Any other newbies out there with Lymphedema?
I have been dealing with swelling of the left breast and pinkness of the left breast for over six weeks now. My breast surgeon put me on a course of antibiotics which produced no benefit. I had a skin punch biopsy which came back with a finding of dilated lymphatic spaces. When I saw the nurse practitioner to have my stitch removed she said she did not think it was lymphedema. I told her I would feel better if she would refe me to a lymphedema therapist for an assessment.
My appointment was this morning. And guess what? Yes, it is lymphedema. I really like the therapist. She spent a lot of time with me this morning. I spent 25 minutes on the pump and she was really pleased with the improvement. I have my exercises and a ton of take home materials. I will see her again on Friday.
Onward and upward,
Nancy
Comments
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stitches sounds good. Make sure she manually drains you not just sticking you on a machine every time. She should be doing a light stroke with her hand as if she was petting a cat. No harder, just enough to move the lymph under your skin. Nice the machine got things improving
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I second that she should be manually doing the MLD. My LET guy always did MLD when I saw him - never a machine. In fact, he was originally opposed to them. But he finally changed his mind a bit after talking to other LETs around the country and I was the first one he ever ordered a FlexiTouch for.
It takes an hour for it to run the entire program. For me it does a much better job than I do with MLD. It is a large part of keeping my LE controlled, along with my day and night garments.
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thank you so much for stressing the importance of massage. She did so massage and it was light and quick. I know she will be working with me to master this as part of my self care. I do have a pocket of fluid on my back below my shoulder that will be hard for me to address by myself. I have been looking at all the resources she provided for me as well as a wealth of information that is available online.
My next appt is Friday morning. I think I will be going 2x a week for the foreseeable future.
Onward and upward,
Nancy
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Something like this might help you move that fluid over to the otherside to drain better. It's a toilet/bottle brush and the foam partthat's all around it is gentle and It moves the skin and I can reach my back. I bend it a bit to customize it
Edited to say. Sorry I can't post the pic ipad is stubborn this morn.
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What is "a pump"? Am a newbie. A month ago I asked my rad onco why I had some pain on the side of the left breast (lumpectomy and rads) and he suggested I see a lymphedema therapist for eval. She said I had a slight swelling and it is lymphed. She took measurements of the arm and said there was a very slight swelling. I noticed nothing of a kind. Arm and finger are fine as is the rest of the left side.Frankly I thought the whole thing was residual pain from the lumpectompy and rads. Had some therapy for range of motion improvement with a regular therapist, now I started to see the lymph specialist.She did massage of the scar and also redirected the flow manually. No mention of pump. She recommended I get a post lumpectomy pad and get fitted for an arm sleeve to wear as needed. Also, she suggested I use a tight sports bra. and use it day and night. To me the whole thing looked like a minor thing now it's looking like no small thing. I was told since I had only one node SNB the chances of this were very low. So much for this.Did you get any relief from the visit? How many nodes did you have removed? Best of luck!
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An MLD machine (somethimes called a 'pump') is a computerized box that uses compressed air to simulate human done MLD. There are several different brands - mine is a FlexiTouch.
The only one I have actually seen (or used) is a FlexiTouch. There are 3 sections of garments used - a lower abdomen which also goes on upper thigh, a upper body section that is sort of like a best as it goes around the upper body and the arm section that attaches to the the chest section via velcro and extends to close to finger tips. These section have hoses that connect to the brain box for the air flow as programmed. As with human MLD, the cycle starts with clearing/draining the lymph nodes in thigh and lower abdomen, then it moves up to the chest area and finally onto and down the arm. This takes 30 min. to run. Then it reverses and instead of working in specific areas before moving on as in the first 30 min., for the last 30 min. it starts at the fingers and continually moves up over and down before going back to the fingers again to start the continual movement to gently move the lymph fluid to where it can be moved on away by nodes that were not effected by surgery. So it takes a total of an hour to run the complete cycle. I run mine daily.
