Lymphoedema

DO YOU HAVE SWELLING, WEAKNESS OR PAIN AFTER SURGERY FOR CANCER?

Lymphoedema occurs when the lymphatic system (which is responsible for clearing fluid from tissues) does not function properly. It is often a complication following breast and other forms of cancer treatment. It can result in axillary web syndrome and long-term swelling of one or more parts of the body which can be extremely debilitating and painful if not addressed early.

Detection

Evidence suggests early diagnosis of lymphoedema, before it becomes clinically obvious, may reduce the risk by half. InBalance is able to offer the latest tool in diagnostic technology the L-Dex Bio-impedence which can measure fluid levels. Checking this before surgery can give us a baseline to aid with early detection.

Management

1. Education- There is plenty to learn about managing Lymphoedema such as the importance and type of exercise you should do, early detection and management of swelling and skin/wound care.

2. Compression- This often involves the use of custom made compression garments or bandaging. Garments are often beneficial when flying due to reduced cabin pressure. Compression is used to reduce fibrosis and accumulated lymphatic fluid and leakage of lymph from blood vessels to surrounding tissues. Bandaging may also be required to reduce compression before fitting maintenance garments.

3. Manual Lymphatic drainage- is a specialised massage technique used to enhance the function of the lymphatic system by moving fluid toward the deeper lymphatic system.

4. Laser therapy- Research had shown that laser use increases lymphatic function and regeneration. Use of a specialised scanning laser allows therapists to treat Lymphoedema of the chest, breast, armpit and arm as well as lower limbs. Symptoms such as heaviness, aching and tightness are often improved following Laser sessions and is also extremely beneficial when treating cording, also known as axillary web syndrome which commonly occurs following surgery to remove Lymph nodes.