Lymphedema is a chronic, progressive condition where protein-rich swelling accumulates in the extremities. The cause of lymphedema varies amongst individuals but always involves damage or malformation of the lymphatic system, including the lymph nodes or the connecting framework of vessels.
In North American, the most common cause of lymphedema is lymph node resection as part of surgical cancer management. The incidence of lymphedema post-surgical management for breast cancer ranges from 6%–50% depending on the surgical procedure and radiation therapy.
Combined Decongestive Therapy (CDT) is effective in managing lymphedema and consists of 4 components; manual lymphatic drainage (MLD), compressive bandaging, decongestive exercises and skin care. CDT must be administered by a specially trained therapist.
Manual Lymphatic Drainage (MLD) is a specific technique of tissue manipulation that increases flow through the lymphatic system, rerouting this fluid to undamaged areas so the extra fluid volume can be drained.
After lymph node resection, individuals possess a lifetime risk of lymphedema. Any circumstance that increases lymph fluid volume may place an individual at risk i.e. surgery or trauma to the affected arm.
Some symptoms to look for that may appear before swelling include:
- Tingling, “bursting’ or “shooting” pain or pins and needles sensations that affect the arm, chest, shoulder or hand.
- The ability to create an indentation in the skin of the chest, arm or hand. This may be most apparent if garments i.e. bra or jewellery leaves an indentation on the skin. This is called “pitting” edema.
- Veins or tendons are less apparent, most notably on the back of the hand. This indicates fluid accumulation in this compartment.
If you have lymphedema or any of the symptoms above and you want to consult a Certified Complete Decongestive Therapy Therapist (CLD) contact:
Alicia Hagedorn B.Sc.P.T., M.Cl.Sc. (Ortho), CDT firstname.lastname@example.org 416-423-1862 to book an appointment.
Other useful links:
Lymphedema Association of Ontario http://www.lymphontario.ca/
Canadian Lymphedmea Framework http://canadalymph.ca/