Garbage in/Garbage out: flying and compression
I spoke to a person at LBBC yesterday as their LE brochure says to contact a provider if your post op or post radiation swelling lasts 3-6 months, and they say they'll change the brochure.
In the course of our conversation, she told me about a recent conference, where women, most of whom had worn compression to fly to the conference, were told it's not necessary. She said the women in the room were really upset. Makes sense to me.
One of the big problems with "evidence based medicine" is that if there are no or few studies, there's no evidence to draw a conclusion: hence"garbage in/garbage out"--lousy studies make for lousy evidence. That's when clinical experience has to kick in.
So, I went and reviewed the literature--and am hoping to get this on SUSO soon:
A pubmed search of "lymphedema and flying" results in three articles:
http://www.ncbi.nlm.nih.gov/pubmed/19927904
From Lymphology, 2009, a woman with lymphedema measured her arm with bioimpedance before and after 20 flights, and her measurements worsened with flight.
An article in Breast 2002 that reported that compression garments are potentially harmful is profoundly flawed:
http://www.ncbi.nlm.nih.gov/pubmed/14965648
The author surveyed his own patients about flying and only 24% of his patients used garments with air travel, he followed his patients, most of whom had ALND, for 4-11 months and determined that based on self-reported survey, which he determined was equivalent to 2 arm measurements, and accurate for diagnosing lymphedema-which is not proven nor sensitive, that compression increased the rate of lymphedema. These women were very high risk: most with ALND, many positive nodes and radiation and the causality of developing lymphedema after air flight with compression, was not conclusively proven in this study.
The study most often cited to disprove need for compression with air flight, is the dragon boat study from 2010 and it is flawed as well:
http://www.ncbi.nlm.nih.gov/pubmed/20180016
These women were assessed by single-frequency bioimpedance, 2 weeks before travel, on arrival and 6 weeks after travel. Biomimpedance is "not intended to diagnose or predict lymphedema" and is most useful in demonstrating excess intracellular fluid in latent stage lymphedema, and per researchers and the manufacturer, the device is of limited clinical utility when visible swelling or fibrosis are present. In this study, 5% of women who traveled the longer distance developed elevated readings. This study, using a measurement device that should only be used in conjunction with physical exam, symptoms and ideally arm volume measurements, was insufficient to conclude that compression is not helpful in preventing lymphedema, and per the criteria of this study at least 5% of the women, who were athletic and fit, did develop lymphedema with long-distance flights.
A closer reading of the article showed that 20% of the women on the long haul flights developed clinically significant swelling.
So, the one study that purported to prove that compression harmed women at risk for lymphedema is ten years old, and based on self-reported swelling or insufficient measurement and of the author's 293 patients, only 50% had flown, and of these women, only 24% had used compression. The author failed to prove compression was harmful to his 34 high risk patients. And, he concluded that longer flights might pose more risk to his patients.
And the dragon boat study used a measurement device that, used without other clinical data, can not diagnose lymphedema, and even these athletic women developed lymphedema after long air flights--at a rate of around 20%.
So, why are women being told to avoid compression when they fly? We don't have evidence to support this advice and we have a lot of clinical experience to support the use of compression.
Yes, poorly fitting compression can be harmful, so if women chose to wear compression they should make sure it fits well and doesn't trap fluid.
But why is this risk reduction behavior being de-bunked as myth? The literature doesn't support the myth status, nor the concern that compression could cause harm.
The NLN says to assess your risk--if you don't have LE and decide individually whether to wear to compression.
Andrea Cheville, in her LBBC podcast discussed the risk with air flight:
http://www.lbbc.org/Event-Archive/2009-02-20-Lymphedema
"An issue that I just realized I passed is airplane travel. Why all the concern about airplane travel? That has to do with increasing the lymphatic load. When we're in a airplane, even though the cabins are pressured, they're still at lower we experience at sea level.
Historically, the belief has been that in an airplane cabin at [an] altitude [of] 36,000 feet, the ambient pressure, the pressure that surrounds the arm, is reduced, and therefore there's less resistance, less impedance, for fluid to leak across the walls of the small blood vessels, and so more fluid accumulates in the arm. Witness the swelling that most of us get in our feet. If we take a transatlantic or transpacific flight, we believe it's because, with the reduced pressure in the cabin, there's less of a barrier for that fluid to leak across your blood vessels and into your tissue.
