result of surgery or radiation therapy for cancer. Other causes include trauma, infection to the lymphatic system, chronic venous insufficiency (CVI), and filariasis (parasitic disease).
  • Primary lymphedema occurs due to a congenital malformation of the lymphatic system that can become present at birth, in puberty, or later in life.


  • Persistent swelling
  • Enlargement of a limb or body part
  • Warmth
  • Heaviness feeling on limb(s)
  • Tingling, tightness, and/or skin changes


Consists of four basic steps provided by a certified lymphedema therapist:

  • Manual Lymph Drainage (MLD)
  • Compression Therapy
  • Exercises
  • Skin care

During your first visit with a certified lymphedema therapist, you can expect questions about your medical history, measurement of the affected area(s), and a treatment plan tailored specifically to your case/symptoms. Following the initial evaluation you will experience hands-on treatment through manual lymph drainage, skin care, short stretch bandaging over the affected area, and an overview of a specific exercise program, and overall education on the management of lymphedema.

Please call 307-746-3720 to make an appointment with one of our trained Therapists!