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comingtoterms
comingtoterms Member Posts: 421
edited June 2014 in Lymphedema

OK, so I've been at this for only a month and am so grateful for the 4 years I had before my LE diagnosis. (Especially with 27 nodes removed!) I have a question: my lymphedema is predominantly in my hand and forearm. It is in my dominant hand. I wear a sleeve and glove every day. Should I accept that I will be in pain at the end of every day, and if so, does that mean I should avoid exercise like yoga, (which I love)..... Thank you!  Tammy 

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  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    comingtoterms

    The hand is very tricky (  I know )


    When it comes to LE, you should not blindly accept anything- except for the fact it IS real, and unfortunately , that you do have it.

    Make sure you have  a good LEist, great care, daily MLD,  and that you are properly exerising. 

    Some yoga poses ( ESP. any pose where you  "carry " your body weight) are not " lymphedema friendly".  Personally, I could not do dopwnward dog now, but could prior to LE. Other poses whould be fine.


    Just recently our own Carol57 collaborated with a few others and put together a fantastic and comprehensive document on the SUSO website ( site created by  LE pt. advocates right here on the LE forum!) http://www.stepup-speakout.org/Handout%20doc%20for%20SUSO-040113.pdf

    Please check out the EX DOC at the above link, as well as the SUSO site, in general http://www.stepup-speakout.org/and most of all- pop in on our LE Exercise thread.  There are ladies there who practice yoga who will probably be able to guide you and support you.  From there , it's trial and error as our issues are highly individualized.

    Good Luck!

  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2013

    Tammy, I would not accept pain at the end of the day as your new normal.

    My LE is predominantly in my hand and forearm of my dominant hand as well, and hands are tough--there is a great article on the lymphadivas site, written by Andrea Cheville, about why you need to protect the hand as it hard for the body to drain, and gloves are an art form. I wear custom Juzo gloves with an extended wrist--and I'm currently waiting for the second attempt on the most recent one. I don't wear a sleeve usually.

    Here's the link to the Andrea Cheville article: http://www.lymphedivas.com/comprehensivecompression.asp

    For me, I find that wrapping my arm at night allows me to wake up with a hand that is in great shape, and keep my arm measurements stable, and that allows me to avoid much compression during the day--as I wash my hands at work all the time.

    The tools for self management are: self MLD,well fitting day time compression--used as it is needed, night time compression if needed--and it sounds like if fluid is building up during the day, you could very well benefit. Night time compression is either night garments, or wrapping. Therapeutic exercise--exercises like Lebed that help lymph drainage, and general exercise is good for you. There are more tools, but this is the basic tool box for self management. And, the management is 99% done by us.

    Here's a link to therapy and garments on stepupspeak out:

    http://www.stepup-speakout.org/treatments_for_lymphedema.htm

    http://www.stepup-speakout.org/Lymphedema_garments.htm

    So, in summary, I would re-evaluate how you treat your LE--do you need night time compression? Is your sleeve pushing fluid into your hand? How well does your glove fit? What other tools do you need for optimal self management?

    And as far as yoga goes, the documents created by Carol are amazing, and the general rule of thumb is to avoid overloading the arms, with downward dog, plank and other movements--a good yoga teacher will help you modify them. And so many of the women here do yoga.

    The goal is not to give up what you love, but to modify it so it continues to nourish your life, without causing pain or a flare.

    Steep learning cure on LE, and grief as well.

    Keep asking questions

    Kira

  • kimber_1616
    kimber_1616 Member Posts: 99
    edited April 2013

    Welcome Tammy! I am new to this wonderful club as well. (said as sarcastic as possible) I think you and I have come to the right place, the ladies here are so knowledgeable and helpful! I am sorry that you are having to go through this, and I hope that you will get great information here.

  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2013

    Kimber, completely understand--it's the club none of us want to join--a few of us from this forum created a website to bring together the wisdom that is shared here:

    http://www.stepup-speakout.org/

    We're always working on it, but it's a good reference and we have links to other references as well.

    Short rant about LE and hospitals:

    I had a D&C yesterday (my 3rd in 5 years on tamoxifen....) and when the first nurse told me that I couldn't wrap my hand in gauze and wear my pink g-sleeve that says "No IV/no blood pressure" because the operating room is sterile, I just put it on. She said--but we have a pink bracelet on you. Yeah, that no one looks at.

