Oedema can exist as a result of many pathological disease processes. In patients with lymphovenous disease there is evidence that disease progresses from relatively minor signs and symptoms to more severe debilitating conditions if left untreated. When early signs are recognised and treatment is implemented at an early stage, it may be possible to prevent or slow the progression of disease. This article describes the use of a disease progression tool that helps identify early signs of disease so that early treatments can be initiated. It also looks at patient assessment and treatment options.