Home > Breasts > Lymphoedema: Treatment and Support

Lymphoedema: Treatment and Support

By: Kathryn Senior PhD - Updated: 7 Mar 2013 | comments*Discuss
Lymphoedema Treatment Prevention Support

After having surgery for breast cancer, which may remove some of the lymph nodes under the arm, one in five women find they are prone to lymphoedema, usually in the arm on the same side of the body as the surgery. Lymphoedema is abnormal swelling of the tissues, and it results from poor drainage through the lymphatic vessels. These usually carry tissue fluid back to the heart but lymph node surgery that is carried out as part of breast cancer treatment can cut some of the lymphatic vessels at the top of the arm.

Preventing Lymphoedema

Lymphoedema can start straight away after surgery, or it can come on later. Key events make swelling in the arm more likely – if you get an infection in the skin of your hand or arm, for example, the normal response is inflammation. Usually this is very limited because the lymph vessels take away the excess fluid very quickly. If your lymph drainage is poor, even a mild infection after a scratch can make your arm balloon, which is painful and distressing. Many women who have come through breast cancer treatment find lymphoedema too much to cope with; it inhibits their activities and social life and reminds them constantly of their physical limitations.

Preventing lymphoedema becomes a matter of daily life. It is important to avoid any chance of infection – take care when playing with a cat, wear gloves when gardening and cleaning, use an electric razor to shave under your arms rather than a bladed one. It is also important to avoid getting sunburned on the affected arm and to prevent any undue pressure on it. Carrying heavy bags on that arm can be a problem, even wearing a watch or bracelets can become uncomfortable.

Many women find that if they are able to concentrate on building a healthier lifestyle – eating plenty of fruits and vegetables, avoiding processed foods rich in sugar and salt and keeping alcohol to a minimum, this also helps. Exercise, such as walking or swimming is also good.

Treating lymphoedema

If arm swelling does become serious and painful, you will need to see your GP who can refer you for specialist help. The main treatments involve wearing a compression elastic sleeve to support the tissues of the arm. You will probably also be given special exercises to do while wearing the stocking. An expert in massage for people with lymphoedema may need to perform manual lymphatic drainage. This is not ordinary massage and you can’t get MLD at a beauty parlour, for example. It can only be done by a trained nurse, who gently manipulates the arm to push the excess fluid back into the main part of the body, where the lymphatic system can take care of it.

Sometimes, bandages that stretch are used instead of compression elastic sleeves. To get the maximum benefit, it is important to wear these as and when recommended. Lymphoedema treatment is not a quick process and it can take several weeks to notice a real improvement in symptoms.

Support for Lymphoedema

The inhibiting aspects of lymphoedema and its development during a time when you will be feeling better after your breast cancer surgery and treatment can be a big blow. This is now widely recognised and there are many national and local support groups, who can help support you as you learn to cope with lymphoedema. Your GP surgery should be able to put you in touch with a group near where you live, and you can then contact them to see what support they can provide. You can also search for groups yourself on the internet. Cancerhelp UK has a useful list, and there is a national Lymphoedema Support Network.

You might also like...
Share Your Story, Join the Discussion or Seek Advice..
Why not be the first to leave a comment for discussion, ask for advice or share your story...

If you'd like to ask a question one of our experts (workload permitting) or a helpful reader hopefully can help you... We also love comments and interesting stories

(never shown)
(never shown)
(never shown)
(never shown)
Enter word:
Latest Comments
  • Mummy
    Re: What is Squamous Metaplasia?
    Sir/ Madam Rcently i went for Anti Mullenrian Hormone Test and the report says metaplastic squamous cells seen . what is this…
    1 October 2019
  • Folami
    Re: Benefits Of Evening Primrose Oil
    Please I have been trying to conceive for a while, but to no avail I was told to work on my hormonal imbalance, that is why I…
    5 June 2019
  • abhinavayu
    Re: All About Varicose Veins
    What a great article! I can tell you really care about what you are writing about, which is a rare thing these days. Thank you for…
    31 July 2018
  • FemaleHealthIssues
    Re: What is Squamous Metaplasia?
    Happy - Your Question:My smear show squamous metaplasia and reactive cellular change with inflammation.what it means??
    7 March 2018
  • Happy
    Re: What is Squamous Metaplasia?
    My smear show squamous metaplasia and reactive cellular change with inflammation....what it means??
    6 March 2018
  • FemaleHealthIssues
    Re: What is Squamous Metaplasia?
    Genie - Your Question:I undergone D&c last Jan. 6 and my histopath result was Chronic Cervicitis with squamous metaplasia. I had…
    13 February 2018
  • Genie
    Re: What is Squamous Metaplasia?
    I undergone D&c last Jan. 6 and my histopath result was Chronic Cervicitis with squamous metaplasia. I had on and off very light…
    12 February 2018
  • Ani
    Re: What is Squamous Metaplasia?
    My biopsy report says squamous metaplasia...what is the meaning?
    2 February 2018
  • Rose
    Re: What is Squamous Metaplasia?
    I just recently had my biopsy result from a liquid-based pap smear test & the result is: acute & chronic cervicitis with squamous…
    19 January 2018