There is no cure for breast cancer related lymphedema. Management of lymphedema will focus on swelling reduction and to maintain it by wearing compression garments such as lymphedema arm sleeve and full leg garments. Swelling reduction can be achieved by the skillful application of safe, reliable and non-invasive Complete Decongestive Therapy (CDT). This is proven to provide long term results for both primary and secondary lymphedema. CDT is performed by specially trained therapists, Certified Lymphatic Therapist. The treatment consists of four components: Manual Lymph Drainage (MLD), Graduated Compression Garments or bandages, Meticulous Skin Care, and Therapeutic Exercises.
Complete decongestive therapy (CDT) is the standard care for lymphedema but it is time-consuming, expensive, and requires lifelong maintenance.
The therapy occurs in two phases:
The lymph fluid is extracted out of the affected region and swelling is reduced using MLD techniques and bandaging. Ideally, this procedure is carried out daily or five days a week for 2-4 weeks depending upon the severity. Once the swelling is reduced, the patient is fitted with custom lymphedema garments.
Fitting the patient with Lymphedema arm sleeve or Lymphedema full leg garments is the second phase. In this phase, the patient plays the major role in his or her ongoing self care. Wearing graduated compression garments, being meticulous about skin care, and performing self-manual lymph drainage and therapeutic exercises will assure continued success.
Closer Look at the Treatment
Manual Lymphatic Drainage is a unique gentle type of skin massage necessary to promote lymph to drain out of a limb into an area that drains normally. This brings the affected part to normal size. Bandages are used in the Phase 1 and the compression garments are used in Phase 2.
With lymphedema, the skin usually becomes dry and cracks easily, thus making it prone to infections. A low-pH lotion, free of alcohol and fragrances can be applied on the affected area to maintain the moisture of the skin and to protect it. If in case the infection develops, consult your physician immediately!
Graduated Custom Lymphedema garments are necessary to maintain the reduced limb and are designed to replace the bandages that were used earlier in the treatment. They are worn all throughout the day and a night garment should also be worn at night. The lymphedema arm sleeve helps to reduce swelling, improve circulation, and prevent the re-accumulation of the fluid in any body part. The garments must be worn every day.
A skilled therapist may recommend an exercise program in accordance with your needs and abilities. The exercise aids the muscular system to move lymph fluid out of the affected area. Moderate exercise such as swimming, walking, biking, light weight training and yoga are recommended.
Custom Lymphedema Garments – An Overview
As the name suggests, lymphedema arm sleeves and lymphedema full leg garments – apply pressure to the arm, hand, or trunk to help the lymph move in the right direction. As part of the overall treatment, custom lymphedema garments have proved to be the most effective of all in treating lymphedema.
All of the garments are made up of flexible fabric. Sleeves are tighter at the buttom than they are at the top. This helps to create a graded pressure that keeps the lymph moving out of the arm. There are available other variety of fabrics too that are softer, stiffer while others are made up of wool or latex.
In the case of mild lymphedema, lymphedema arm sleeves or lymphedema full leg garments can be the best suitable treatment. For stage 2 and stage 3 lymphedema, first Complete Decongestive Therapy is recommended in order to bring down the swelling. Thereafter, the patient is made to wear custom lymphedema garments to maintain those results and avoid further swelling. The lymphedema therapist will determine how often you need to wear it and for how long. You might also be asked to wear a different type of sleeve at night for more compression.
Tips For Buying And Managing Custom Lymphedema Garments
Always buy your compression sleeves and garments from your certified lymphedema therapist or from a renowned medical company as recommended by your therapist.
Have your sleeve or garment properly fitted by someone who has years of experience. An improperly fitted sleeve can make lymphedema worse as it might either apply too much or too little pressure on certain areas of the limb, thus making the situation worse.
Consider buying two sleeves or garments so you can alternatively use them. Typically they need to be replaced every 3 to 6 months because they lose stretchiness over time.
If you're buying a compression sleeve, ask your lymphedema therapist whether you will be required to wear a glove or gauntlet on your hand too.
Do not apply moisturizer on your arms, hands and legs prior putting on the sleeve. These beauty products can break down the elastic fibers in the sleeve over time.
Frequently Asked Questions
Need Custom Lymphedema Garments and Arm Sleeves?
If you require custom fittings for lymphedema garments and compression sleeves, you have come to the right place! Pink Ribbon Boutique provides personalized, professional and discreet fittings for breast cancer survivors and anyone with lymphedema. We have a range of lymphedema arm sleeves and lymphedema full leg garments from major brands and our BOC certified fitters will work with you to get the best fit that helps you manage and control lymphedema. We also do alterations after you receive your custom lymphedema garments at absolutely no cost.
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