There is no way to really predict who will or will not develope LE. Some of us have quite a few nodes removed, and some who had one (or none) removed. There are some who had many nodes removed but never develope LE. I have a friend who had minor, non- invasive knee surgery and she developed worse LE in her leg than I deal with having had 19 nodes removed. For me, my hand, fingers and wrist do not have issues but elbow region is where I have to fight it.
Sleeves come in different compression levels - not all of us can use the same level. Some have to have heavier but for me, heavy actually causes swelling so it's low level for me. But the opposite for some others. Be sure to also get a glove when you get a sleeve.
Also remember to be very careful of even a small cut/scrape or bug bite. Infections can set in quickly and get really bad. Others can give you more info about that - I haven't had any infections in almost 7yrs though I'm not very careful preventing injuries. What works for me is hydrogen peroxide.
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I sure appreciate this. I've been having physical therapy with my le specialist 2 times a week since August and making Improvement with the lymphedema in my chest trunk and both arms. I wondered if a pump with make a difference. Maybe it would
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MLD machines are not cheap. I don't know the other exact price (or rather your insurance would partially cover it or not) as my care is through VA and I get what is needed. When I got mine, I heard that FlexiTouch went for about $8,000 at the time but that was 6 yrs ago so prices may have come down since then.
If your worst area(s) is chest/upper body/back, a FlexiTouch should help as it includes the upper body in the massage. As I said there are other brands but I know nothing about them - somewhere I seem to remember they are not quite as 'pricey' but not sure.
If you are interested in seeing one, try - www.tactilemedical.com/products/flexitouch/
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TimeForCure - I had a single node removed and still developed lymphedema in my chest & underarms post-BMX. I've been working with a fabulous PT 2x per week for about 2 1/2 months. At the 2 month mark, I was making great progress and adding back in 3 lb weights to my exercises. Then I jumped the gun and did a modified TRX workout with my personal trainer, who I had been exercising with for almost 3 years prior to my diagnosis. Suffice to say my chest blew up like a wood tick! I'm now 3 weeks past that and will probably be back to where I was after another few weeks of PT, stretches and mild exercises.
So my advice/warning here is don't push your limits. Even though I have had almost no arm swelling, lymphedema in any part of the body is stubborn.
Kicks and others - interesting to hear about the machines. My PT works on me manually and taught my DH some light stroking he can do for me on a daily basis. Last week I bought some eucalyptus/spearmint body oil for him to use which has the added bonus of clearing my sinuses ;-)
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I had a single mastectomy 8 weeks ago. I feel slight swelling under arm and some shirts feel tight. How do I know if I really have lymphedema? I see PS in January.
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bigdogzmama,
I'm no expert but it doesn't sound lIke lymphedema to me...just normal healing.
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I had a lumpectomy Nov 7 then again Nov 29 to clear the margins. Two lymph nodes were removed during the first surgery and were clean. I did have an infection at the lymph node incision and took a course of antibiotics. December 30 my left breast turned yellow - the color of a healing bruise. My surgeon put me on antibiotics to prevent infection. Two weeks later it turned a Brownish red color and became painful. Dr agrees that is us most likely breast lymphedema and is referring me to a physical therapist for massage techniques. Three days ago I started radiation.
My breast is very sore. I am taking meloxicam and Tylenol but it isn't really helping. I am wearing a bra at night but I don't know if that makes it worse. I have large breasts and almost all my bras have underwire - will that make it worse? As of this morning I now have ugly purple bruises under my breast. I just saw the dr on Friday. Any suggestions or similar history
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Dear CherylRc, We are sorry that you are in this situation but glad that you reached out here. Please keep us posted and stay connected here and let us know how things go for you. The MOds
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I haven't seen anyone post the link to Step Up Speak Out - a wonderful LE site created with input from BCO women. This site has great info & will answer many of your questions.
http://www.stepup-speakout.org/
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