Lymphedema: A Breast Cancer Patient s Guide to Prevention and Management

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Lymphedema: A Breast Cancer Patient s Guide to Prevention and Management"

Transcription

1 Lymphedema: A Breast Cancer Patient s Guide to Prevention and Management Lindsay Davey, MScPT, MSc, CDT Registered Physiotherapist, Certified in Combined Decongestive Therapy, Owner/Clinic Director of Toronto Physiotherapy

2 The Lymphatic System: What Does It Do? Maintains a normal balance of fluid in our tissues and blood stream 20% of all tissue fluid returns to the heart via the lymphatic system (80% returns via veins) Monitors for foreign material and bacteria in the body Circulates immune cells for fighting infection

3 What is Lymphedema? The swelling of a body part due to the accumulation of lymphatic fluid Caused by an insufficiency of the lymphatic system to drain fluid from the limb (or torso) Reasons for impaired drainage: Surgical removal of lymph nodes from the armpit Radiation to the lymph nodes in the armpit/chest Lymphedema can take weeks, months, or years to appear following cancer treatment

4 Who Gets Lymphedema? Incidence rate of lymphedema in breast cancer population: 6% - 30% Increased Risk*: Full mastectomy Higher number of nodes removed Radiation to armpit Tumour positive nodes Post-op complications Axillary Web Syndrome (Cording) Increased Body Mass Genetic predisposition? *Miaskowski C et al, PLoS One 2013: Apr 16; 8(4).

5 Symptoms of Lymphedema: Early Stage May not see swelling Sensation of heaviness, fullness, tightness, bursting sensation, aching pain, tingling May see swelling or puffiness after exercise or more vigorous use of the arm Elevating the arm may decrease swelling Swelling may be pitting when pressure is applied

6 Symptoms of Lymphedema: Later Stage Swelling of the upper arm, forearm, hand, fingers and/or trunk Non-pitting Elevation has no effect Areas of hardening of the tissue Skin changes Chronic condition (but can be well managed!)

7 How is Lymphedema Treated? Gold Standard Treatment Approach: Combined Decongestive Therapy (CDT) 1. Manual Lymphatic Drainage Massage 2. Compression 3. Infection Prevention / Skin Care 4. Exercise

8 Manual Lymphatic Drainage Massage NOT the same as a typical massage Specific pressure Specific strokes Specific sequence Re-routes fluid to bypass deficient pathways where nodes have been removed or exposed to radiation Self-massage is a KEY component in management. *VIDEO*

9 Compression TWO Phases: 1. Arm Volume Reduction Phase Short-stretch bandages (like tensor bandages) Usually takes 3 6 weeks 2. Maintenance Phase Compression garment, custom fit or off the shelf

10 Are These Garments Covered Under OHIP? The Assistive Devices Program (ADP) will pay for 75% of the cost of garments They cover 2 garments, 3 X per year ADP form must be signed by a Physician (the first time it must be a specialist), a CDT-Authorizor (like myself), and a Fitter Some patients may also have coverage through extended health benefit plans

11 Infection Prevention & Skin Care The arm is at higher risk for infection Keep the skin well moisturized (glycerin-free products are best to prevent drying/cracking) Caution with things that could break the skin: Insect bites Animal scratches Cuticle trimming/manicures Paper cuts or larger cuts Shaving the armpit Minor burns Use antibiotic cream on all cuts/scrapes

12 Signs of Infection and What To Do Signs of Infection: Redness (Cellulitis) Streaking or Rash appearance (Lymphangitis) Heat Fever Generally feeling unwell What To Do: STOP heavy use of the arm STOP self-massage and compression Seek medical attention immediately (antibiotics)

13 Exercise: How Does It Help? For Breast Cancer Rehabilitation In General: Aerobic exercise (ex- walking) can decrease fatigue, stress, depression, body mass, and improve immune responses Strength exercises help battle deconditioning and generalized weakness Patients Quality of Life scores are significantly higher among those who exercise!

14 Exercise: How Does It Help? For Lymphedema Prevention & Management: Promotes fluid flow via pumping action of contracting muscles Strengthening makes limb less susceptible to repetitive strain or other injuries (which can cause inflammation) Stretching maintains tissue flexibility to promote flow through lymphatic channels Decreases risk of lymphedema* *Schmitz K et al, JAMA 2010: 304,

15 Exercise Principles for Lymphedema Patients: Wear compression during exercise Avoid wearing tight jewelry Pre- and Post-exercise self-massage promotes lymphatic flow Keep cool Include aerobic and resistance training Progress exercises for the arm at slower rate; delay pectoral exercises? Evidence supports lifting heavy weights* *Cormie P et al, J Cancer Surviv 2013 Apr 20, epub

16 Scar, Radiation Damage, and Cording YES WE CAN HELP! Mastectomy, lumpectomy and/or node dissection scars Adherent/tight tissue in radiation zone Rope-like cord in armpit/arm Specialized massage techniques* Specific home exercises Improves range of motion, improves lymphatic flow, decreases pain

17 Do s and Don ts! Avoid injections and IV s on the affected side Avoid blood pressure cuffs on this side Avoid hot tubs and saunas Diuretics do not help lymphedema * * * Do wear some form of compression on flights Do learn self-massage of the arm, and neck! Do learn diaphragmatic breathing!

18 Summary: Lymphedema and CDT Incidence as high as 30% in breast cancer patients Chronic condition, but can be well managed! CDT effectively treats lymphedema CDT can help prevent lymphedema CDT therapists a great resource on topic of lymphedema, scar and radiation field tissue adhesions, cancer rehabilitation We re here to help!

