LYMPHEDEMA

Lymphedema is a long-term swelling condition that can occur in the adjacent hand, arm, and/or the entire quadrant (chest, side and back) as a result of breast cancer surgery and radiotherapy.

The lymphatic system drains excess protein and water from the blood and natural and foreign substances from the tissues. This lymph fluid is filtered by the lymph glands and then returned to the blood system.

When the lymphatic system has been damaged or blocked, lymph fluid builds up and causes mild to severe swelling in the hand or arm. This condition reduces oxygen in the tissues, slows healing and creates an ideal environment for infection and serious risk to your general health.

Lymphedema can occur at the time of surgery and treatment, or months or years later. It is important that women diagnosed with breast cancer are informed about the causes, symptoms, prevention and treatment of lymphedema.

CAUSES

• surgical removal of the lymph nodes
• radiotherapy
• accidental trauma
  • bruises, cuts, burns, sunburns, sprains, insect bites, pet scratches

SYMPTOMS

Please see your physician, oncologist or lymphedema clinic if you experience any of the following in your hand or arm.

• redness and very warm arm (This could indicate an infection called cellulitis, which can be a life-threatening condition. Cellulitis requires immediate medical attention)
• feeling of tightness
• feeling of heaviness
• feeling of pins and needles
• shooting pain
• swelling or increase in size
• pain in the elbow
• aching back of shoulder
• lymph leakage through skin

PREVENTION

For the hand or arm "at risk" or already affected.

• keep the arm spotlessly clean and supple
• avoid using arm for injection, blood drawing or pressure readings
• be careful cutting nails and do not cut cuticles
• use an electric razor for shaving armpits
• avoid injury
• use a thimble
• wear gloves when gardening, cleaning or washing dishes
• do not carry, push or pull anything heavy
• exercise is important - swimming, walking or biking
• eat a normal balanced diet
• elevate the arm whenever possible
• wear loose clothing
• avoid jewellery on hand or arm
• learn and practice daily self-massage

RESOURCES

Web Sites

• National Lymphedema Network USA
• Lymphedema Association of Australia
• Lymphovenous Canada
• Canadian Partners in Lymphedema
• Bosom Buddies Breast Cancer & Lymphedema Support Group
• Lymphedema People

Books

• COPING WITH LYMPHEDEMA
  Joan Swirsky RN, Diane Sackett Nannery, ISBN: 0895298562
  
  
• RECOVERY FROM BREAST SURGERY
  Diana Stumm, PT, ISBN: 0897931807
  
  
• THE BREAST CANCER COMPANION: From Diagnosis Through Treatment to Recovery - Everything You Need to Know for Every Step Along the Way
  Kathy LaTour, ISBN: 068811931X