Understanding lymphedema

    Many people are under the impression that swelling means they are retaining water, and although in some cases this is true, there are many different types of edema and even more causes.
    As many as 25 percent of women who undergo surgery and treatment for breast cancer will develop a type of swelling known as lymphedema in their arm. Lymphedema is a high protein swelling that is typically brought on by some disruption to the lymph system, which happens during treatment for breast cancer. Removal of breast tissue, lymph nodes, and radiation are all factors which can cause lymphedema to occur. The more invasive the treatment is, the greater the risk.
    All women who have had any treatment for breast cancer, however, are at risk, and this risk is for a lifetime. Therefore, it is important for women to know how they can decrease their risk for developing lymphedema and to recognize the signs of lymphedema or infection.
    All women should be aware of ways in which they can decrease their risk for developing lymphedema. Some of those steps include:
• never taking blood pressure readings or blood draws on the surgical side;
• protecting skin against cuts, burns, mosquito bites; and
• preventing overuse of the arm.
    Women may report heaviness and swelling that comes and goes in the arm or hand, tightness in clothing, indentations with jewelry, or the onset of a cellulitis infection. A functioning lymph system is responsible for fighting infections throughout the body as well as transporting bacteria and protein from the limbs. When the system malfunctions, this bacteria and protein become stagnant and cause infection and hardening/swelling of the arm.
    Lymphedema is not curable but very treatable with a specific program known as the Complete Decongestive Program. This program incorporates lymphatic massage, skin care, exercise, and compression which help to improve the function of the sluggish lymphatic system.
    County Physical Therapy will be offering a presentation on lymphedema on Thursday, Oct. 15, at 11 a.m. at their Presque Isle location on North Street.
    If you have any questions regarding this program or the upcoming presentation, please feel free to contact me at 769-2160 or by e-mail at jennifer.waddell@countypt.com.