Shock Wave Therapy for Lower Limb Lymphedema

Inclusion criteria * Patients with lower limb lymphedema * Lymphedema of at least 6 months of evolution * The lymphedema must affect at least the knee to the foot * Moderate or severe lymphedema (grades 2 or 3) * Sign the informed consent Exclusion criteria * Under 18 years of age * Coagulation disorders (hemophilia, treatment with acenocoumarol, etc.) * Current or previous deep vein thrombosis of the lower extremity * Pregnancy * Electronic implantable medical devices as pacemaker implants, medication pumps, etc * Having received treatment with complex decongestive therapy or shock waves during the last 6 months * Treatment with corticosteroids or radiotherapy in the area to be treated in the last 6 weeks * Active oncological disease in the area to be treated * Active infectious-inflammatory process in the area to be treated * Cognitive or sensory deficits that prevent collaboration * Inability to walk independently or inability to attend therapy