There are other things that happen during air travel that are also provocative that can place a women at risk for lymphedema. These include being sedentary, sitting without moving for a long time. As I mentioned before, the muscles are very, very important, the contraction andrelaxation of the muscles for normal lymphatic flow. When we don't move for a long period of time, our lymph flow becomes sluggish.
Certainly, if you're thinking about using a sleeve for a precaution during air travel, you absolutely want to move that arm. Squeeze and release your fist, your hand a few times. Get that elbow moving, so we make sure the muscles are moving.
The other thing that happens in air travel, or used to happen when we were actually given foodduring airplane flights, is you're fed very salty food. That will cause the body to retain water and produce more lymph.
Also, many times women are carrying luggage,carrying heavy bags, so they're using their arm in a vigorous and noncustomary way, which is potentially going to increase lymph load. They may be carrying luggage with heavy shoulder straps that cut off that collateral circulation. There are a number of things that all relate to the conditions that place a women at risk for lymphedema."
So, the evidence isn't really there to either prove that compression prevents LE during air travel, but it sure isn't there to prove that air travel presents no risk for developing LE.
It's a risk, and how women without LE chose to handle that risk is individual, but science hasn't debunked the risk.
Comments
-
thanks for pulling all this info together
-
Thanks Cookie, when I heard about the women at the LBBC conference being told they had no need for compression, and that it could be harmful, I just wanted to figure out what evidence there was to support that stance.
And I've heard it from a LE researcher: and it's based on her belief that compression makes the lymphatics "lazy"--but she has no evidence to support that opinion either.
I've got to fly to a LE meeting this week, and I can pick some smart brains there. After I unwrap...
Kira
-
Yes, thank you Kira! The links are very helpful as well.
-
So, this would be the perfect opportunity for a study. The researchers have a pool of potential subjects here - they would just have to figure out a way to standardize the measurements.
I'm in. I am willing to be a study participant. Anyone else?
-
I'll be on six flights this week. Wish I could put them to good use in an LE study!
-
I'm trying to find data to support adverse effects of compression: and this is all I've found so far
http://www.ncbi.nlm.nih.gov/pubmed/19695803J Mal Vasc. 2009 Nov;34(5):338-45. Epub 2009 Aug 19.
[Adverse effects of compression in treatment of limb lymphedema].
[Article in French]
Vignes S, Arrault M.
SourceUnité de lymphologie, centre national de référence des maladies vasculaires rares, hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. stephane.vignes@hopital-cognacq-jay.fr
Abstract
INTRODUCTION:Limb lymphedema, whether primary or secondary, is a chronic disease. Compression is the cornerstone of therapy and includes multilayer low-stretch bandages and elastic garments. Compression is usually well-tolerated. The aim of our study was to identify all the different types of adverse effects of compression.
MATERIALS AND METHODS:Since January 2005, we have recorded all adverse events occurring in outpatients and inpatients consulting in a single lymphology department, spontaneously reported by patient during consultations or physical examinations, and noted the type of compression material used.
RESULTS:Adverse effects were secondary to poor choice of therapeutic material, excessive pressure or contact dermatitis. For the arms, an elastic garment stopping at the wrist can be responsible for lymphedema of the hand and fingers. Rubbing of sleeve seams may cause pain and even ulcers between the thumb and forefinger. Open-toed elastic stockings may exacerbate digital lymphedema, leading to the formation of oozing lymph vesicles. Hyperpressure may cause severe pain localized to the first and fifth toes, overlapping toes, interdigital corns and/or ingrown toenails. Silicone-banded soft-fit elastic garments may cause painful phlyctena, urticaria or eczematiform lesions. Elastic bandages may induce pain or purpuric lesions.
CONCLUSION:Compression can be responsible for adverse effects, sometimes severe, requiring treatment change or withdrawal. Further studies are needed to precisely determine their frequency to improve prescriptions and currently available products.
Still not showing that compression causes "lazy lymphatics"--if many of the NBA players wear arm compression during games and work outs, are they at risk??
Kira
-
This is helpful kira. It is my understanding there are many factors that promote LE.
- being in good physical condition helps.
- the number of nodes removes can play a factor, the more nodes the higher the probability.
- if you've had radiation the chances are higher of developing LE.
