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How do I Manage Lymphedema After Breast Cancer Surgery?

Erin J. Hill
Erin J. Hill

You can effectively manage lymphedema after breast cancer surgery by following your doctor’s instructions. Individualized therapy may be required, but proper treatment generally includes compression of the affected area, elevation, maintaining a healthy diet, exercise, avoiding infections, and sometimes manual drainage of the lymphatic system. There is no cure for lymphedema once it has occurred, so the best way to maintain proper function of the lymphatic system is to use proper prevention methods.

Lymphedema is a condition where the lymph nodes and other areas of the lymphatic system cannot properly drain fluids. This can occur after a mastectomy if lymph nodes are removed or if the surgery affects the proper function of the nodes in the area. Many times lymphedema after breast cancer surgery will occur after trauma is inflicted on the affected area, such as an injury or infection. If it occurs, treatment should be begun right away.

Pink ribbons symbolize breast cancer awareness.
Pink ribbons symbolize breast cancer awareness.

The first step in managing lymphedema after breast cancer surgery is to maintain a healthy lifestyle. Avoid foods which may cause swelling or bloating, such as excessive sodium or fat. You should also drink plenty of fluids since dehydration can lead to water retention. Make sure you exercise regularly, but speak with your doctor about which exercises would be safe for you to perform.

A scalpel is a small, sharp knife that is used in surgeries to make incisions.
A scalpel is a small, sharp knife that is used in surgeries to make incisions.

During times of swelling you should elevate the area to allow the excess fluids to drain downward. Lymphedema generally occurs in the arms and legs, so this can become a hindrance to everyday activities. You may need to massage the area gently to encourage the fluids to drain. Sometimes the lymph nodes may have to be drained manually by a professional who specializes in the lymphatic system.

Clean razors should always be used to help avoid infection, especially for those with lymphedema.
Clean razors should always be used to help avoid infection, especially for those with lymphedema.

Infection in the affected limb can also lead to severe lymphedema after breast cancer surgery. This can both cause the first outbreak of symptoms and cause them to worsen or reoccur. To prevent infection you should eat plenty of foods to promote healthy immune function, use clean razors while shaving, and wash your arms and legs thoroughly. If you do get an infection, your doctor may give you antibiotics to prevent or treat lymphedema.

There is no cure for lymphedema, but symptoms can be treated if you take action at the first sign of swelling. You should be very careful to avoid the condition, but if it does occur, your doctor will begin treatment to reduce swelling and prevent symptoms from getting worse. Without treatment, swelling may become severe and the affected limb may appear disfigured.

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    • Pink ribbons symbolize breast cancer awareness.
      By: Gino Santa Maria
      Pink ribbons symbolize breast cancer awareness.
    • A scalpel is a small, sharp knife that is used in surgeries to make incisions.
      By: iofoto
      A scalpel is a small, sharp knife that is used in surgeries to make incisions.
    • Clean razors should always be used to help avoid infection, especially for those with lymphedema.
      By: April Cat
      Clean razors should always be used to help avoid infection, especially for those with lymphedema.