Folder Title "LE After Surgery" - what about radiation?
The title of this folder is "Lymphedema After Surgery"... Why can't it just be "Lymphedema"? Is lymphedema only caused by surgery? I had 3 nodes removed, but the OT that I just had 2 appointments with, who specializes in lymphedema (and was trained specifically in breast and truncal lymphedema), told me my breast lymphedema is likely caused mainly by radiation, not the SNB. Is that wrong? If I hadn't had any nodes removed, could I have still gotten lymphedema from radiation?
Comments
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Yes, I work in rad onc and see patients with LE due to radiation all the time. And some come to breast radiation with swelling, but more leave with it. And it's really common and quite frequently not addressed.
This folder used to be just "ARM" lymphedema--and it took huge effort to change that.
Great idea--it should just be "Lymphedema" IMO
Kira
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Thanks, Kira. Maybe I'll suggest to the mods that the title be changed!
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I just posted in the "Comments, Suggestions, Feature Requests" folder to ask if this folder's title can be changed simply to "Lymphedema." Please post in that thread if you agree!
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Kira - I have a question about rads and nodes and lymphedemia... so if they took out all my nodes and then used rads against my subclavs and sternum nodes - does this mean I have no lymph nodes working at all on my right side now? Does manual manipulation even matter if the whole right upper system is fibrotic or missing?
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Starbeauty--essentially they made that side much less functional--likely there's a few nodes doing some work, but if they surgically removed all they could find, and then radiated the remaining nodes, which causes fibrosis and decreased function that axilla likely doesn't have much lymphatic drainage capacity.
But, there are variations in anatomy and inherent "lymphatic pumps" and some women have an extra deep collector that bypasses the axilla and some women have stronger lymphatic systems than others.
The manual lymph drainage would be important, as it would move the lymph to other pathways: to the neck, to the groin, to the opposite side. It's a way to bypass the blockage.
Does that make sense?
Kira
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Yes... thank you... that confirms what I thought happened to me. They shot rads all the way up my neck - I still have the burn marks - and out to my shoulder - as far down as my abdomen - I burned badly - lost a bunch of skin - shot through my lung to a 3x5 inch patch on my back... I am managing to keep LE at bay - but I can feel it pressing against the skin daily and it backs up at the bend in my arm pretty much daily - gentle touch and positional gravity moves it - but I end up doing that most of the day.
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Starbeauty, do you have a lymphedema therapist, because you definitely need someone to help with massage, and getting you compression garments.
Here's the link to how to find one:
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
You'll need a referral as it's considered PT.
We need all the help we can get with LE.
Kira
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No... I don't have anyone helping me... thank you for the link. I see the BS 4/18 - will ask her to refer me. Thank you for all your postings and work on this issue - we all depend on you.
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