Lymphoedema After Mastectomy: What You Need to Know

Lymphoedema is a condition that can affect many individuals following a mastectomy, particularly those who have undergone lymph node removal as part of their breast cancer treatment. Understanding lymphoedema, its causes, symptoms, and management can help those affected navigate this challenging aspect of recovery.

What is Lymphoedema?

Lymphoedema is a chronic condition characterized by tissue swelling, usually in the arms or legs, due to an accumulation of lymphatic fluid. It often occurs when lymph nodes are removed or damaged, disrupting the normal flow of lymph fluid through the body. Another reason why someone could end up going through Lymphoedema is severe skin infections that damage the lymphatic system, radiation therapy, or invasive surgeries.

Why Does Lymphoedema Occur After Mastectomy?

During a mastectomy, when lymph nodes are removed (as in axillary lymph node dissection), the pathway for lymph fluid drainage from the hand and the arm can be compromised as the fluid has nowhere to be discharged at the surgery area. This disruption can lead to a buildup of fluid, resulting in swelling that, if left untreated, can create severe discomfort. While not everyone who has a mastectomy will develop lymphoedema, certain risk factors may increase the likelihood, including:

• The extent of surgery
• Radiation therapy
• Infection
• Obesity
• Lack of physical activity
• Previous or current other injuries to limb/shoulder
• Surgery was on the side of the dominant hand
• Be a smoker

Symptoms of Lymphoedema post mastectomy

The symptoms of lymphoedema can vary in severity and may develop gradually. Common signs include:

• Swelling in the arm, hand, or breast area
• A feeling of heaviness or tightness in the affected area
• Restricted range of motion in the shoulder or arm
• Skin changes, such as thickening or hardening
• Swelling doesn’t reduce just by holding the arm elevated

Early Detection and Diagnosis

Recognizing the early signs of lymphoedema is crucial for effective management. This would help prevent degeneration of the condition and reduce the chance of fibrosis building under the skin, which would lead to longer treatment and possible complications. If you notice swelling or other symptoms, Giovanni is here to help, so don’t hesitate to get in touch.

To simplify the diagnosis process, Giovanni offers a 15-minute free phone consultation appointment. During this phone call, we can evaluate whether no pathologies need to be addressed by a GP or other medical staff or if the Lymphoedema management plan can be initiated.

Managing Lymphoedema

While there is currently no cure for lymphoedema, various management strategies can help reduce symptoms and improve quality of life:

1. Manual Lymphatic Drainage (MLD) is a specialized massage technique that stimulates the lymphatic system and encourages fluid movement.At Melbourne Massage and Treatment in Fitzroy North, Giovanni specialises in the management of Lymphoedema with MLD.
2. Combined Decongestive Therapy (CDT): CDT refers to the application of bandaging that Giovanni would do after the initial MLD treatment.
3. Garments Wear: Wearing compression garments, such as sleeves or bandages, can help prevent fluid buildup and promote lymphatic drainage.
4. Exercise: Gentle, targeted exercises can improve circulation and lymphatic flow. Giovanni at the end of the appointment would show a series of simple exercises that can help you in managing the Lymphoedema swelling.
5. Skin Care: Maintaining skin hygiene and moisturization can prevent infections, which may exacerbate lymphoedema.
6. Diet and Lifestyle: Maintaining a healthy weight and staying active can reduce the risk of developing or worsening lymphoedema.
7. Surgery: In some cases, surgical options may be considered, such as lymphovenous bypass or vascularized lymph node transfer.

Support and Resources

Coping with lymphoedema can be emotionally and physically challenging. Support groups and counselling can provide valuable resources and community connections. Organizations like the Lymphatic Education & Research Network (LE&RN) and local cancer support services can offer information and support tailored to your needs.

Conclusion

Navigating lymphoedema after a mastectomy can be daunting, but understanding the condition and implementing effective management strategies can make a significant difference. Early intervention, education, and support are key components in minimizing its impact on daily life. If you or a loved one is facing this challenge, remember you are not alone—reach out to Giovanni and ask how Melbourne Massage and Treatment services can help.

FAQ

Q: What is lymphoedema?
A: Lymphoedema is a chronic condition characterized by swelling in the arms or legs due to an accumulation of lymphatic fluid. It often occurs when lymph nodes are removed or damaged, disrupting the normal flow of lymph fluid.

Q: Why does lymphoedema occur after a mastectomy?
A: Lymphoedema can occur after a mastectomy when lymph nodes are removed, compromising the pathway for lymph fluid drainage. This disruption can lead to fluid buildup and swelling, particularly in the arm and hand.

Q: What are the risk factors for developing lymphoedema after surgery?
A: Risk factors include the extent of surgery, radiation therapy, infections, obesity, lack of physical activity, previous injuries to the limb or shoulder, surgery on the dominant hand side, and smoking.

Q: What are the common symptoms of lymphoedema?
A: Common symptoms include swelling in the arm, hand, or breast area; a feeling of heaviness or tightness; restricted shoulder or arm movement; skin changes (thickening or hardening); and swelling that doesn’t reduce when the arm is elevated.

Q: How can lymphoedema be diagnosed early?
A: Early detection is crucial for effective management. If you notice symptoms like swelling, it’s important to seek help. Giovanni offers a free 15-minute phone consultation to evaluate symptoms and determine a management plan.

Q: What management strategies are available for lymphoedema?
A: Management strategies include Manual Lymphatic Drainage (MLD), Combined Decongestive Therapy (CDT), wearing compression garments, gentle exercises, maintaining skin hygiene, a healthy diet and lifestyle, and possibly surgical options.

Q: How can Manual Lymphatic Drainage help?
A: Manual Lymphatic Drainage (MLD) is a specialized massage technique that stimulates the lymphatic system and encourages fluid movement, helping to reduce swelling.

Q: What role do compression garments play in managing lymphoedema?
A: Compression garments, such as sleeves or bandages, help prevent fluid buildup and promote lymphatic drainage, which can alleviate symptoms of lymphoedema.

Q: Are there emotional support resources available for those coping with lymphoedema?
A: Yes, support groups and counseling can provide emotional and community support. Organizations like the Lymphatic Education & Research Network (LE&RN) and local cancer support services offer valuable resources.

Q: How important is early intervention for lymphoedema?
A: Early intervention is key to minimizing the impact of lymphoedema on daily life. Understanding the condition and implementing management strategies can significantly improve quality of life.