Some women will get LE regardless of what precautions they take and it is possible for a lifetime. The flow of the lymph fluid is important as my PT said. I feared this condition so much, I almost cancelled my MX and had a heated conversation with my surgeon about it. Oddly enough, there are stewardesses who fly for a living after a MX and lymph node removal. There are women who travel for a living after MX, not all develop LE. Yes, some do. I've had massive posion ivy on the arm of surgery, have had paper cuts, lifted heavy items (furniture, groceries, changed king size bedding alone) and finally flew without compression sleeve. This is my experience. I cannot speak for anyone else. I read the studies and make my own conclusion.
-
Rianne, genetics are also important--there's a thread about how a study from Pittsburgh identified a gene present in primary lymphedema that is also present in women who develop secondary lymphedema. (there's a thread on it)
There is a new supplement from the NLN on early detection of LE: and they state that genetics and biomarkers are in their infancy to be able to test for which women are pre-disposed to LE.
Some women have different anatomy with additional lymphatic collectors. They have the "four lane highway of lymphatic systems", while others of us have the one lane dirt road.
Very interesting information on that Andrea Cheville LBBC transcript about the inflammatory process, the prolonged insult of radiation and the delay in the onset of LE.
We all have to just be aware of risks, and make our own decisions, and there is no way, at this time, to predict who will develop LE, so each woman has to decide what they feel comfortable doing.
Kira
-
Thanks for pulling this together Kira!! We need a large, well designed study!
-
...genetics and biomarkers are in their infancy to be able to test for which women are pre-disposed to LE."
Grow up, you genetics and biomarkers!
Kira, thanks for all that, especially the research about compression side-effects. When I was diagnosed with LE I searched in vain for information about long-term side-effects of compression garments. It's such an unnatural thing to do to your skin and arms and hands I figured it must have some effect. But, still no information. "Lazy lymphatics" is an interesting construct, but I'd want to see evidence of that. If they weren't lazy to start with I wouldn't be having this problem.
My own observations, for what they're worth:
Over time I seem to have lost the ability to regulate the temperature of my arms and hands. Getting into cool water is now excruciating, and an extreme of temperature sets me up to shiver or sweat immediately. Then again, maybe that's just age.
Being bilateral, I've had issues with sensory deprivation and now know I need to spend a couple of hours a day out of the compression on my arms/hands and actively seeking out textures and other skin stimulation.
My feet have become more sensitive to textures and other sensory information.
Now you will all think I'm a complete nut (if you didn't already), but there you have it. Side-effects of eight years of arm/hand/chest compression.
Binney -
Binney, the first shower I took after they cut off my cast was excruciating.
There's something called hyperesthesia--increased sensitivity to touch.
http://en.wikipedia.org/wiki/Hyperesthesia
Also, I think it sounds like dysautonomia--disregulation of the autonomic nervous system that controls the temperature of your extremities--cold with sympathetic, warm with parasympathetic.
When my younger daughter had significant migraine issues, she attempted biofeedback that focused on raising the temperature of her icy fingers--to trigger a relaxation response. Unfortunately, she hated the psychology fellow that worked with her, so it wasn't very successful as an intervention.
I think our hands are so important, tactile and sensory, that covering them deprives us tremendously.
http://en.wikipedia.org/wiki/Sensory_deprivation
Just watched a Celtics game, and admired the compression sleeves they wear, with the pads over their elbows. Ah, if only our compression was associated with being world class athletes....
-
Kira! You mean we're not world-class athletes?
Who runs faster to get to a bathroom than someone on some chemo drugs?
At the other end, who wins the Turtle Competition trying to move normally with AI stiffness?
Who can perform fancier contortions than a person getting into rads position?
Who controls pec muscles more than a woman who can move her, um, breasts following implant recon?
Go for the gold!
Leah
-
" mce_src="" alt="" border="" hspace="" vspace="" width="" height="" align="" /><img src="/forum/64/topic/data:image/jpeg;base64,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 -
Geez--who would wear a compression garment if they did not have to? I hope they bop themselves in the face from time to time like we do!
-
Kira, Binney and everyone else, have you seen this document?
http://www.lymphormation.org/downloads/position-documents/Compression-Hosiery-Upper-Body.pdf
It's from the Journal of LE, explains in amazing detail the nature of compression fabric and the anatomical impact of using it for LE. I'm running this morning to catch a plane (speaking of compression wear) and have not had time to read it again before posting this link, but I believe there are some references in here about studies of compression and pros and cons.
