lymphedema

by Angela McHone MOT, OTR/L, CLT

Lymphedema is a risk factor for those whom have had surgery and /or radiation to lymph nodes. The cause of Lymphedema is trauma to the lymph system.

A trigger is what stimulates the Lymphedema to develop in an at-risk person. Lymphedema occurs when lymph channels become blocked and cannot drain properly allowing fluid to accumulate. This blockage can be caused by infection, scar tissue in lymph channels, surgery, parasites, multiple medical complications and/ or hereditary conditions.

Lymphedema results in swelling of body parts which includes but is not limited to your arms or legs. It can develop at and around a lumpectomy and mastectomy site but is not often recognized. Currently no studies support specific preventative measures or a cure for Lymphedema, but this condition can be managed successfully.

Physicians, Therapists and you through team effort, and heightened awareness of the early signs and symptoms can possibly lead to early diagnosis. This can significantly reduce the risk of developing a severe case. Although it is not life-threatening, Lymphedema is a lifelong condition. When addressed early it takes less intensive measures to manage the condition and the physical, emotional and psycho-social effects it can have.

The onset of Lymphedema is often subtle and unpredictable. It usually develops slowly over time, but for some it may occur immediately after treatment or for some much later. There have been reports of it developing as late as 30 years after treatment of breast cancer.

A person may experience some or all of the early symptoms of Lymphedema. Symptoms may include: pain or tingling with light touch of the skin; full, tight or achy feeling; abnormal sensations in the skin; puffiness or swelling compared to the opposite side; or visible skin changes (such as tautness or pitting of the skin).

It is recommended to write down specific experiences of symptoms, (i.e.…time of day you experience them, what may increase or decrease symptoms etc…) and discuss them with your physician. There are precautionary measures to help prevent Lymphedema symptoms from triggering, but sometimes they develop despite your attempts/precautions to prevent them.

The human body is a wonderful and strange entity and some lymph systems are more at risk to develop this condition than others. Some suggested precautions to reduce triggering symptoms include: physical activity; avoid straining or over use of the muscles; try to avoid infection through good skin care; prevent burns; avoid constriction, and communicate with your health care professional about your increased risk (no needle pricks or blood pressure at possible affected area).

The best practice is to learn all you can through research, heighten your awareness of signs and symptoms, and discussion with other individuals and your health care professional what you are experiencing. Early treatment is key to managing and controlling Lymphedema. 


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