Truncal or breast Lymphedema

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  • sisterinspirit
    sisterinspirit Member Posts: 204
    edited February 2012

    Janis,

    No wonder you have so much racing through your head!  It's enough to make anyone crazy.  So glad to hear you are going to be seen by a therapist on Friday.  I am very hopeful that you will get the information you need and start on the path of being able to manage your LE, if that is what you have.  Just a thought about travel expenses...you might see if a social worker is available through Elks who can let you know if any financial assistance is available for travel.  When I was treated at MSTI in Twin Falls a few years ago, help was available.   

     Please let us know how you are doing.

    Deb

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Deb....I live in Nampa, had by breast surgery in Boise, and my rads in Caldwell.  I will find out about getting needed help, thank you.  For most people the 15 mile drive each way would not be a burden, but for us it is.  Even a couple times a week could be a problem. 

    This whole thing has been making me nuts.  My head just spins withthe totally different opinions of these two doctors.  The bottom line is I have to know, so I feel a huge sense of relief already.  I trust my BS more than my RO so this just feels right.

    Thanks for everyone who gently nudged me to be proactive and get me out of wimp mode!

  • kira66715
    kira66715 Member Posts: 4,681
    edited February 2012

    Janis, the American Cancer Society is focusing their financial assistance on travel and lodging. Just a thought, but hopefully your local ACS chapter could help with travel. With the price of gas, it's not insignficant.

    Kira

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Thanks Kira.  I know...it is really frustrating.  I will find a way though if LE therapy is determined to be something beneficial at this time.  No worries.   Thanks hon!

  • brazos58
    brazos58 Member Posts: 261
    edited February 2012

    I still find it amazing that my BS did not even mention lymphedema as a complication of BMX.

    I still am dumbfounded that he asked me who diagnosed me with axillary web syndrome and dismissed my cording/ chest/ armpit and back tenderness, swelling and evil fullness. He assessed my hand area only as a diagnosis .....

    I asked him about my back swelling....he looked at it and said " Well that's just YOU!"

    I also asked him of his last continuing education background on LE.... and it had been 25 years ago in Med School.

    Having a BS/ PS that is Current and Conscious of the Existence of LE and Truncal LE is a paramount choice in letting anyone touch you.....

    AAARRGGAAAHHHH!

    Good going to all of you. Wishing you all the best.

    My truncal LE is under control, but I am still reeling from its diagnosis....its just the icing on the cake. When I land, I too have a letter I need to write.

    xo

    brazos

  • Binney4
    Binney4 Member Posts: 8,609
    edited February 2012

    Hey, Janis!

    Today's your eval, yes? Thinking of you, hoping you come away with real answers and the peace that goes with it.

    Hugs,
    Binney
  • kira66715
    kira66715 Member Posts: 4,681
    edited February 2012

    Brazos, It's so hard to find a physician who is fully informed on lymphedema, as it's not taught in med school or in residency or continuing medical education.

    And, I have found surgeons to be particularly resistant, as the "blame" seems to fall on them--although we know it's multifactoral--radiation, chemo, genetics, post op care are all part of the issue.

    But to say it's just YOU. Outrageous! And all too common.

    We've had women contact well trained LE therapists who don't know about breast/truncal LE--so it's an area of widespread ignorance.

    There is a new position paper from the NLN on breast cancer related LE and the need for early detection (although they're just talking about arms) and it concludes with the lack of understanding and knowledge of LE.

    Kira

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    I have been validated!  I  had a long and very thorough evaluation from a licensed LE therapist today.  The second i took my shirt off she said I had LE, but of course did an exam.  Gentle palpating in the breast and underarm, and a ton of measurements.  She said it is definitely Truncal LE.  I feel SO much better!  Going to have to have a chat with my RO...and be done with him.  He flat out told me I did not need LE therapy.  I feel SO relieved, oddly.  I knew it!

    So I start therpay next week, twice a week for three weeks to start and then we will see how I am doing with the self massage she will teach me.  Also compression bras.  I am so looking forward to the treatments and relief from all this pain!

  • carol57
    carol57 Member Posts: 3,567
    edited February 2012

    I can feel the 'ahhhhh' from here!  Nice work, Janis, for staying with it despite the RO denials.