    And, when I got home, there were bruises on my good arm from the blood pressure cuff.

    And when the anesthesia nurse tried to bully me, I just held my ground--actually they all said the anesthesiologist would not let me wear the sleeve/wrap or just have IV sedation, and she came in, looked at my arm and said "You've sure had a hard time, haven't you?" And upheld my anesthesia preferences.

    I always like to do battle when half naked, starved and dehydrated, and thoroughly pissed off at doing this yet again.

    But, Binney sent me the g-sleeve (sounds risque, but sure isn't) and the women here have told their tales of needing to advocate against hospital personnel. The nurse anesthetist who was arguing with me that she reserved the right to give me general against my will also told me that LE was rare now. Like she knew anything. I said, well, when you get it, it's not rare for me, is it?

    And the parting shot: with my adhesive allergy on my wrist band that no one read, was to have my IV taken out, and a band aid put on my hand. I asked my husband to give me paper tape and I removed it.

    LE, the gift that sure keeps giving.

  • Binney4
    Binney4 Member Posts: 8,609
    edited April 2013

    I wonder what would happen if we sent a bill to the doctors/nurses we educate?Money Mouth Every other educational program charges, so why shouldn't we?Cool We need a printable form we could copy off and send (along with print-outs of the "Essential Information for Healthcare Providers" page from StepUp-SpeakOut.org) that reads like a bill for educational services. Betcha that'd get around the hospital fast!Laughing And think how satisfying to get the last word!

    Glad that's behind you, Kira--get better quick!
    Binney

  • kimber_1616
    kimber_1616 Member Posts: 99
    edited April 2013

    Yikes Kira! Way to fight for yourself! I have been over to the step up sight and need to do more reading on it. Especially the Essential info for HC providers. I have surgery on the 22nd. If I had known more I may not be in the situation I am in. My general surgeon who did the original surgery told he only took three nodes, no need to protect the arm....... THANKS BUDDY! WAY too many iv's and pressure later and my body finally decided that LE was it's new defense Frown

  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2013

    Kimber, I only had three nodes also.

    The nasty nurse anesthesist started to give me a lecture on how rare LE is now, and I just tuned her out, as she was getting in my face, literally and insisting that I give approval for general--which I had declined--because "You're tying our hands here. You did come in to get it done, didn't you?" Yes, with careful discussion with my gyn and the anesthesia MD and knowledge of my body and a desire to avoid general anesthesia when it's not needed.

    The g-sleeve: http://www.g-sleeve.com/

  • kimber_1616
    kimber_1616 Member Posts: 99
    edited April 2013

    Sucks to not only have LE but to have to fight with "knowledgable" medical staff!

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Thank you so much for your responses, ladies. I contacted the Lymphedema "Specialist" at our Cancer Institute and was told that "lymphedema shouldn't hurt." Well, mine hurts! She said to experiment with yoga and call her back in a week or so to let her know how I'm doing. I shut down when she told me it shouldn't hurt. Hello! Did you hear me? It does! I am heading to read all of your wonderful links right now!  Another question: What do you think of Acupuncture? Thank you thank you thank you.....Tammy

  • hugz4u
    hugz4u Member Posts: 2,781
    edited April 2013
    BALONEY SANDWICHES IT DOESN'T HURT!Bah phooey on them! Not sure of that specialists qualifications either because you have to be careful with yoga poses. No downward dog or putting weight on arms unless you have been doing it regularly with no problems. You need to go onto stepup-speakout.org to find a qualified therapist and gather more info. Check out acupuncture there too. We have threads here on it too, Type in accupunture in the main listing topics page in the Search area in lymphedema thread.

    I validate you. That lymphedema specialist is nuts! Ok I am going to wrap her in my dirty LE wraps and stick her on top of the Seattle space needle with the rest of the docs and professionals in LE denial! I know you'll want to help me. :P



    I am shaking my head still and also feeling the pinching in my truncal LE behind my armpit!

    YES! I Said PINCHING, that equates pain. Grrrrrrrrr

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    hugz4u! YOU ARE SOOOOOO FUNNY!!! Thank you for validating me......Wink

    I have been practicing yoga for some time. But what you have told me has reassured me that my instincts were correct. If something hurts, you shouldn't keep hurting it!!! Hello!! (And I'm not even a doctor.....) Undecided

    Between the LE "Specialist" and the "fitters" I have encountered elsewhere I have to wonder how people who don't know about breastcancer.org function. Thank you so much!

