Lymphedema Program

Managing lymphedema after breast cancer: Occupational therapy at Candler Hospital can help

The One of the life-altering side effects of breast cancer can be lymphedema, a condition that can arise months or even years after breast cancer surgery or radiation. Understanding lymphedema and how occupational therapy can help manage it is vital for improving the lives of breast cancer survivors. We can help.

The Nancy N. and J.C. Lewis Cancer & Research Pavilion at St. Joseph’s/Candler offers a dedicated Lymphedema Management Program at Candler Hospital’s Outpatient Rehabilitation location. Experienced occupational health therapists will tailor a program perfect for you to reduce the effects lymphedema has on your life.

Understanding lymphedema: Causes and symptoms

Lymphedema occurs when lymph—a thin, clear fluid that helps remove waste and bacteria from tissues—accumulates excessively in one part of the body. This condition is common in breast cancer survivors because surgeries and radiation treatments often remove or damage lymph nodes, disrupting the natural flow of lymph.

This disruption can lead to swelling, discomfort, a feeling of heaviness and even infections like cellulitis. Symptoms can vary but may include:

• Swelling in the arm on the side where lymph nodes were removed
• A feeling of heaviness or tightness in the arm, chest, or armpit
• Clothing, bras, or jewelry fitting tighter than usual
• Aching or pain in the arm
• Difficulty moving or bending joints
• Skin changes in texture or color
• Weakness in the arm

While lymphedema is a chronic condition, it can be effectively managed with early treatment and proper care.

Key signs of lymphedema to watch for

Recognizing the signs of lymphedema early can significantly reduce the risk of complications. Common indicators include:

• Swelling: Most commonly affects the arm on the side of lymph node removal.
• Heaviness or Tightness: An uncomfortable feeling that may limit mobility.
• Skin Changes: The skin may become tight, dry, or discolored.
• Weakness: Reduced strength in the arm can affect daily activities.
• Discomfort or Pain: Aching sensations that interfere with routine tasks.

Preventive tips to reduce lymphedema risk

Breast cancer survivors are encouraged to speak with their oncologist or surgeon about lymphedema risks and strategies for prevention. Some tips include:

• Wear Compression Sleeves: Especially during activities like gardening or exercising.
• Use the Unaffected Arm: For injections, blood pressure checks, and carrying heavy items.
• Practice Careful Hygiene: Use clean razors for shaving and avoid cuts or scrapes.
• Protect Against Sunburn: Apply sunscreen to affected areas.
• Exercise Moderately: Avoid overly vigorous or repetitive movements.
• Maintain a Healthy Diet: Focus on low-sodium foods to reduce fluid retention.
• Prevent Insect Bites: Use insect repellent to avoid triggering inflammation.

Lymphedema management at Candler Hospital

Occupational therapy is about enabling our patients to regain independence and functionality in their daily lives. We empower survivors to manage their homes, drive, and enjoy time with loved ones without limitations. Our program includes four key components:

1. Manual Lymph Drainage: A gentle massage technique stimulating lymph flow and reducing swelling.
2. Exercise: Targeted stretching and resistance training to improve mobility and strength.
3. Skin Care: Education on proper hygiene and skin care to prevent infections and complications.
4. Compression Therapy: Assistance with selecting, fitting, and using compression garments to reduce swelling.

Every treatment plan is tailored to the individual, with a strong focus on patient education. The goal is to empower survivors to manage their condition independently.