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Lymphedema
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Lymphedema is the term used to describe the pooling of fluid in an area where the lymphatic system has been damaged in some way.

The lymphatic system is made up of the tissues and organs that produce, carry, and store cells that fight infection. This system includes the bone marrow, spleen, thymus, lymph vessels, and lymph nodes. Lymph is the almost colorless fluid that bathes body tissues and carries cells that help fight infection. Lymph nodes are small, bean-shaped organs, located along the lymphatic system. Nodes filter bacteria or cancer cells from lymph. The nodes are also sometimes called lymph glands."

Many women experience lymphedema after breast cancer surgery. It occurs most often when the surgery involves removal of lymph nodes. During the removal of the nodes the channels that carry the lymph are disturbed and the fluid cannot flow as easily as before.

Lymphedema may occur right after surgery or be delayed anywhere from 2 to 20 years following surgery.

Symptoms may include swelling of the upper arm, forearm, and sometimes even the hand and fingers; a twisting feeling in the arm; a swollen area under the arm; and sometimes a tingling or numbness in the affected part.

Lymphedema is no laughing matter and should not be viewed as simply an inconvenience.

It can be treated in several ways:

  • Elevation of affected area
  • Manual lymphatic therapy (MLT)
  • Compression therapy (bandaging and pumps)
  • Exercise

At the first sign of lymphedema you should alert your oncologist or primary care physician and ask for guidance in the correct treatment. Every person suffering from lymphedema should receive a referral to a physical therapist trained in it's treatment.

Two of the authors have lymphedema and have received a variety of treatments for it over the years. Please contact them if you wish to ask specific questions.

Here are some lymphedema web sites which may provide additional helpful information:

http://www.lymphedematherapy.com
http://www.gretmar.com/webdoctor/lymphedema.html
http://www.trinitylc.com/index.html
http://www.jaxlymph.com/
http://www.familyvillage.wisc.edu/lib_lymphedema.html
http://www.noblemed.com/
http://www.oncolink.upenn.edu/support/lymphedema/
lymph_upper.html

http://www.oncolink.org/support/lymphedema/
http://www.oam-lymphedema.com/
http://www.lymphnet.org/index.shtml
http://www.gift-of-life.com/coping.htm
http://www.acols.com/
http://www.lymphedema-therapy.com
http://www.lymphedemafoundation.org/
http://www.noblemed.com/ldata.htm
http://www.infobreastcancer.cyberus.ca/
http://www.lymphoedema.org.au/index.htm

For additional information go to our links page.

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