As Lymphoedema Awareness Month comes to a close, it’s time to highlight an often-overlooked side of lymphatic health — how strength training, heavy lifting & past surgeries can contribute to chronic swelling & lymphoedema in athletes.
Strength athletes, bodybuilders & powerlifters can develop lymphatic congestion from muscle hypertrophy, chronic compression, trauma & surgery. If left unmanaged, it can lead to persistent swelling, fibrosis & reduced mobility.
What Puts Strength Athletes at Risk?
🔹 Muscle Hypertrophy & Compression – Enlarged muscles can compress lymphatic vessels, restricting fluid drainage, especially in the abdomen, thighs & groin.
🔹 Lifting Belts & Compression Gear – Prolonged use of belts, knee sleeves & tight gear may impair lymph flow, particularly in the abdomen & lower body.
🔹 Repetitive Microtrauma & Inflammation – Heavy training induces microtears in muscle tissue, overloading the lymphatic system leading to chronic swelling & fibrosis.
🔹 Post-Hernia Surgery – Inguinal & umbilical hernia repairs may damage lymphatic structures, increasing the risk of persistent swelling. Scar tissue & mesh implants can further restrict drainage.
🔹 Valsalva Manoeuvre – Heavy squats, deadlifts & bracing techniques increase intra-abdominal pressure, which may strain the inguinal lymph nodes, leading to swelling in the scrotum, perineum, or thighs.
Signs & Symptoms
🔹 Persistent swelling in the groin, scrotum, lower abdomen, or legs
🔹 Tight, heavy sensation in affected areas
🔹 Hardening or thickening of tissues (fibrosis)
🔹 Delayed recovery in affected areas
Taking Action
🔹 Manual Lymphatic Drainage (MLD) can reduce swelling & improve circulation.
🔹 Low-Level Laser Therapy (LLLT) softens fibrosis & supports lymphatic repair.
🔹 Compression garments (properly fitted) can assist in managing fluid retention.
🔹 Scar tissue mobilisation & myofascial release help improve mobility & reduce restriction.
Strength doesn’t have to come at the cost of swelling. If you notice persistent fluid retention, seek advice by making an appointment with ALA-accredited lymphoedema practitioner Trent Renshaw.