    Also, thanks for all the informative links. I read them all.  Tammy

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Between the LE "Specialist" and the "fitters" I have encountered elsewhere I have to wonder how people who don't know about breastcancer.org function. Thank you so much!

    You've said a mouthful, Tammy. I wonder the same thing.  As for acupuncture, the jury is still out.  There  have been some claims that it can help.  Having said that, I like to avoid ALL needles when it somes to LE>

    IF I were to forge ahead and have it anyway, I would be darn sure they were clean disposable needles with the areas  cleansed and I (personally) would never have the needles put in the quadrant where I have LE. I would also want an acupuncturist who could convince me, that he/ she knew about LE.  If not, I would walk.

    So, free consult would be my first step.

    I personally love acupuncture- but that was PRE-LE.  Things have changed a lot since then!
    Good Luck to you.

    BINNEY
    I know you have tongue in cheek, but i have quite a hefty copay for my LX, and I am starting to feel like the hospital should absorb it since my LE will cost that much soon.  I was never informed I was at risk of LE with simple LX and SNB.  I honestly feel they should eat that co-ins! Maybe THEN they would hand out a risk pamphlet.  I HAVE my consent form.  It's not mentioned AT ALL.

    Kira

    Thanks for the g sleeve link.  I'm on it.

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Armed (no pun intended!) with your wonderful suggestions, I decided to try a yoga class today. Despite constantly altering all poses that put pressure on my hands by going to my forearms instead, I left with pain and swelling on the top of my hand over my knuckles and into my fingers. I guess I hadn't realized how much we use our hands in yoga. I'm not quite sure if I should continue. Cry I don't want to do further damage.

    What do you think? Yoga has been part of my life for years.....

    Thanks for listening...    Tammy

  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2013

    Tammy, I think you should modify the poses to avoid all pressure on the forearms/arms/hands--and that means no downward dog or plank. Standing poses, sitting poses, twists are all fine, and using props are fine also.

    Did you ever check out the documents on stepupspeakout.org?

    I tryed to copy the page from the trainers' document re: yoga, and it wouldn't format correctly, but it's a pdf and will download for you to read

    http://www.stepup-speakout.org/Trainer%20doc%20for%20SUSO-040113.pdf

    Don't give it up, just modify and adjust. IMO



    .

     

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

     that put pressure on my hands by going to my forearms instead....

    But Tammy , the arms are all a part of this as well. Yell You really dont want weight/ pressure on your arms or hands. It sounds like your hands did not " like " that pressure on your arms  !

    Still, if you have been enjoying this all along, I would NOT give it up.  I would seek ways to modify WITHOUT putting pressure on the arms or hands.  You may need to  eliminate some of the poses you used to love, but surely there will be other poses that you can do.

    Good Luck!
    *EDITED TO ADD:








  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Purple, thank you. I will examine these options. I have never heard of QuiQong, but I am always interested in trying something new - not to mention, we all can benefit from stress relief!

    I have another question. I have noticed over the last few days that I have swollen nodules below the surface of my skin on the top of my hand. They are scattered, but appear to follow the route of my veins. The one that is particularly painful lies on top of my middle knuckle. It is especially swollen. They are right below the surface of my skin! Does anyone know anything about these little beauties?

    Thank you!      Tammy

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Sorry Tammy, I am not sure about those nodules.  Let's wait and see if Binney or one of the others  shows up.

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Ok.... I admit I am worried. They can't be blood clots, could they?

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    comingtoterms

    They could be anything, but I  *PERSONALLY* would not suspect blood clots.  Having said that , do NOT massage anything you even  think might be blood clots.  You never want to dislodged a clot.

    I am just not 100% sure what you mean by nodules.  (Can you post a  pic )

    REGRADLESS, Please call your DR on this - and try  not to worry.  YellIt is most likely not something to worry about, but it is causing you enough concern to call  IMO. We will be thinking of you/ pls let us know!

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Going to try and post a pic.

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    No luck. These are swollen, painful lumps just below the surface of the skin on the top of my hand. One is on my middle finger knuckle, making it huger than it already is. It's especially painful when I have my glove on because of the pressure. Before I left work on Friday, I asked our school nurse if I should be concerned about them being blood clots. She said no, but that I need to have them checked out. I see my primary care tomorrow.