Carol
-
Carol, thank you for posting this, as I seem to have a million questions lately!
-
In light of this thread, today both BS and LT told me to not fly in the very near future until this new mild to moderate LE is under control and if I do later on to wear the compression garments. Also was told that I'll need to be careful overall about LE for at least 20 yrs. Btw, SNB only which took two nodes. Thankfully, one side only of the bmx.
Sally
-
I had 10 nodes removed from my SMX in Nov. 2010 and have been doing various exercises to prevent LE. I will be on a 16 hour flight next week. I have both the sleeve and glove but have never worn. When I told my PT about my concern of the discomfort of wearing the garment for 16 hrs, she said I can keep and eye on any changes on my arm and hand before putting them on.
Does any one have any other opinion on this? Thanks.
-
Terry, that's one LONG flight--the usual arguement is to put on the garments before you take off and leave them on for an hour after you land.
You should try them on for an hour or so to see what effect they have on your arm/hand.
I'll ask Binney to comment.
I work in rad onc, and saw a woman today who has very significant LE--today, mild before, only 2 nodes out, that developed during chemo, and she was reluctant to do anything about it when getting radiation--saw a LE PT once--but last weekend she painted, and now the arm is huge. We talked about how much it stinks to be on the wrong side of the risk statistics. What brought her back in to see us was her desire to be able to travel.
Kira
-
Terry, if you're planning to wear them at all, by all means try your garments out for an hour today. If everything looks fine, try it for two or three hours tomorrow. Still good? Then the next day go for several more hours. Try to work up to at least 12 or 14 before you fly. You can put them on before you leave home and keep them on until you're settled in your hotel at your destination. UNLESS new swelling on the plane should become excessive or painful.
If you want to go the other route -- putting them on only if you start to have trouble -- you'll need to pay close attention to any tingling, aching, heaviness, or just "feeling funny," and act quickly. That is not ideal, by any stretch, as those symptoms would indicate that there's already excess fluid in the tissues, and compression garments are not designed to move fluid out, only to keep it from accumulating.
Wearing compression garments doesn't eliminate the need to stay REALLY well hydrated, exercise your hands and arms at least hourly (legs too), and take several deep abdominal breaths at intervals. Be aware also of the effects of lugging suitcases around (even while packing) as that is a strain on the arm as well.
Hoping you have a smooth and unruffled flight! Please let us know how it goes. Bon voyage!
Binney -
Sally, hopefully you're being taught how to wrap your arm yourself, yes? Once we have LE we need to consider wrapping when we fly, rather than just wearing garments. The wrapping is more effective than garments and assures that you won't arrive in "swell" shape!
If your surgery was bilateral, then both sides are at risk. Talk to your therapist about garments to wear prophylactically on your non-node side, for travel and exercise.
What's with the 20 years?! It'd be great if they have a cure for LE by then (YES!
), but short of that, we need to be careful always. <sigh!>Be well,
Binney -
Not yet Binney on the wrapping. LT didn't say anything about that but will ask. Yes, bmx with nodes only done on left. I understand what you're saying though. Going to avoid flying for the next year or so if I can help it.
Reminded me to not be around cats, especially more than dogs. Oh good grief, I'm not going to hide in a bubble for goodness sake! Sis may have to put their house on the market if her spouse takes the transfer from Tampa to Jacksonville. If so, then her cat comes to me during the time it's on the market and I'll stay there with her dogs on the weekends she's in Jax, etc. Life goes on despite LE.
I've vented that one now.
-
Goodness, Sally, I'm with you on not hiding in a bubble!
There are LOTS of simple lifestyle adjustments that can help you stay well and avoid infection or flares, but checking into a padded cell is not one of them!Onward!
BinneyP.S.-insist on learning both self-wrapping and self-MLD -- having those tools in our "toolbox" gives us freedom to live our lives without keeping a therapist in our pockets
-
I have learned the hard way not to 'pile on' risky activities on the day of flight. So, instead of doing a treadmill or elliptical or any other workout the involves arm pumping, before leaving or after arrival, I just take a speedy walk and keep my LE arm supported in a pocket. I too have LE on the side of my breast, under the arm, and I find that wearing a short-sleeve UA shirt (men's has best sleeve length for me) with the sleeve/gauntlet, helps to control that pesky side area while flying. And as Binney says, I'm being uber careful on luggage lifts. That's actually the hardest to take control of, I find. I fly quite often for work, usually two flights of 1-5 hours duration each flying day. I am no longer at all self conscious about putting my arm up and pumping the fist (flight attendant once suggested I use the call button instead of raising my hand!) and I sure do a lot of belly breathing.
