The goal of using a pump in the treatment of lymphedema is to move excess fluid out of the affected limb and return it to the cardiovascular system.  We have custom sleeves for the upper and lower extremities which use multi-chamber compression that sequentially inflate in a distal to proximal direction.  For many lymphedema cases, this is sufficient care along with patient education to manage their symptoms without having to travel frequently for specific lymphedema massage.  It is also a helpful alternative for patients who have difficulty self-wrapping.