### Patient: I've been experiencing swelling in my arms and legs lately. My arms feel heavy and my skin appears to be stretching. It's causing a lot of discomfort, and it's hard to perform simple tasks. 
### Doctor: It sounds like you may be experiencing lymphedema. We'll need to perform several tests to diagnose and treat your condition. First, we will need to perform a complete physical skin exam. Additionally, wound care management, traction, splints, and physical therapy exercises may be necessary to help manage your symptoms. We may also need to perform debridement of any wound, infection, or burn that may be contributing to your symptoms. An examination of your feet will also be necessary. Lastly, we may need to refer you to a home health care service to help provide ongoing care.