Different Approaches to Help Manage Lymphedema
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There are many side effects that you could experience as a result of cancer treatments, with lymphedema being one of them. Since there is no cure for lymphedema, avoiding certain things that could trigger it is the best way to manage it. Most of the strategies listed below work to keep the fluid moving, in order to reduce the build up of lymph within the affected area. Always make sure to check with your doctor beforehand to make sure these are suitable for your individual needs.
What is lymphedema?
Lymphedema can occur from blocked lymph vessels, restricting them from being able to correctly drain fluid and ultimately causing the area to swell up. Secondary lymphedema refers to the damage or removal of lymph nodes, often caused by cancer treatments. Lymphedema most often occurs in the arms or legs, but can also be seen in other areas of the body as well.
Managing Lymphedema
Exercise - Staying active pumps the muscles, allowing the fluid to be moved around and drained. Activities can involve stretching, walking, and other light exercises. Although physical activity is beneficial, it is important to make sure you limit strenuous activities. This means restraining from heavy lifting of the impacted area and avoiding other high intensity exercises.
Compression Garments - Wearing these can help reduce swelling and keep the lymph moving. A doctor can make sure it is properly fitted so that it provides the right amount of pressure without causing your lymphedema to flare up and become worse. Try using a sleeve such the JOBST Bella Women's Sleeve
Skin Care - Keeping the skin clean and moisturized will help reduce the chance of infection. When the skin is dry, it creates an entry point for bacteria to get it, which is why it is important to begin moisturizing the area before it even gets to that point. To avoid the skin from becoming irritated, sensitive soaps and creams may be a good alternative. Try using a soap substitute, such as the TheraNeem Cleansing Bar.
Taping - Kinesiology tape is a method that is applied by a professional with the goal of reducing swelling. The tape gently pulls on the skin, allowing for more space for the fluid to flow through. The patient then takes the tape off themselves a few days later. Taping is more beneficial when used in combination with other treatments. It is also useful when lymphedema occurs in places where other treatment options are difficult, such as your torso. Here is a tape that we recommend: KT Tape
Pumping - With this at-home process, a pump gently squeezes the affected area to push the fluid out and reduce the swelling. Michigan Medicine recommends using the pump once a day for 30-60 minutes, unless otherwise instructed by your doctor. Additionally, it is better to do this towards the end of the day when you are typically more swollen. Doing this daily as recommended can help long-term as well.
Wondering what this might look like? Check out this real-life example → https://www.youtube.com/watch?v=WS0qdu9M004
Manual Lymphatic Drainage - This is a type of massage therapy that is done by a professional. When receiving a massage, gentle movements and pressure is given in the affected area to push the fluid to an area where it can drain better. Several sessions may be needed to see improvement.
What are some additional ways to decrease the risk of lymphedema?
Stay hydrated
Elevate affected limb when possible
Avoid super tight clothing
Avoid injury to the affected area as it can make it worse
Maintain a healthy weight
Live in Southeastern North Carolina? Check out these Physical Therapists for expert lymphedema care: Bodies in Balance, PT for Women, and Self Care Therapy