Lymphedema is a medical term for swelling caused by the buildup of fluid (lymph) in the soft tissues. This develops because of some blockage of the lymphatic system. Most lymphedema in cancer patients results from scarring after the surgical removal of lymph nodes or after radiation therapy. It usually involves areas next to large collections of lymph nodes in the armpit (axilla), pelvic region and inguinal (groin) areas. The lymphatics are obstructed and swelling in the arms or legs are the result. A small number of people with cancer develop lymphedema.

Hints for Preventing and Controlling Lymphedema:

1. Whenever possible, keep the swollen arm or leg elevated, preferably above the level of the heart. When you are siting, put your leg on a chair or stool.

2. Clean and lubricate your skin every day with oil or skin cream.

3. Do everything you can to avoid injuries and infection in the affected limb:
*use an electric razor to shave the limb or avoid skin cuts
*wear gloves when gardening or doing housework and wear thimbles when sewing
* suntan gradually, if at all, and use sunscreen
* avoid walking barefoot, particularly on the beach or wading in water
* use insect repellants and wear protective clothing to avoid insect bites
* clean any breaks in your skin with mild soap and water, then apply an antibacterial ointment
* use gauze wrapping instead of adhesive tape on any skin wounds
* if you develop a rash, consult your doctor
* try to minimize all the "invasive" procedures for drawing blood and giving medications - injections, finger pricks and IVs - on the affected arm or leg
* take good care of your nails and don't cut the cuticles
* cut your toenails straight across
* see a podiatrist for any foot care problems
* keep your feet clean and dry and wear cotton socks
* avoid extreme hot or cold - ice packs and heating pads, for examply - on the swollen limb.

4. Avoid constrictive pressure on your arm or leg:
* don't cross our legs while sitting
* wear loose jewelry and clothes with no constricting bands
* carry handbags on the non-swollen arm
* don't use blood pressure cuffs on the swollen limb
* wear only elastic bandages or stockings without constrictive bands
* don't sit longer than 30 minutes without changing position.

5. Check the limb daily for signs of change. Especially watch for signs of infection - redness, pain, heat, swelling or fever - and call your doctor immediately if any signs appear. Be sure to report any sensation of swelling or sudden increase in fluid.

6. Practice your drainage - promoting exercises faithfully.

7. After the lumb has healed, gradually return to your normal activity. But always practice protective procedures.

This Information was taken from "Everyone's Guide to Cancer Therapy"
Compliments of Cancer Care, Inc.
1-800-813-HOPE