Breast swelling after lumpectomy - caused by weight lifting??
I had a lumptectomy in my left breast in Nov 2012 followed by 4 weeks of radiation ending mid Feb. No problems with anything. I just started lifting weights again on a pretty intense schedule and noticed my breast is swelled. I just had my 6 month followup tests and all were fine. My doctor says it is most likely lymphedema from the weight lifting. She thinks my body might adjust has time goes but if it doesn't I will most likely need massage therapy. Just wondering if anyone else has had this happen. Not sure if I should try to get PT now or wait. If I don't, will it get worse or cause other problems? Thanks for any advice.
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Body, unfortunately, yes, we've seen this: what happens is that your body's ability to transport lymph decreases with surgery and then further decreases with radiation--but more slowly after rads, due to radiation changes, and then at some point you reach a tipping point.
Bresast LE is very common, and very under-recognized. When you take the sentinel node, you take the drainage of the breast.
Quite often, it just stays in the breast, but can "migrate" to the trunk and arm.
On the stepupspeakout page, we have handouts on exercise, and I'll put in a link to breast LE, and definitely see a LE therapist sooner than later:
http://www.stepup-speakout.org/breast_chest_trunckal_lymphedema.htm
You don't want it to spread, and if the breast is swollen, then the whole "quadrant" is at risk, and so being pro-active and getting a plan for how to resume your exercise without exacerbating it is important.
So sorry this happened, but wonderful that your doctor validated you and is on top of it, as are you.
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I had a lumpectomy in July with six sentinel nodes removed. I've asked the BS, 2 MOs and 2 ROs about the possibility of lymphedema, but all of them have told me that it isn't very likely and have pretty much dismissed the idea.
I'm now in the middle of radiation. By the 2nd day of radiation, the affected breast was swollen, tender, and pink and it is still that way after two weeks. The RO says that it will probably be that way until several weeks after radiation ends and that it is probably due to the fluid that is filling the cavity left from the lumpectomy. He isn't concerned about it being a problem.
The nutritionist is suggesting that I do some light upper-body strength exercises with 2 or 3 lb weights and the RO says that it is a good idea, but I'm concerned that it may put me at risk for lympedema if it is repetitive motion.
Does anyone have any thoughts on this? I hate feeling as if I'm in limbo!
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bodinatzi,
My weight lifting has triggered mild breast lymphedema. It comes and goes, so I delayed going to an LE specialist. Since it moved into my underarm and upperarm after nipple recontruction, I wish I had gone sooner. I strongly suggest seeing someone now.
At least your dr recognizes the likelihood of breast LE. I was visually asymtematic when I saw my LE specialist and she was hesitant to agree with me even though I was describing a feeling of fullness and heaviness in those areas.
This week I see my PS and will see how she reacts to the LE flare up I'm having wearing nipple guards after reconstruction surgery. Looks like a serious infection or inflamatory breast cancer, but it goes away in a day or two, so I know it is LE.
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Weightlifting can (not necessarily will--we all respond differently) help lower LE risk of the arm, and the logic is that when we lift something heavy, with weight we are not accustomed to lifting, the challenge to the muscles signals stress to the lymphatic system. So, if we build our strength -gradually, slowly, carefully- lifting something heavy will not be 'unaccustomed' and the lymphatic system will not respond to perceived stress with a build up of lymphatic fluid being sent to the rescue. The trick is to not trigger LE while doing the weight lifting! Several studies have confirmed that weight lifting per se does not increase LE risk, but only if you do it following very careful and cautious guidelines for slow, gradual addition of weight. It's not a cure or a treatment for existing LE, although many women find that when they're stronger, they're less likely to have LE flare ups after physical exertion.
One more thought is that muscle movements against the lymphatic vessels moves lymph along in the body, so to the extent you're using muscles, you're enhancing the lymphatic activity.
Here are two documents to look at and to show your doctors, etc. They're similar-one is for personal trainers and exercise instructors, and the other is for women who have or are at risk of LE and want to learn about exercise precautions.
http://stepup-speakout.org/Trainer%20doc%20for%20SUSO-040113.pdf
http://stepup-speakout.org/Handout%20doc%20for%20SUSO-040113.pdf
The landmark PAL Trial (Physical Activity and Lymphedema is what PAL stands for) had women start with one-pound weights, nothing heavier, so I find that a recommendation to start with 2-3 pounds is aggressive. Think too, that when you put a weight in your hand, there's a lot more resistance against your torso if you extend the hand out compared to holding it into your torso, another reason that starting with very small weights is a good approach.
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I didn't want anyone to think the weight lifting should be avoided.
I started very slowly doing free weights and kettle bells. My problem was when I zoned out on the number of reps. I may have done 30 instead of the 10 I was supposed to. I remember to count now. I'm not planning to stop weight lifting. I see it as preventative against osteoporosis, back pain, and worse LE. It also keeps my core strong enough I can manage hauling a kayak by myself.
It's the nipple reconstruction that has really caused the problem for me. Trying to get by until the nipple is healed, but I may buy a compression shirt anyway and cut out a hole for the nipple. Too tender yet for any pressure.
Edited to add: I was giving LE a bad rep. Turned out I had an infection afterall. Thought this all was going along too well for radiated skin.
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Thank you everyone for information. I forgot to back on this site and look! I am still working out (teaching fitness classes) and my breast is still tender. My Dr. and tests show all is well. I am going to followup on seeing someone for the LE. Life got busy and it seems that some days my breast is not as bad. It is still larger though.
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