Breast Lymphoedema: The Bane of Breast Cancer Survivors
Breast lymphoedema is the after effect of breast cancer surgery. There is little awareness about this condition that almost eighty percent of the women with cancer surgery experience. Even in the medical fraternity, this condition remains much neglected and un-researched. Women who may want to get more information about this condition may find it quite difficult to come by. However, in the recent times, the awareness has been growing and many support groups have come forth to help breast cancer survivors in any way they can. The internet is also fast becoming a source of information on a wide range of hitherto unknown ailments.
This kind of lymphedema affects women who had mastectomy or lumpectomy or who have had an axillary lymph node removal. The symptoms may be seen primarily in the breast, the chest area, the neck region or under the armpits. This type of lymphedema is known as truncal lymphedema and may also be caused due to lung surgery. The general method of treatment for this painful condition is manual lymph drainage, use of compression garments like a compression bra, regular exercise and skin care. Breast lymphoedema is a painful condition which the patient may have to endure for life.
Treating the symptoms of arm lymphedema is relatively easy as the patient can easily bandage the arm or practice self massage. A compression sleeve can be worn to keep the swelling from returning. While arm lymphedema resulting from breast cancer treatment can be relatively easy to treat, breast lymphedema is much more difficult to manage. Since bandaging of the breast is not practical, a proper compression bra or garment must be used to apply the essential compression. A therapist can perform the manual lymph drainage in the initial stages and later on, the patient can perform self massage. The swelling must be reduced with massage to alleviate the painful condition.
Until very recently, doctors advised women who had breast cancer treatment not to lift heavy objects with the arm on the surgery-side. Carrying grocery bags or children was strictly prohibited. Doctors felt that it would hasten the onset of lymphedema or if it was already present, these activities would worsen the condition. However, there is continuous research in the field of lymphedema and some of the studies are challenging the old school of thought. A recent report published in August 2009 stated that light weight training exercises proved beneficial to breast lymphoedema. However, it cautioned the women to wear the compression bra during the exercise session and not to overdo the exercises to the point of stress.
Contrary to the earlier belief, exercises help to increase the flexibility of the arm and the muscles. This stimulates the flow of the lymphatic fluid and keeps it moving towards the blood circulatory system. Since the fluids drain easily there is no swelling and the pain is also reduced. Even in normal circumstances, exercise promotes a general feeling of well being and the individual feels energetic. Therefore exercise can prove to be greatly beneficial to the lymphedema patient.
Breast lymphoedema can happen due to radiation treatment for breast cancer. Known as radiation fibrosis, it may continue for months after the radiation therapy. This condition can be treated with a complete decongestive therapy. Since conventional bras may not be suitable due to the sensitivity of the skin in the breast area, the patient must use a compressive bra that gives gentle support and compression to the breast and is also comfortable for the daily activities. If the condition does not improve even after taking these precautions it is advisable to consult the doctor and the lymphedema therapist for re-evaluation of the condition and modify the therapy according to the needs.
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