  • BeckySharp
    BeckySharp Member Posts: 935
    edited February 2012

    Janis,  So  happy you  have found a source to confirm your susupicions.  Onward and upward.  It is great when you get relief from the truncal LE.  Becky

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Carol and Becky, thank you so much!  Cheerleading is the best part about this forum.  I have been heavily blessed along this journey to come to know some really amazing women.  The information I gather is so helpful, but the friendship and passion you glas have mean the world to me.  Big thanks to all.  Binney.....you provide everyone so much help here.  You are a blessing to so many. 

    Love and hugs my friends!

  • sisterinspirit
    sisterinspirit Member Posts: 204
    edited February 2012

    Oh, Janis,

    I am so glad that you found a well trained LE therapist that listened to your concerns and came to the right conclusion.  I think half the battle is getting properly diagnosed.  With treatment and education, I am very hopeful that you can develop the tools to keep your LE under control.  Knowledge is power and you will feel much more in control.  Perhaps the therapist can send a copy of her notes to your RO for educational purposes?  BTW, did you go to Meridian? 

    Cheers!

    Deb

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Who would ever think it would be a relief to be diagnosed with LE? Geeeze . . .Glad you finally got a therapist to validate what you are experiencing. The decongestive therapy really helps reduce the truncal pain and swelling. I hope you are feeling better soon. Also, learning how to provide care for yourself will definitely help you feel a greater sense of control.



    Had my own experience with denial of LE by BS and PS even when I reminded them I had already been diagnosed with LE by the PT I had seen. Since she hadn't done MLD but had me exercising in a manner that eventually caused a huge flare, I determined I needed a more qualified therapist to help. Same thing - shirt off for two seconds, and she said absolutely truncal LE. I felt so relieved. It's the lack of validation of what you are observing and experiencing with your body that makes you feel crazy! For a long time after I received proper treatment, I wished my docs would eventually have a similar experience as a patient and feel helpless and disempowered. They have no idea what that is like, or they would never communicate/treat their patients that way. BC is supposed to be the difficult part, but I think the after effects are much worse.

  • Binney4
    Binney4 Member Posts: 8,609
    edited February 2012

    Oh, Janis, bless your new therapist! Bet she doesn't have a clue how many of us were out here waiting for her news!Laughing Looking forward with you to quick progress on pain reduction. Keep us posted!

    Happy hugsSmile,
    Binney

  • brazos58
    brazos58 Member Posts: 261
    edited February 2012

    Janis, great news for YOU. Oh to be validated, heard, and assessed and treated properly!!!!  You will feel much better when this quiets down. I am still working on getting hit with Truncal LE/ adapting / accepting it... another grieving .... and dust my sorry self off and get on with things.

    Kudos to every one here.

    Thank you all.

    xo

    Brazos

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    ((((Brazos)))) So sorry you are joining this "swell" group. Definitely a period of adjustment and grieving. The first year is usually the hardest. Hang in there.

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Sister (Deb) Yes, I did go to Meridian.  The Elks Wound Center next to St. Lukes.  I was so impressed with how professional they were.  The therapist is terrific and I feel better knowing help is one the way.

    She and I talked a lot about uninformed doctors.  She indicated that there are a lot of women diagnosed with BC, but few referrals for LE evaluation.  What a shame.  The medical community really needs to get on boards with this.  Tina....you went through the same thing and sadly it is very common.  Treatment should not be delayed as long as some of us have experienced.  Plus, we should not be made to feel as though we don't know what is happening with our very own bodies.  Clearly you knew, as did I.  I am finding out how difficult it can be to advocate for better care.

    Brazos.....this is getting to be a bigger club.  I hope you are getting relief from treatment.  I know how difficult it can be to continue to have aftershocks from BC.  This is no easy journey for sure.  HUGS.

    Binney....wearing my compression bra  today that my friend sent me.  I don't know if I mentioned it here, but a friend I "met" on my rads group sent me two of her bras she no longer used.  On a hunch I took one in yesterday and showed it to Danielle, the therapist.  She gave it a good looking over and said it passed every test and I could use them.  What a relief!  That is what I mean about the great ladies here....not just advice, but sharing and caring.   Laughing

  • morgaine109
    morgaine109 Member Posts: 161
    edited February 2012

    Hi. I had mastectomy and reconstruction to right breast 6 weeks ago. The swelling in breast wouldn't go down. Yesterday, BS told me i had breast edema (it is swollen under the breast). My arm is fine. I have started to play tennis again and run. No one mentioned therapy. Should I be doing this? Can I exercise?

