Still Unsure if its Lymphedema
I have been going for physical therapy since mid January. I go two to three times a week. Cording has still not resolved and what I think is lymphedema in the chest area (I have tissue expander and am almost filled) seems to get harder and swell occasionally, also I have an area around the back by my underarm that seems swollen. They give me exercises, they massage, but doesn't seem to be working. Also gave me instructions to do Manual Lymph Drainage Massage. I find it very difficult to do this as I cannot reach over to the other side to massage the back area... any suggestions or anyone not have cording resolve.??
Comments
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Please get a referral to see a qualified Lympedema physical therapist to determine if you have it.
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ALittleBitBritish..I did see a lymphedema Physician and she wrote me a script for physical therapy for the cording and soft tissue massage. I have been going to physical therapy at the hospital and the PT's that I am seeing are certified for LE. I ask is its lymphedema, and they tell me that they cannot tell me that. I have a followup appt with the Physician on March 19th..so I guess I will see what she says. Was just wondering if anyone had PT and not had the cording resolved? Is it possible that it will never go away, as the swelling in my back area?
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Hi! I just finished my #10 visit to a LANA certified therapist for LE... actually 2 of them. From what I've read and asked them, the diagnosis for LE is if there is measureable swelling. I had to request my dr. to send me to them. After 10 sessions, I have noticed a reduction in swelling in my hand, but not so much in my arm or chest. It kind of goes up and down in my chest, but never goes away.So after asking each therapist specific questions, this is what the conclusion seems to be: there is a chance my LE will never disappear and that the goal of the massages and exercises and sleeve and glove are to keep the LE from worsening. That is the main goal of all that. LE will be there, but it's a matter of control.
One therapist who has been doing this for 16 years told me that while the swelling may reduce, it's rare that it will disappear completely. You will always have LE, but you may have less swelling or less pain (which was a big goal for me as I was in quite a bit of pain), but it is up to you (and me!) to do what we can to manage it and keep it under control.
After my therapy sessions end next week, I was told that if things get bad or out of control, that I should get another prescription and come see them again.
It's a bit depressing, isn't it? Other things health-related can usually be "fixed". But LE is one that can't be fixed.
Hope that helps. There is a lot of info online about lymphedema. I should have known more about it because I waited until 5 years from my mastectomy to even recognize what I had. If I had started earlier after that, I wonder if it would have made a difference.
Hang in there. Feel free to "sound off" with me... maybe we can help each other get through this!
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that is my understanding too. It can be managed, but it is a chronic condition and once you have it,, you will always have it. The goal is to keep it under control!! Boooooooo. -
Thinkingpositive, you might try a paint roller to help reach your back area. Look around for different sizes of the roller part, as there are some small ones for trim work that have long-ish handles. Or, I sometimes use a foam roller, like this: foam roller , placing it against the wall and leaning into it as I move my torso up and down. This one has notches in it, but they're available with a smoother surface, and in various degrees of firmness. If you're not shy, a trip to the sporting goods store would allow you to perhaps try one against a wall there, although I'm not sure if you'll find one that's not stuck in a package you can't open.
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@Vickilynn, I live near Indy most of the time but live every other weekend and sometimes more in Louisville. A friend told me that she read "somewhere" there is an actual LE support group that has meetings in Louisville, So far I haven't found that info but I'm looking. If you have info about this please let me know!
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I agree to see a therapist that specializes in lymphedema to get a qualified opinion. I went to one, did 12 therapy appointments several times when it got bad and my arm really swelled (all surgery involved). If you have it, then it will be a lifetime thing that will have to be managed. I am almost 5 years out, I have cording but I will say it is less. I did what my therapist said and massaged my scar tissue in that area, she suggested for the first 2 years spend 5 mins a day massaging by pushing and pulling the area so it would not form more scar tissue so I am not sure if that is what worked or if time is what helped. I found for me, what helps is a low salt diet and being active. If I don't move that arm around a lot, it will start to fill with lymph and become uncomfortable and swell. The other thing that helps me is a dry brush my body right before I jump in the shower every morning. I do it with the same pattern they showed me how to do a manual lymph drainage massage but all over. Otherwise, I have learned to manage it. I wear my sleve when I get on an airplane since elevation will always get me. Best of luck!
Anna
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Interesting idea Carol57. I am going to go ahead and have them measure me for a sleeve even though I am not diagnosed and have no swelling in the arm...just for maybe flying..or if ever...... The area I am more concerned with is my mastectomy side...I have tissue expander and almost 100 % filled, but it seems at times to feel more swollen than other times.. and its hard so there is no massaging it. Wondering if it is chest lymphedema. Can't find anyone else who has experienced this. PS is not sure, and says its good I am going for PT. Guess we will find out when I have my exchange.. shouldn't feel the way it does now.
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Thinkingpositive, I got cording too, went through 6 months of PT and no, it didn't resolve. It helped me with range of motion, that's better but not 100% (good enough, though) but the cording remains. They just shrug and say oh well, nothing more we can do. Keep stretching every day and it may go awayeventually. I will say it's not as bad as it was, but if it keeps going at that rate, it will be 20 years before it's gone.
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Oh and also, my truncal LE started the day after I stupidly let a PT lady massage those cords way too hard.
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The swelling that I have in my back area was there before I went to PT... never knew I had cording until I went to the LE Specialist... then it seemed to get worse once I started having PT. Also it seems to go along with the fills... got a little worse after each fill...same with the swelling that I think I feel in my breast...worse after each fill. Maybe once I have exchange, I will be able to know whether its LE or just due to the TE's. Would be nice if it is all due to TE and fills.!!!
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I wanted to post something positive about lymphedema. I am stage Iv with lymph, lung, bone and maybe liver involvement. I developed lymphedema in my left arm and hand over 4 months ago, went to licensed PT for lymphedema, we wrapped for 6 weeks, the sleeve and gauntlet ordered were too tight. We had her show us kinesio taping and my lymphedema started to resolve. Right now I have had no wrapping, sleeve or tape on it for 4 days. This is really exciting to me and hope that some one else gets some relief. My partner does the taping which extends across the top of my back to engage the working under arm lymph. The best tape is the kineseo tex gold, it contains a spiral pattern on the bottom side which allows lymph to flow. A trained therapist should show you how to do it. hope this helps
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