Surgery is one of the most effective treatments for breast cancer, but it can have side effects, one of which is upper limb lymphoedema
Lymphoedema is a condition in which excess fluid accumulates in the lymphatic system, causing swelling and discomfort. In the case of upper limb lymphoedema, this swelling occurs in the arm, hand, and fingers on the same side as the breast that underwent surgery. This condition can occur immediately after surgery, but it can also develop months or even years later.
The lymphatic system is responsible for removing waste products and excess fluid from the body. During surgery for breast cancer, some lymph nodes in the armpit area may be removed or damaged, disrupting the normal flow of lymphatic fluid. This disruption can cause a backup of fluid in the arm, leading to the presence of swelling. This is lymphoedema.
There are several risk factors that can increase the likelihood of developing upper limb lymphoedema after breast cancer surgery.
These include:
● Larger numbers of lymph nodes removed during surgery
● Radiation therapy to the underarm, breast or chest area
● Chemotherapy
● Infection to the arm on the side of the surgery (ie cellulitis)
Symptoms of upper limb lymphoedema can vary from mild to severe and can include:
● Swelling in the arm, hand, or fingers on the side of the surgery
● A feeling of heaviness or tightness in the arm
● Limited range of motion in the arm or shoulder
● Aching or discomfort in the arm
● Skin changes, such as thickening or hardening
Fortunately, there are several treatments available to manage and reduce the symptoms of upper limb lymphoedema. These include:
● Manual lymphatic drainage: This is a type of massage that can stimulate the lymphatic system to move fluid out of the affected area.
● Exercise: Gentle exercise, such as yoga or swimming, can help to improve lymphatic flow and reduce swelling.
● Compression therapy: Wearing compression garments, such as sleeves or gloves, can help to reduce swelling by compressing the affected area.
● Skin care: Keeping the skin on the affected area clean and moisturized can help to prevent infection and further swelling.
If you have undergone breast cancer surgery and are experiencing symptoms of upper limb lymphoedema or don’t have symptoms but want to know more about your risk of developing lymphoedema, it is a good idea to speak to a lymphoedema therapist. They can help to determine the best treatment plan for you and provide you with resources and support to manage your condition or prevent any issues in the future.
Our Lymphoedema Therapist, Karina Savur, is available for appointments in Essendon or Pascoe Vale South.