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Lifestyle Medicine in Female Cancer Survivorship
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Amber Orman, Gautam Krishna Koipallil, Meghana Reddy, Nigel Brockton, Michelle Faris, Michelle Tollefson
In those without lymphedema, prevention is key. Compression garment use is not recommended for prevention, as multiple studies have failed to show benefits. With regard to air travel, there is no direct link between air travel and lymphedema, and no benefit to compression sleeve application during air travel in at-risk women without a history of lymphedema.57 However, patients should also be encouraged to exercise, lift, and use the affected limb without restriction, as upper limb exercise interventions have been shown to improve upper limb function and reduce lymphedema. One trial examined the impact of controlled, low-intensity weight exercises with the arm, with or without a compression sleeve, and demonstrated a trend towards reduced lymphedema at 24 hours post-exercise.59 A second study found that low-intensity resistance exercise (with compression sleeves) had a statistically significant reduction in mean arm volume, after just a single 1-hour session of flexion exercises (four 12-minute intervals with 3-minute rest periods).60 Of note, upper limb exercise also benefits arm fatigue, shoulder range of motion, and upper limb strength and mobility in general.61 Overall, this data supports that compression sleeves in combination with low-intensity upper limb exercise regimens may be an effective tool in mitigating the side effects of lymphedema during conventional breast cancer treatment.
Lower legs
Published in Richard Ashton, Barbara Leppard, Differential Diagnosis in Dermatology, 2021
Richard Ashton, Barbara Leppard
Damage to lymphatics results in retention of protein-rich interstitial fluid in the affected limb leading to swelling (Fig. 12.14) and fibrosis so that the oedema becomes non-pitting and non-dependent (i.e. will not improve with diuretics or on elevation of the limb). The skin becomes thickened (you will not be able to pinch a fold of skin over the base of the second toe) with accentuated skin creases. Hyperkeratosis and papillomatosis occur after a few years (seeFig 12.27 p. 288). Secondary complications of lymphoedema include discomfort and ‘heaviness’ in the limb, reduced mobility, leakage of fluid from breaks in the skin, secondary streptococcal infection (cellulitis) and tinea pedis between the toes.
Head and Neck Cancer
Published in Pat Price, Karol Sikora, Treatment of Cancer, 2020
Lorcan O’Toole, Nicholas D. Stafford
Lymphoedema can commonly be seen after RT affecting mucosa internally or in the soft tissues of the neck. Symptoms are usually mild, but more severe cases will benefit from the input of a lymphoedema specialist.
Impact on Health-Related quality of life after wearing compression garment or not for six months in women with mild breast cancer-related arm lymphedema. A cross-sectional study
Published in Acta Oncologica, 2023
Katarina Y. Blom, Karin I. Johansson, Lena B. Nilsson-Wikmar, Pia E. Klernäs, Christina B. Brogårdh
In the practical domain, more participants in the CG rated a negative impact on HRQOL regarding employment activities compared to the NCG, which indicates that it may be a problem for some patients. In many occupations, of hygienic reasons, it is difficult to wear a compression sleeve and even more difficult to use a glove. Individualized counseling about strategies on how to use the compression garment during work/household activities may be helpful and could probably improve HRQOL. For example, the use of night compression [20] can compensate for part of the day when the patient finds it difficult to use compression. To improve adherence and optimize compression treatment it is important to apply a person-centered approach and ask about the patient’s own experience and consider the possible negative impact on HRQOL in relation to the preventive effect. The compression treatment should also be evaluated regularly to ensure that the lymphedema is not over-or under-treated.
An important tool in lymphedema management: validation of Turkish version of the lymphedema breast cancer questionnaire
Published in Disability and Rehabilitation, 2022
Hanife Doğan, Hanife Abakay, Ayşe Güç, Halit Karaca
In the diagnosis of lymphedema, the concepts of heaviness and swelling are especially focused on [9]. Each question in the LBCQ reflects a separate symptom. When looking at symptom percentages, patients with lymphedema reported higher rates of symptoms compared to those without lymphedema. In the literature, it has been reported that 10–60% of the patients experience at least one upper extremity problem (pain, numbness, tingling, stiffness, edema, weakness, or reduction in joint range) within a period of 6 months to 3 years after surgery [26]. In our study, the most common symptoms encountered by individuals with lymphedema were a heaviness, swelling, increased temperature, stiffness, and the development of fluid buildup. These results contribute to clinical and empirical studies regarding the symptoms researchers should focus on most in detecting lymphedema.
The application of indocyanine green (ICG) and near-infrared (NIR) fluorescence imaging for assessment of the lymphatic system in reconstructive lymphaticovenular anastomosis surgery
Published in Expert Review of Medical Devices, 2021
Albert H. Chao, Steven A. Schulz, Stephen P. Povoski
Lymphedema is a chronic condition of pathological swelling or volume increase within tissues due to dysfunction of the lymphatic system, which results in retention of fluid, and in more advanced stages collagen formation and cellular proliferation of adipocytes and fibroblasts[5]. Primary lymphedema is caused by abnormal development of the lymphatic system. Secondary lymphedema is relatively more common and results from injury to a normally developed lymphatic system, such as due to infection, surgery, or radiation therapy. Symptoms of lymphedema include swelling, enlargement, heaviness, and pain in the affected tissues, as well as an increased propensity for soft tissue infections. These changes are responsible for the reduced quality of life and substantial morbidity experienced by patients with lymphedema.