Now, what I really need is a very tactile shirt--like the UA but not at all slippery--because it would be great to be able to actually do some MLD inflight. In which case I would have to think about what could actually be done with hands under a very large sweatshirt or similar. Does anyone attempt MLD while flying? I could clear neck nodes, and access trunk (more or less) under a big loose shirt. Not sure what that would look like to fellow travelers.
Tina, your new avatar is spectacular!
Carol
-
Thanks so much Kira and Binney for your response and advice. I am leading towards wearing the sleeve but thinking of buying a gauntlet instead of wearing the glove. I find the sleeve is tolerable but not the glove (tipless).
Will I be able to do the arm exercises even with the compression garments on?
-
Just ordered a sleeve/gauntlet set from Lymphedivas. Can NOT stand the glove with the tipless fingers. Hand or fingers felt numb after wearing it a few hours and that was with zero activity - fell asleep watching tv and napped a while. Can't even begin to imagine how slow the gloves would make me with typing which is my job since I run a helpdesk. Sigh. LE gave me the granny type sleeve and glove too - soooo yuck.
-
Terry, Andrea Cheville wrote, and I quoted it way back at the start of the forum:
Certainly, if you're thinking about using a sleeve for a precaution during air travel, you absolutely want to move that arm. Squeeze and release your fist, your hand a few times. Get that elbow moving, so we make sure the muscles are moving.
The sleeve and gauntlet make sense, and pack the glove in case your fingers swell.
So, you Absolutely want to move the arm.
Carol, I'm flying on Friday, and have these visions of trying MLD under a huge sweatshirt, and somehow drawing the attention of the air marshall.... Seriously, great advice about being attentive to not stacking the risk factors. The last time I flew, I hefted the carry-on over head and it was hard! I'm clearly not doing the exercise you are, but lifting a heavy bag overhead isn't easy!
And, since I fly with the Solaris or wrapped, I tend to hide my hand/arm next to the window and have to remember to move and not be so embarrassed....The heft of the Solaris makes flying interesting, as only certain clothes will stretch to cover it.
Kira
-
Kira, It really is such a treat to fly. I've given up asking for any help. I had to ask in the months just after my bmx/diep, because the weight restrictions didn't leave me much choice. Once when I asked the only person nearby --the guy looked at me, then grabbed a sandwich from his bag and said 'I'm eating my lunch' and looked away. It's good that I'm weight lifting, but following PAL means it takes forever to get to the weight of even a modest bag going into an overhead bin. I don't have any difficulty getting a pretty heavy bag into the bin now, but well...I flew twice today, and perchance the overhead-bin bag lift explains why my arm aches this evening. I think the technical term around here is grrrrr. Imagine if I were not taking all the other precautions!
Carol
-
Carol, goodness, I just made it through that document you posted -- wow! Thanks for that. Quite a lot of interesting information there (and not a word about lazy lymphatics either
). With all the ins and outs of compression dynamics, you kind of get the impression it's close to a miracle that any of us manage to get a garment that fits!
Sally, sleeping in daytime compression garments is not recommended for a number of reasons, one of which is that they work by increasing lymph pumping action in opposition to muscle movement. If you're not moving you kinda defeat the purpose.
Man, this is all so complicated!
Interesting though, yeah?
Bonnie -
Kira, Also I'm saddened that you feel in any way embarrassed to be wrapped while flying; is that what you meant? I see people sporting all kinds of medical-looking devices and paraphenalia while flying. Sleeves I see somewhat often, perhaps noticing because they're on my radar screen now. Wrapping, I think I've seen just once or twice. But never mind-I really do think that people see, take note, process for about two seconds, and then return to the usual worry of whether they can get away with continuing to use their electronic device after the flight attendant closes the aircraft door. We feel conspicuous, but others really don't much notice or care.
Now, MLD under a baggy sweatshirt attracting the unwanted attention of an air marshall--that's a very good point so we'll park that idea for good!
By the way, your Celtics guy in the photo needs to stop by the SUSO website, to find out how to wear his sleeve so it doesn't wrinkle over itself!
Good luck on that next flight.
Carol
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team