Lymphoedema after breast cancer treatment

Lymphoedema is swelling caused by a build up of fluid in the bodies tissues. This can happen after breast cancer treatment when lymph nodes are removed, or lymph vessels may be damaged by surgery or radiotherapy. It can occur during or immediately after treatment or sometimes many years later.

Lymphoedema may affect the arm or hand on the affected side, or the breast or chest area. It is thought to affect about 20% of people who have breast cancer treatment, and can be very successfully managed with various techniques.

If you are at risk of developing lymphoedema it is important to protect your affected side from damage. It is usually recommended to avoid injections, blood samples and taking blood pressure from the at risk side, and to keep the skin in good condition.

It is also a good idea to keep as active as possible, to exercise regularly and to maintain a healthy weight.

Early signs of lymphoedema can include stiffness in the joints, dry skin, heaviness or aching in the affected area, and tightness of clothing or jewellery. Swelling may come and go in the early stages and it is important to discuss any changes you notice with your doctor or breast care team.

You may be referred to the lymphoedema clinic for assessment and advice. Most people find that their swelling improves with a combination of skin care, specific exercises which improve the lymphatic drainage, and a special type of self-massage which helps to redirect the excess fluid. Some people also use compression garments (sleeves, gloves or bras) to control the swelling.

Although lymphoedema is not dangerous it can increase the risk of developing a skin infection, or cellulitis and it is very important that you seek medical advice if you show any sign of infection such as increased swelling, pain and redness in the affected area.

Other websites

The Lymphoedema Support Network
https://www.lymphoedema.org/