Recently developed lymphedema: Any recommendations on what to do?
I finished treatment in June had proton radiation last November and surgery end of August where they removed lymph nodes under left armpits I recently developed lymphedema in left hand. Any recommendations on what to do?
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Yes I only had three lymph nodes removed and developed lymphedema about six months after treatment on my left side. I have been going to PT. I have an awesome lymphedema massage therapist I see once a month I wear compression garments and I also use a machine by tactile twice a day it’s still here. It doesn’t stop me from doing anything something I just have to live with possibly good luck to you.
How did you know you had lymphedema in your belly? Had my bilateral in October and just finished 6 mos of physical therapy using cupping to keep the skin pliable(I chose flat). I feel like my stomach looks bigger than it did before… but maybe it’s just that my breasts hid most of it ! I’m back to walking most days and eating well so it shouldn’t be “ gained” weight…?
If you haven’t had a dye test you might want to consider. While my initial die test should a total loss of function that was restored with VNLT surgery, I continued to get some areas, one by the wrist, and one by the elbow of swelling. It was determined that I have blockages in both of those areas and additional surgery could address that by placing a stent, allowing the lymph fluid to move directly into a vein. I haven’t done that second surgery yet as continued use of compression garment seems to be keeping everything in check and my measurements are not elevating. That does not mean that at some point in future an additional surgery might be warranted. The stent surgery is a much more minor procedure than the VNLT. I really think that many of us who developed Lymphedema following surgery for cancer really need to be more thoroughly evaluated than is the norm. Part of that is due to the fact that there are not many specialists for Lymphedema in the United States. I had to travel out of state. Hopefully over the next several years that will change and more thorough evaluation of all patients will become the normal.
Hi Meg- it does seem like the stomach seems bigger without breasts, but mine actually is. You can read about belly lymphedema. My massage therapist confirmed it. May be worth trying some massage therapy with someone trained for lymphadema.
I want to deal right away with my recent hand swelling, probably lymphedema, and my breast cancer centre says it will be weeks until a physiotherapist will contact me. Everything I read says to treat it quickly. The only advice in the meantime from the nurse is to raise that hand above the heart level. I see there are compression gloves for arthritis online, can one assume they treat lymphedema as well? Or does anyone have a link to lymphedema compression gloves?
My physical therapist measured me for a custom cercaid for arm and hand and insurance should pay
I also use a machine from Tactile that pump the fluid
Hope this helps with
I developed lymphedema months after having a double masectomy - and the arm that developed it in was NOT the arm near the breast that had cancer (I had 12 lymph nodes taken out of the left arm, but the right arm was fine, nothing removed by the non-cancerous breast)
So from what I understand that some surgeons and nurse practitioners fail to tell you is that ANY surgery can cause lymphedema and that the patient is always surprised when one arm is suddenly noticably bigger than the other. You should be in physical therapy and see a therapist for the lympho. You can temporarily get a FINGERLESS glove for your hand, and a sleeve to wear on that same arm. Amazon actually sells some fairly good brands. look up on line how to measure, you'll be measuring your wrist, your forarm, around the widest part of your upper arm right below your armpit and then the length of your arm. compression should be 20-30 mmHg. Sigvaris is a good company, the have a secure gauntlet, graduated compression. A little pricey, but comfortable and not too heavy weight when you are wearing it. Make sure you measure for length of your arm from wrist to underpit. I have a great therapist and I've already got the one arm back to it's normal size and matching the other arm in only a 2 months, but I've also had physical therapy and that also helps. Good luck, many hugs, just remember you don't want a glove you want a gauntlet. (and an arm band). The other thing - read up on the lymphatic system in your body - it will help you a lot to understand how it works, why it swells, and what to really do about it.. I thought drinking more water would help - but that's not how it works, so forget water pill suppliments if it's just your hand and/or arm. Oh, and medical supply stores also sell these compression arm pieces, just make sure you measure and then use their size charts.
Many thanks for this advice! I will look into getting a gauntlet. Is frustrating that wait times here are so long for a physiotherapist to get me started on therapy (and even a real diagnosis).
Ask to see a LANA certified physical therapist. That is a PT who has been certified by the Lymphedema Association of North America. Regular PT isn't enough. You need CDT (complete decongestive therapy) which is a form of gentle massage to get the fluids that have blocked up near the missing lymph nodes flowing to other branches of lymph nodes. If it is caught early enough, it may be reversable or at least better controlled. I had 26 lymph nodes removed (only 3 were cancerous). My oncologist blew me off and I didn't get treated until it was stage 2/3. Do not let your oncologist blow you off. If she/he does, insist on a LANA certified physical therapist. If you have to change oncologists to get the proper referral do so. The first oncologist sent me to a regular PT. I had five months of useless therapy. When I learned that I needed a LANA certified therapist, I changed oncologists. I now struggle daily with keeping the swelling down. I have to use compression 24/7 and a pneumatic pump. I still struggle with with episodes of lymphangitis, which send me to hospital for IV antibiotics. Do not let anyone take your BP or give you any kind of injection, such as a blood draw, IV or vaccination in that arm. Last time I had lymphangitis my arm swelled up to 27% larger than my other arm. My hand looks like a balloon. Getting it down again is a nightmare.
I just had an evaluation for surgery at one of the Lymphedema Centers of Excellence.
If you are overweight, try hard to get it under control. Obesity plays a role in making lymphedema worse. Actress Kathy Bates has lymphedema. She is the spokesperson for the organization LE&RN. She recently lost 100 lbs and she said it helped her lymphedema greatly.
Check out LE&RN (Lymphedema Education and Research Network. They provide a lot of information.
Good luck to you!
I get a prescription from my doctor for my lymphedema compression garments and then buy them through a durable medical equipment company. Medicare and many private insurance companies reimburse for them that way. I usually only have to pay about 20% of the cost. It is sometimes hard to find a durable medical equipment company that will order the compression garments but your lymphedema therapist may know. One of the companies I deal with has a fitter who is trained in lymphedema and does the measuring for me. Also my lymphedema therapist does the measuring. I think it is more accurate if you can get someone else to do the measuring.
If you are struggling with a lot of swelling you might need a night sleeve, which is heavier than the day compression. It is designed to break up fibrosis that accumulates in the arm. I find the Tribute sleeve works wonders. Sigvaris and Solaris make night garments.
Your lymphedema therapist should be able to recommend which garments are most appropriate for you.
Frenchtoasted is absolutely right, Read up on the lymphatic system and about lymphedema. You will find you may need to educate your doctors about it.