Can Rehabilitation Help Reduce Lymphedema After Breast Surgery?

Hand edema

My aunt had surgery for a left breast tumor three months ago, and she currently has swelling in her left arm.
Will rehabilitation help?

Biyu, 20~29 year old female. Ask Date: 2008/09/28

Dr. Chen Xianchang reply Rehabilitation

Hello, thank you for your inquiry.
I would like to address your questions and provide the following recommendations:
1.
Typically, during breast cancer surgery, some lymph nodes in the axilla are removed, which can lead to swelling in the upper and lower limbs.

2.
It is advisable to engage in exercises that involve raising your arms and to elevate your upper limbs while sleeping.

3.
Rehabilitation may include the use of a pneumatic compression device, which helps promote lymphatic circulation through pressure therapy.

Finally, I wish you peace and happiness!

Reply Date: 2008/09/28

More Info

Rehabilitation can indeed play a significant role in managing and potentially reducing lymphedema after breast surgery, particularly following procedures such as sentinel lymph node biopsy or axillary lymph node dissection. Lymphedema is a condition characterized by swelling due to the accumulation of lymph fluid, often occurring in the arms or legs after lymph nodes have been removed or damaged during surgery.
In your aunt's case, where she is experiencing swelling in her left arm following surgery for a breast tumor, rehabilitation can be beneficial in several ways:
1. Physical Therapy: Engaging in physical therapy can help improve lymphatic drainage. A trained physical therapist can guide her through specific exercises designed to promote circulation and lymphatic flow. These exercises are typically gentle and focus on the affected arm, helping to reduce swelling and improve mobility.

2. Manual Lymphatic Drainage (MLD): This is a specialized form of massage therapy that encourages the natural drainage of the lymph, which can help reduce swelling. MLD is performed by trained therapists and can be an effective treatment for lymphedema.

3. Compression Garments: Wearing compression sleeves or bandages can help manage lymphedema. These garments apply pressure to the arm, which can prevent fluid from accumulating and help reduce swelling. A therapist can assist in determining the appropriate type and fit of compression garment.

4. Education and Self-Care: Rehabilitation often includes education about lymphedema management. This can involve teaching your aunt how to recognize early signs of lymphedema, strategies for skin care to prevent infections, and lifestyle modifications to minimize the risk of exacerbating the condition.

5. Exercise: Regular, low-impact exercise can be beneficial for overall health and can also help manage lymphedema. Activities such as walking, swimming, or yoga can promote circulation and lymphatic drainage. However, it is essential that any exercise program is tailored to her specific needs and limitations, especially considering her recent surgery.

6. Monitoring and Follow-Up: Regular follow-up with healthcare providers is crucial. They can monitor her condition and adjust her rehabilitation plan as needed. If her lymphedema worsens or does not improve, further interventions may be necessary.

It is important to note that while rehabilitation can significantly help manage lymphedema, it may not completely eliminate the condition. The effectiveness of rehabilitation can vary from person to person, and it is essential to have a comprehensive treatment plan that may include a combination of therapies.

In summary, rehabilitation can be a valuable component in managing lymphedema after breast surgery. Encouraging your aunt to engage in physical therapy, consider manual lymphatic drainage, use compression garments, and participate in education about self-care can all contribute to better management of her condition. It is advisable for her to consult with her healthcare provider or a lymphedema specialist to develop a personalized rehabilitation plan that addresses her specific situation and needs.

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