Extensiveness of breast cancer surgery linked to risk of lymphedema

Breast cancer survivors who have extensive surgery are four times more likely to develop arm lymphedema. According to a new study, the extensiveness of surgery to treat breast cancer proportionately increases the risk of developing the debilitating disorder.

According to the lead author, Tracey DiSipio, PhD, from Queensland University of Technology in Brisbane, Australia, women who had undergone an axillary lymph node dissection, which is an invasive surgery to remove lymph nodes under the arm, were four times more likely to experience swollen or disfigured arms compared with women who had received a sentinel lymph node biopsy. The study was published in The Lancet Oncology.

"Arm lymphedema is typically characterized by swelling in one or both arms, causing pain, heaviness, tightness, and a decreased range of motion," DiSipio said. "The appearance of the swollen or disfigured arms provides an ever-present reminder of breast cancer and often contributes to anxiety, depression, and emotional distress in affected women."

DiSipio said the study, a systematic review of the incidence of arm lymphedema after breast cancer, also found that the condition is diagnosed in one in five women (21.4%). She explained, "This is a significant research finding and provides us with the most accurate incidence rate to date. Until now the incidence rate has been reported as anywhere from 0% to 94%. With this information we can explore whether lymphedema rates differ between breast cancer survivors."

The study also pinpointed a number of risk factors linked to arm lymphedema. Risk increased with a lack of regular physical activity and with a high body mass index. DiSipio said, "These factors are potential targets for future prevention strategies or for more effective management of the disorder."

DiSipio said the results of the study added weight to calls to integrate prospective surveillance of arm lymphedema into standard breast cancer care.

"Currently there are no standardized practices when it comes to detection and treatment of arm lymphedema," she said. "Given most patients present with the arm lymphedema within the first 2 years after breast cancer, more frequent surveillance throughout this time is recommended."

If you or a loved one is undergoing breast cancer treatment, call 713-623-4247 to schedule a free consultation with our ABC/BOC certified compression garment and mastectomy prosthesis fitter.  Kristen and our team will develop a customized approach to helping you maintain your mobility and comfort during and after your cancer treatment.

What Treatments Are Available for Lymphedema?

Unfortunately, there is no cure for lymphedema. However, with early intervention and proper treatment, the condition can be controlled and minimized, allowing the individual to lead a full and normal life.

Treatment begins with a physicians referral to a lymphedema trained massage therapist. The therapist performs a thorough evaluation to determine a baseline of the individuals sensation, pain, range of motion, strength, skin integrity, and extent of swelling.

A treatment plan to decrease the swelling and improve the individuals ability to function may include:

• Lymphatic manual drainage, or MLD, is a specialized lymphatic "massage," to move the extra lymph fluid through intact lymphatics and create new pathways for the lymph fluid to flow.
  
• Compression bandaging to reduce swelling.
  
• Exercise to improve functioning of the lymphatic system, range of motion, and strength.
  
• Establishment of a good skin care program to decrease the chances of infection.
  
• Recommendation of a compression garment and instruction for wear and care.
  
• Thorough patient education regarding all of the above to promote independence with self-management of lymphedema.

Not all therapists have received special training to treat lymphedema, so it is important to select a therapist that is qualified to treat individuals suffering with the condition. At Ricky Knowles Hair & Wellness, we have several qualified therapists who have been trained and certified to treat lymphedema.  We have a BOC, ABC certified garment fitter, who is constantly troubleshooting to find clients the best solution in compression garments.  Our team would be happy to help you develop a customized plan to help you improve your mobility. Our insurance specialist will even submit your claims and serve as your patient advocate, ensuring that you receive your full insurance benefits.

For more information, or to schedule an appointment, please call 713-623-4247.

Is it OK to exercise with lymphedema?

Yes, exercise is safe and beneficial for individuals with lymphedema, as long as a few standard guidelines are followed.

1. Always wear your compression bandages or garments when exercising – Compression garments help to move your lymph fluid from your limbs, trunk or face.  Without the garments, lymph fluid will collect in the affected area and increase swelling.
   
2. Get clearance from your doctor – As always, it’s a good idea to discuss your exercise goals with your physician and to make sure that you are in good overall health before starting an exercise program.
   
3. Start slowly – Your exercise program should include stretching, strengthening and endurance.  Some good examples of exercise programs are: Yoga, walking, swimming or cycling.  It is NOT advised to engage in high-speed activities like tennis, water skiing or football.
   
4. Hydrate – Hydration is super important to maintaining a healthy body, and even more important for people with lymphedema, as it aids in your body’s ability to expel lymph fluid.
   
5. Pay attention to your body – It is important that you feel good after exercising!  If you notice increased swelling, then you will want to choose a different activity for that day (i.e. swim instead of walk).

We want to assist you in reaching your exercise goals.  With our dedicated staff on your team, we can ensure that your custom compression garments will support you in your exercise program.

Let us know if you have any questions or concerns about your treatment options.  Our certified lymphedema specialists will be happy to answer your questions about how we can help you or someone you know who have lymphedema.  Call today at 713-623-4247, or email us at Kristen@hairandwellness.com

Is MLD massage right for me?

We are often asked this question from our lymphedema and edema patients. In most cases the answer is YES!  

MLD, or Manual Lymphatic Drainage helps your body's lymphatic system to drain and aids in removing wastes, toxins, bacteria and fluid build-up from your body's tissues.

The lymphatic system is a natural detoxification system. Your lymph nodes, in your armpits and groin, are responsible for filtering out waste, which plays an extremely important role in your immune system. The lymph system produces lymphocytes to kill bacteria, which helps you prevent and fight off infection. If MLD is applied correctly, it can have profound effects on your body. Having an MLD massage can help with the following:

• Lymphedema

• Muscoloskeletal problems

• Increase effectiveness of detox following a dietary detoxification (usually recommended by a Naturopathic doctor)

• Reduce pain signals sent to the brain

• Help post-surgical recovery

• Reduce scar formation

• Decrease general fatigue and "sluggishness"

If your lymphatic system has been compromised, due to a trauma or surgery, you may be at risk or have lymphedema. MLD is a proven primary tool in the treatment of this condition. Combined with compression therapy, MLD will help your lymphedema so you can achieve better mobility and a better quality of life.

Of course, there are exceptions to every rule. Manual lymphatic drainage is not an appropriate treatment if you have the following:

• Active cancer

• Inflammation (infection)

• Congestive Heart Failure

• Thrombosis

If you have additional questions about Manual Lymphatic Drainage, please call us at 713-623-4247 and book a consultation with one of our certified massage therapist. We will help you understand how MLD can improve your mobility and well-being.