Inclusion Criteria:

• 18 years old and older
• available for a spa treatment (phlebology indication) during 18 days and a follow up period of 15 months
• with permanent lymphoedema of the upper or lower limb (2 ou 3 stade of International Society for Lymphology scale)
• voluntary to participate to the study, informed consent form signed after appropriate information
• affiliation to the social security system or equivalent

Exclusion Criteria:

• cancer undergoing chemotherapy and radiotherapy treatment in primary phase
• the baseline score of LMS27 or LYMQOL-LEG > 79
• pain of upper limb linked with a radical plexitis
• contra-indication of spa treatment (cancer in progress, psychiatrics disorders, immunodeficiency)
• Erysipelas case history in the last 6 months or pachyderma and lymphangiectasia
• no previous spa treatment for upper limb lymphoedema during the spa year
• risk of intensive treatment in the next 6 months
• subject participating to an other clinical study interventional
• pregnancy, parturient or breast feeding