New lymphedema questions
Over the last 6 weeks I have started having a lot of pain in my arm, armpit, and the tight painful stretching from armpit to thumb. My arm also aches and feels heavy very often. I have started to have mild swelling with pitting edema. I see a very nice PT who is working on the scarring in my armpit. I don't see my breast surgeon for a couple of weeks, (I called and asked for the PT referral). So I don't think I have an "official" lymphedema diagnosis in my chart. But I assume this is what it is. My PT told me to increase my stretching exercises and start wearing my sleeve when I am active and all day if I need to. So I guess I really don't understand how long to wear it. I guess I need some more guidance from real life people. And any other suggestions you may have please? Thx!
Comments
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It sounds like both cording and LE, most likely. The first thing everyone will tell you is to find a qualified LE therapist. But sometimes that is easier said than done. If your sleeve and glove or gauntlet fits well and doesn't hurt, it's probably good to wear it during waking hours. But if not, or if the swelling gets worse, then leave it off until you get some professional guidance.
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Do you have cording? That would explain the painful stretching.
I started wearing my sleeve when I had a little swelling in my arm (I mainly have truncal LE) I wore my sleeve all day until most of the light swelling was gone . I no longer wear my sleeve full time, I wear it for major housework, gardening, grocery shopping, long drives over 50 miles, any type of repetitive movements (Putt Putt, softball, painting etc) or anytime lifting more than 1 lb is involved and I keep to the standard of lifting no more than 5 lbs. I use a night sleeve that has really helped on the days that I over do it. I do not wear my sleeve when dressed for a nice evening or dinner out. When I'm hanging out reading or watching a movie I take that opportunity to elevate my arm. MLD is your best tool so don't skip it!
From what I've read here we are all a little different and that difference governs how we use our compression wear. I hope you find what's comfortable for you.
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Hello, Melgirl,
I'm sorry you're having these difficulties, and I hope you soon have the help you need!
You mention having a sleeve but don't mention a glove or gauntlet. If you don't have a glove or gauntlet, DON'T wear the sleeve, as it can push any swelling into your hand and fingers, where it's a lot harder to deal with. Here's more about that:
https://www.lymphedivas.com/en/hand-protection
And here's how to find a well-trained lymphedema therapist near you:
http://www.stepup-speakout.org/Finding_a_Qualified...
The "cording" the others mentioned is officially known as Axillary Web Syndrome. Here's information and pictures in case you're not familiar with it:
http://www.stepup-speakout.org/Cording_and_Axillar...
Please keep us posted! Gentle hugs,
Binney -
Thanks for the input. My PT is supposed to be qualified. I don't have any cording that is blatantly visible, but when stretching I can see it faintly...but I am heavy and have a good bit of scar tissue.
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Thanks Binney! I do have a glove as well and I will make sure to wear it.
Melissa
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My hospital says there's no "official" LE DX until a certain amount of time after surgery. That may be the reason. They still treated the swelling I started having like LE, but they didn't really want to assume that's what it was.
Just to add - never sleep in compression wear, at least that's what my therapist told me. It's something about how it's made. There are some made to sleep in, and also compression bandaging is fine. In the beginning I was told 24 hours a day bandaging with 1 hour a day out of it to shower and do MLD.
Drink lots of water and try to figure out as soon as you can what aggravates your LE. Everyone is different. I haven't figured out yet what shrinks my hand to it's smallest. But some days now it will get pretty darn close to normal. Not normal yet.
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You seem to be suffering from early lymphedema. Do not wait until it becomes worse and your physician makes a clinical determination. You want to prevent it from reaching that phase, when it becomes harder to treat. Recent literature indicates that early intervention can prevent the progression to clinical lymphedema. These pilot programs involve the following protocols, ALL of which have been found to be effective, and often used in combination: exercise, compression, manual lymph drainage, pneumatic compression. Keep your own measurements and find a protocol that works to maintain your dimensions. If you see any increase see a qualified lymphedema therapist.
Go to LymphActivist's Site at www.lymphactivist.org and use the search term "prevention". You'll find further information on prevention of lymphedema.
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Does anyone know if cording can cause a burning sensation in the arms?
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Lymphactivist, I am a poster child for what you mention. Thanks in large part to the wonderful ladies on this forum, and also to a wonderful LE therapist, I managed to reverse the early stage of LE. I still get minor sweling in my armpit and upper arm if I over-excert it, but I no longer wear a sleeve full-time. I also had cording, but it eventually reaolved on its own. Stretching is important. Taking a lie-down with the arm elevated helps. Regular exercise is important, even if it is just walking. Lymph only moves around from the muscles working. I still stretch the arm above my head and clench/unclench my fist several times a day, for example. It is a simple and gentle way to activate the muscles
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I can tell my cording is coming on by a transitory burning sensation in my forearm as well as armpit tightness. And it’s baloney that they have to wait a certain time after surgery to diagnose LE--if you are showing symptoms, see a certified LE therapist (better yet, an LE doc) who will measure your arms and hands and see how those measurements compare to the baseline ones taken before your surgery......they did take measurements before surgery, right? Any increase in the measurements in your surgical arm & hand is cause for concern. Don’t let your BS, uh, b.s. you--get a second opinion and get proactive.
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Can carpal tunnel symptoms mimic lymphedema? I have been having numbness & tingling in both hands on my thumb, index finger, & middle finger.
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Numbness & tingling sounds more like a nerve issue. Others will be along who know more, but for me the LE is more of a dull ache sort of pain.
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LE can cause or exacerbate neuropathies and RSIs, including carpal & cubital tunnel syndromes, because of the pressure the swelling can put on nerves and tendons.
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I wear a sleeve when exercising and flying. I've been lazy about the MLD. Better get back into it though. I do get burning sensations in my armpit when it's acting up. Like now. It's been pretty much under control all summer though. Swimming helps it the most
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I had double mastectomy and axial dissection 2 weeks ago. My upper arm is still bruised and store. I saw a lymphedema physical therapist two days ago at Mayo. He prescribed a sleeve and gauntlet for daytime wear, but the sleeve is very uncomfortable on my upper arm. How early can lymphedema develop after surgery? Can I wait a few weeks to start wearing this stuff, until my upper arm is less painful? ... Thanks!
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Hi, Chemist,
Lymphedema garments should NOT cause pain, because pain increases our body's output of lymph fluid and can cause swelling instead of helping it. Talk to your therapist again and let him know you're having problems with it.
The issue isn't really about how soon after surgery lymphedema can develop, but what you can do to reduce your risk. Taking it easy with that arm, working up SLOWLY to your former exercise activities, staying really well hydrated, and elevating your arm when you're watching TV or riding in the car can help too. More information here:
http://www.stepup-speakout.org/riskreduction_for_l...
Please keep us posted on how you're doing!
Hugs,
Binney -
Hi All,
Anyone used the pump to help with compression? I just recently went back to dr for follow up with LE and she suggested using the pump pending insurance approval, of course. The rep just came today to show me how it works and it basically acts like manual massage. Has anyone have experience with it. Any input would be appreciated.
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