    What to do?

    Morgaine 

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Morgaine....did your doctor mention geting an evaluation for LE?  Do you wear any type of surgical or compression bra?  I think you need to get together with your doctor and asked about vigorous exercise this soon out.  I am no pro here, you sound amazing though!  If you do have LE, therapy is definitely indicated.  I think you are so recently out of surgery, the edema at this point may be normal and not LE at all.  You need to find out the difference.  I would call the surgeon and verify.  Much luck to you!

  • morgaine109
    morgaine109 Member Posts: 161
    edited February 2012

    So edema doesn't necessarily mean lymphedema? My BS, who I love, says I can exercise and do what I want. She just said to massage the area when I lie (lye?) down. She said it would eventually go away but it would take time.

    My PS has also cleared me to exercise.

    Much thanks for answering so quickly.

    Morgaine 

  • morgaine109
    morgaine109 Member Posts: 161
    edited February 2012

    Justmejanis, my BS did not mention getting an evaluation for LE. I was told I didn't need to wear a s sports bra anymore but after reading these boards I put it back on. 

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    Morgaine...no, edema and lymphedema are not the same.  Edema is swelling, which is normal after surgery.  Lymphedema is swelling caused my the lymph nodes not functioning properly.  LE is very common after surgery and/or rads, removal of nodes, chemo.  So you may just have some normal edema after surgery which may take some time to go away.  It sounds like you have a great rapport with your BS.  You might just want to clarify.

    I wore a sports bra for some time, just for the comfort factor.

  • morgaine109
    morgaine109 Member Posts: 161
    edited February 2012

    The BS did say the edema was because the lymph nodes needed more time after surgery and weren't working too well now. I had three taken out. Is this LE?

  • justmejanis
    justmejanis Member Posts: 1,847
    edited February 2012

    I can't say for sure Morgaine.  I do know if it is LE it is not going to improve over time.  If it persists I would definitely ask about an LE consult.  Also wearing the sports bra helps some, but if it LE then a compression bra will likely be prescribed.  Ask your BS how much more time he feels it needs.  I have learned from this board not be be shy about advocating for what is best for you.  I hope you can get some answers just for peace of mind!

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Saw LT today and wants me to wear the breast binder again as well as sleeve and glove.  LE is mild in arm and moderate at breast.  BS didn't seem overly concerned but said to go with what LT said for this, said was from node surgery. 

  • justmejanis
    justmejanis Member Posts: 1,847
    edited March 2012

    I have Truncal LE and lots of swelling in the breast.  The therapy and exercises are helping.  She also thinks I have it in my arm so may have to wear a sleeve as well.  It just gets more fun every day!

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Sure beats the alternative though doesn't it.  You sound about like I felt earlier today janis...my thought was "and the hits just keep coming".  That pity is over though.  Ordered a sleeve/gauntlet set from Lympehdivas.  Can't STAND the granny type they gave me. 

  • justmejanis
    justmejanis Member Posts: 1,847
    edited March 2012

    GalSal.....Oh I will take the side effects, I just wish this LE was so slow to treat.  My LE therapist does think there is something else going on with my breast.  She told me yesterday that she can feel the heat radiate off it before she even touches it.  My oncs have told me that too which is why I am on the Trental.  It sure doesn't appear to be getting better any quicker.  My RO told me the Trental takes 3-4 months sometimes to work, so just be patient.  I have been on it just over a month now.  I love my LE therapist and have learned so much avbout LE.  Still, she is perplexed about the constant heat and the redness.  I would like to know for sure what is causing that.  I go see my MO on the 15th.

    LOL on the Granny sleeve.  I am sure that is what I will get!

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Glad they're taking such good care of you Janis.  I don't like this glove.  Sleeve and arm feel fine but the fingertips have felt chilly at times.  I really must HOPE this gal knows her stuff since she's the ONLY one at the VA occupational or physical therapy that is LE certified.  She measured and fitted for these Juzo garments.

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Sally, gloves are hard to get right. If your fingertips are cold -- or blue, or white, or even red or purpleTongue out -- take them back and have them get it right for you. It's not uncommon for us to have two, three, or four tries before we get a fit that works for us.Undecided A good fit is really important, but sometimes we need to insist on getting it right.

    Go for it!Smile
    Binney

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