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Good Luck...pls let us know.

    In the future , if you want to post from snapfish.com ( upload your pic to an acct you create there )  you can actually just cut, copy at snapfish and then paste here- I have found that to be the easiest way.

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Well girls, I saw my primary care today and he thinks they are: phleboliths. He wants me to contact my lymphedema consultant and have her look at them. I will call her tomorrow. Has anyone had experience with these little sweeties? Thank you for caring! Tammy

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Has anyone had experience with these little sweeties?


    No!

    But after looking at 5 or 6 sites they all essentially said :

    "A phlebolith is a small local, usually rounded, calcification within a vein. These are very common in the veins of the lower part of the pelvis, and they are generally of no clinical importance. When located in the pelvis they are sometimes difficult to differentiate from ureteral stones in the ureters on X-ray. [1]

    Phleboliths in the pelvic region are present in about 44.2% of people and are more commons in females (50.1%) than males (37.3%). The amount of phleboliths increases with age and they also appear more often on the left than on the right side of the pelvic region.[2] Phleboliths outside the pelvic region appear in about 2% of the population.[3]

    Phleboliths can be diagnostic for hemangiomas on ultrasound."

    --------------------------------------------------------------------

    Sure seems very odd. I hope you can get more answers.  I dont like the thought of your glove causing pressure and pain due to this.  Dr. didnt sound very helpful - I really hope someone here might have some add'l info.

    We do care !

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    When I called the lymphedema lady she was reticent to see me. (Really?). She suggested that I contact the dermatology dept. I did so and was told that it didn't seem like that was the right place for me. They suggested that I call the Breast Clinic! I have an appointment with them on Thursday. The more I research on this the more concerned I get. Calcium buildup is never a good thing. I will keep in touch.  Tammy

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Talk about getting the runaround.  Ouch!

    I'm sure all of this is really adding to your concern. WHY dont me have better medical professionals ?!

    I'm so sorry you have to go through this. Hopefully, you will find out more on Thursday. Please be persistent....and please  let us know.

    Take Care.

  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2013

    I'm on vacation and not checking regularly.

    here's my take on the nodules: when I first wore compression I developed a few little nodules at places where I chafed. they were a few millimeters and went away on their own. took months

    Also, common osteoarthritis will present with " nodes" at the joints, they're called Heberdens or Bouchards nodes and are boney growths due to arthritis.

    Personally, I think they're little cysts due to the trauma of compression.
    Sorry, I'm a bad iPad typer

    Phleboliths are seen on X-ray of the pelvis, not in the hand, IMO

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Aaaah, I knew " someone here' would have more info!
    I am bettng on kira, and would not worry too much .

    The only thing I might add is that I do wonder about the fit/wt. of your glove - is it possible it is too small, too much compression....etc . ? THAT is a question I would thoroughly examine with your LEist.  I refused 2 custom fit gloves that were like vices and never went backl to that fitter again. I might consider looking into a farrow glove which is very lighweight.  (For more info,  see the thread all things gloves and sleeves and search farrow)

    Good Luck to you .

  • comingtoterms
    comingtoterms Member Posts: 421
    edited April 2013

    Thanks, Kira and Purple. I have been at a loss from the beginning about the fit of this glove. It doesn't 'feel' too small, but then again, when you have never worn a compression garment before, how would you know what a proper fit feels like? I think these are calcium deposits, too. Painful calcium deposits. What I want to know is whether these are indicative of an imbalance somewhere else in my body. I have never had anything like this before. I also don't like how I've been bounced around like I have the plague or something!! Once you have been diagnosed with cancer does that mean every other medical doctor assumes every problem you have is related to that? I'll let you know what happens tomorrow!  Thank you again for your support.   Tammy

  • purple32
    purple32 Member Posts: 3,188
    edited April 2013

    Tammy

    I am sure you are not being bounced around due to the cancer-  it's the LE.  Very few people have any understanding of it. Kira is a safe bet!

    As for the glove, with my Farrow, I can open and close the first of the hand with EXACTLY  th same ease that I can of the right hand.  I am not saying that is indicative of proper fit, but for me- I like that feeling.  Also, it  works.  By nightfall my ring fits.  Now if I could do this with such ease, but with no difference/no results, I would be thinking it was too loose.   Ask your LEist and judge by your own comfort as well.

    Do let us know- thank you.

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