Anyone with lymphedema from rads?
With LESS than 5 nodes removed? I didn't know they are going to zap my armpit as well. I've had 2 SN and 2 other nodes removed so now I'm concerned about 33 zaps there.
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I do deal with LE but though I did 25 rads, the rads had nothing g to do with it developing. Mine started 1/2 way through 12 weekly Taxol - 9 weeks post surgery. I was fortunate that my Drs were actually knowledgeable about LE (not all Drs are, sadly)
There are some who will develope LE after a single (or none) node removal and there are some with many nodes removed that never developed LE. In a way, it is a bit of a 'turkey shoot'.
It is possible for LE to develope in any part of the body after ANY surgery or traumatic injury. I have a friend who had minor noninvasive knee surgery who has to deal with fairly severe lower leg LE. When I was in my mid 20's, I had a traumatic lower leg injury (horse riding) that did a lot of deep tissue damage and 'peeled off' the skin basically from an inch or 2 below knee to an inch or 2 above ankle on the outer 1/3rd of leg. It took close to 9 months for the skin to heal. I was told that due to the severeity of the damage done I would probably developed LE in lower leg. Never happened in the approx. 45 yrs since the injury.
We are each so unique.
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I started having difficulty with LE just two months after finishing rads. I had lumpectomy with sentinal node and three other nodes removed. I had 33 rad treatments to axillary, supraclavicular and intra-mammary lymph nodes along with whole breast and boosts. I asked to see a lymphedema specialist because my axilla, breast and chest were swollen and my hand on that side would get numb. The RO and surgeon said no lymphedema but thought a visit to the LE specialist would help with range of motion of my arm and shoulder. The LE specialist told me that I did have LE of the breast and axilla and gave me a whole set of exercises to do along with instruction on how to do manual lymph drainage. He prescribed a sleeve, gauntlet and compression bra. I am doing better and I have noticed that the bra helps more than the sleeve with the numbness in my hand. I did not wear that bra yesterday and by mid-morning my fingers were tingling. He thinks the swelling is pressing on the brachial nerves going into my arm.
I just ran into a woman who works where I do who went through the same treatment I did about 5 years ago and she asked me about stiffness and swelling, as she was beginning to experience that herself and she said she wished that the RO had been more open with her about what could happen...my RO still insists that I am not having any side effects from radiation, even though the entire area is sore and tender and I can no longer life my arm any higher than my shoulder!
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Two weeks into rads I started to have tingling in the Arm and swelling under the arm , in the trunk and inside the elbow. The muscles seemed to get tighter. My radiologist onc sent me to the LE therapist and... The left arm was already 2 cm bigger. Have worked w the therapist 3 x a week during the next 5 and 5 boosts. Just finished rads 3 days ago. Pains in the breAst . Using Silvadene , but have blisters that have pus now. Only two nodes removed Does all this ever get better??
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Kicks - Did your RO do anything to help keep your LE under control during RADs? I started playing the fun LE game during Taxol, too. I'm really scared about doing rads and what it's going to do to my arm because I haven't been able to get it under control. One day I woke up and it was almost normal and stayed that way for awhile, basically from me losing weight. It's the only change. I had stopped MLD because of an infection at the time. But now it's back to being back and forth, although never nearly as bad as Taxol.
And insurance is being a complete pill about PT. Grrrrrrr
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My breast started swelling during rads, and eventually the lymphedema moved into my arm. I had 8 nodes, and interestingly no boost after the 25. Here is the thing, I really believe LE has more to do with how strong your lymph system is than what surgery or treatment you have.
I have met people with more than 30 nodes out, no precautions, and no LE. There are plenty of us who got LE after one node out. I will say the only people I have met who have gotten better from LE mostly had no rads and reconstruction. (Reconstruction can help LE.)
So I guess the way I think about it is, if you have a crappy lymph system you are eventually gonna get LE if you have cancer treatment, if you have a good lymph system, you wont.
I realize that doesn't give you an action plan, and by all means do everything you can to manage your risk, but don't overly sweat doing the best treatment.
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Cookie, that makes sense. But is there anything to do about it? I need a - how to improve your lymphatic system in 20 or 30 easy (or hard) steps. Are we just stuck with what we've got?
Going into rads with a paw instead of a hand just freaks me out. Well, some days it's a hand. I just really haven't sussed out what causes the hand days or the paw days, unless stress plays a big part of it.
Not eating at all just isn't the best way to control my LE, but that's the one that works the best. The recommendation to get 60g of protein a day during rads so contrasts with that, unless I find some fab protein shake with no sugar.
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I ate a lot of red meat during chemo and rads. Beef has the most protein. Docs weren't concerned about this limit/stop red meat stuff when you are battling cancer.
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