Can you suggest resources about exercise and lymphedema?
I'll be attending the World Congress of Lymphedema in a few weeks (http://www.lymphology2015.com/ ), which includes two days of programming just for patients. I've agreed to moderate a special-interest group discussion about exercise. There will be an expert (Dr. Sandi Hayes) to answer questions, bring us up to date on exercise-related research, and explain the physiology of exercise when we have LE--exactly what is going on under the hood, so to speak, when we exercise, be it weight lifting, cardio, yoga, etc. My own contribution includes putting together a handout of references and resources concerning exercise when we have, or are at risk of, LE. I'll be including the resources published on the StepUp, SpeakOut website; Lebed exercises; Living Beyond Breast Cancer's yoga guide; and what I can find out about LE-related information in the LiveStrong program at YMCAs. I also have a few books on my bookshelf about exercise for BC survivors.
What books, online resources, and programs have you found to be helpful? We have so many savvy women here, many of us try our level best to exercise, and I want to make sure that my list is as comprehensive as possible. I'll share the final version here, of course.
Thanks!!!
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ooo, Carol, wish I could be there too! I have nothing to suggest, but I do look forward to hearing all about it. -
glennie, all the annoying flying I do throughout the year for work pays off in frequent flyer miles and hotel points. DH and I are both going (he will work remotely from the hotel), no cost for flights or hotel. It's my reward for all the waiting in line, stress of flight delays, etc. I'm feeling mighty grateful that we can do this, as I'm looking forward to all the world-class researchers and clinicians that will present information. I'll certainly report back here!
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I'm so glad you are able to go! -
I am so jealous - San Francisco should be fun. We were there to visit our son when he was an intern at an architecture firm two years ago. It was nice in November and should be great next month. How neat to be rubbing shoulders with all those scientists too!
YOU are the LE exercise 'patient' expert and will do a fine job. I use your SUSO handout and have not come across much of anything else in print or otherwise.
My favorite activity is pool/water classes. I often tell people the anecdote we heard at that Ohio State conference in 2012 regarding the Jobst stocking inventor (he noticed decreased lower extremity swelling after wading in a lake and devised a graduated compression garment in order to mimic the effect)
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vlnrph, I can hardly believe I'm going, and I'm soooo looking forward to it. I love that anecdote and had forgotten about it. Surely I'll work that into the WCOL discussion somehow! Thanks for reminding me.
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I never heard that story! How interesting! -
represent us well, I know you will
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pardon me if the resources you mention in your initial post already cover this, but if not, here is an article that explains the relationship between dragon boating and post-breast cancer treatment exercise. http://ldihealtheconomist.com/he000025.shtml
I had the pleasure to participate in the 2010 International Dragon Boat Festival for Breast Cancer Survivors held in Peterborough, ON, Canada and I believe there are have been 2 international festivals since then. Dragon Boat paddling is recognized around the world as an excellent upper body(it is actually a whole body )exercise for breast cancer survivors.
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Jelson, thank you! I had not seen this, and getting ideas from others is exactly why I created this topic. Much appreciated!
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Great article. I've always wanted to learn to row,,,, maybe one day when I retire! -
I kayak extensively, but not competitively. It's me vs. the river. I've measured the number of paddle strokes in a day (put my fitbit on my paddle) when it's an all-day paddle--about 19,000. My arm gets exhausted, when the nonaffected arm is still feeling strong. But so long as I'm in compression, no LE flares, although I certainly use night compression and do MLD to nudge things along each evening.
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brilliant to wear a fitbit while kayaking - will have to try that. Kudos to you to kayak with lymphedema. it is heartening to know that if I do get it, I will still be able to kayak. I go out several times a week between March and November, paddling an average of 12 miles in a 5-6 hour outing. Mostly on the Hudson River - taking advantage of the tide! I help spot bald eagles for my husband who takes photographs of birds, plants, tugs/barges, beavers etc from his kayak. The baby eagles are practicing flying now, so alot of my time recently has been spent bobbing around!! I tried googling kayaking breast cancer in different ways to see if there have been studies on the impact of kayaking on lymphedema or breast cancer survivor wellness, but I haven't come up with anything yet. I wonder whether dragon boating, in which you paddle a single bladed paddle, using both left and right arms/shoulders but differently - has been considered more amenable to breast cancer survivors because it gives a left or right side option. allowing the paddler to sit on the side which provides the most comfort and least strain to the side which with they might be having trouble/pain..
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Jelson,
I will say that my arm barks at me when I kayak, that's for darn sure. At the moment I'm suffering from a rotator cuff problem with my non-LE arm, so both arms bark at me! Fortunately, there is another solution. We own a two-person Hobie kayak with what they call Mirage drives...you use your feet to propel the kayak. I prefer paddling the old fashioned way in my single person, sit-inside kayak with a rudder, which except in high headwinds or against current is pretty easy to move. DH prefers the Hobie, and we put our dog in the front seat (he gets a free ride, the free loader). The foot work is not like riding a bike, as the feet do not go in a circle. Rather, it's more like a pushing action, alternating feet. Underneath, there are flippers that mimic a seal's breast stroke action. Totally fun, and I do often use it when we go out on the river without the dog. It's probably more efficient to use big quadriceps muscles instead of little triceps and lat dorsii muscles, too.
I like the back seat. DH cannot tell when I'm slacking. The Hobie is quite heavy and I find it's less maneuverable than a traditional kakak, but that's probably just because it's longer than my one-person kayak. The Hobie uses a rudder that you control with your thumb. And Hobie is so sure you don't need the paddle (but there's one mounted on the side just in case)--they give you cup holders. You do need the paddle in extremely shallow water, when there's no room for the underside flippers. That's pretty rare, in our experience, but it does happen; or when we go through weeds in shallow-ish water. So, if I ever have to give up on using my arms to paddle, I have a good alternative, although I'm not sure where we'd put the dog when we camp from the kayaks, if I took one of the Hobie seats!
We go for up to a week at a time camping from kayaks in various rivers in Michigan, and it's gorgeous. We live on the Kalamazoo River, so that paddling is at our door step. Eagles nest near us, although the nests are not in sight from any river stretch we've been on, but they are in the neighborhood all the time. In winter we have 3- 5 eagle sightings a day, usually in groups of 2-3. They're attracted to the moving river water, when inland lakes are frozen and fishing is limited. It's common to see them in our back yard trees, close enough to see the pupils of their eyes. They are magnificent birds.
All of the above, and your experience too: the best reasons not to let LE take over. And I should mention that I've been lifting weights in the gym for years, and I get help and supervision from a personal trainer who was kind enough to attend a PAL workshop (learned about the PAL Protocol, i.e. guidelines and precautions for strength training when we have or are at risk of LE). So my arm is well conditioned for the repetitive motion and the resistance of paddling. That's no guarantee I'll avoid trouble, but I think it helps.
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LOVE your kayaking stories. Baby eagles!!! So cool!!! -
There was a study done at University of California on Ashtanga Vinyasa Yoga and Lymphedema by Dr. Jeanette Lee. They deemed it did not make lymphedema worse and in many cases made it better. And, the control group during that time that was not exercising had much higher incidence of lymphedema getting worse. Maybe see if this type of yoga is available in your area? I started a few months ago at a local place that offers this type of yoga and am also enjoying it for my overall health. If nothing else, possibly it can help keep it stable and help me not lose my mind!
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Maria, thank you! That is a great suggestion and I will include it with my resource list
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