19 Resources Lists of CDT Therapists: Lymphovenous Association of Ontario Toronto Lymphocare Centre

20 A copy of this talk Lymphedema educational material Self-Massage Video Lymphedema Blog: hot topics and latest research Resources Toronto Physiotherapy On-line Resources:

21 Thank you! Lindsay Davey, MScPT, MSc, CDT

Lymphoedema following treatment for breast cancer

Lymphoedema following treatment for breast cancer MAY 2007 INFORMATION ABOUT Lymphoedema following treatment for breast cancer This information has been developed to help you understand the signs and symptoms of lymphoedema following treatment for breast

More information

LYMPHOEDEMA AFTER BREAST CANCER. What is lymphoedema? Risk factors Possible signs of lymphoedema Reduce your risk

LYMPHOEDEMA AFTER BREAST CANCER. What is lymphoedema? Risk factors Possible signs of lymphoedema Reduce your risk LYMPHOEDEMA AFTER BREAST CANCER Contents: What is lymphoedema? Risk factors Possible signs of lymphoedema Reduce your risk Anyone who has had breast cancer surgery or surgery combined with radiation therapy

More information

How to Do Self Lymphatic Massage on your Upper Body

How to Do Self Lymphatic Massage on your Upper Body How to Do Self Lymphatic Massage on your Upper Body UHN For patients who were treated for breast cancer on one side of their body. For example: Lumpectomy Mastectomy Lymph node removal from an underarm

More information

Exercise After Breast Surgery. Post Mastectomy Therapy

Exercise After Breast Surgery. Post Mastectomy Therapy Exercise After Breast Surgery Post Mastectomy Therapy Dear Patient, Breast cancer is a journey and you have made it this far successfully. This booklet will help you continue your journey to recovery.

More information

Self- Lymphatic Massage for Arm, Breast or Trunk Lymphedema

Self- Lymphatic Massage for Arm, Breast or Trunk Lymphedema Self- Lymphatic Massage for Arm, Breast or Trunk Lymphedema Patient Education Improving health through education The lymphatic system is part of our circulatory system. It helps balance the fluids of our

More information

LYMPHEDEMA Self-Care Guide

LYMPHEDEMA Self-Care Guide Self-Care Guide What is Lymphedema? Lymphedema is a condition in which fluid and protein accumulate in the extravascular interstitial spaces of a limb. This condition is the most chronic complication after

More information

Physiotherapy Care and Lymphoedema

Physiotherapy Care and Lymphoedema Page 1 of 5 Physiotherapy Care and Lymphoedema What is lymphoedema? Lymphoedema is a chronic swelling which can affect any part of the body, although it is most commonly seen in an arm or a leg. What causes

More information

Lymphedema of the Head and Neck After Surgery or Radiation

Lymphedema of the Head and Neck After Surgery or Radiation PATIENT EDUCATION patienteducation.osumc.edu Lymphedema of the Head and Neck After Surgery or Radiation The lymph system helps to get rid of waste products from your cells and helps your body fight infection.

More information

Exercise and advice after breast cancer surgery

Exercise and advice after breast cancer surgery Exercise and advice after breast cancer surgery Irving Building Physiotherapy All Rights Reserved 2015. Document for issue as handout. Role of the physiotherapist Exercises for the first week following

More information

Information for patients Exercise and advice after breast cancer surgery

Information for patients Exercise and advice after breast cancer surgery Information for patients Exercise and advice after breast cancer surgery Physiotherapy Salford Royal NHS Foundation Trust Stott Lane, Salford, M6 8HD Telephone: 0161 206 5328 Page 1 of 5 Role of the physiotherapist

More information

Lymphedema: What Every Woman With Breast Cancer Should Know Hand and Arm Care After Surgery or Radiation Therapy for Breast Cancer

Lymphedema: What Every Woman With Breast Cancer Should Know Hand and Arm Care After Surgery or Radiation Therapy for Breast Cancer Lymphedema: What Every Woman With Breast Cancer Should Know Hand and Arm Care After Surgery or Radiation Therapy for Breast Cancer What is lymphedema? Lymphedema (limf-uh-dee-muh) is a build-up of lymph

More information

Water is it good for your Lymphedema?

Water is it good for your Lymphedema? Water is it good for your Lymphedema? Mrs. G's birthday is coming up and her husband decided to surprise her with a gift a pampering day in a spa. His wife was pleased, yet concerned. She did not know

More information

reach vanderbilt-ingram cancer center lymphedema

reach vanderbilt-ingram cancer center lymphedema lymphedema what is the lymph system? Our bodies have a network of lymph vessels and nodes that drain and carry lymph fluid much the same way that blood vessels move blood through the body. Lymph fluid

More information

Lymphoedema what you need to know

Lymphoedema what you need to know Lymphoedema what you need to know Lymphoedema what you need to know Lymphoedema what you need to know First edition published in 2008 by: National Breast and Ovarian Cancer Centre* Third edition published

More information

Lymph Node Dissection

Lymph Node Dissection Lymph Node Dissection What is a lymph node dissection? Lymph node dissection is a surgery to remove lymph nodes. This can be done for axillary lymph nodes which are under and around the armpit, inguinal

More information

Understanding Rehabilitation and Recovery After Breast. Sharon Leslie PT, DPT Palo Alto Medical Foundation

Understanding Rehabilitation and Recovery After Breast. Sharon Leslie PT, DPT Palo Alto Medical Foundation Understanding Rehabilitation and Recovery After Breast Surgery Sharon Leslie PT, DPT Palo Alto Medical Foundation Cancer is one of the few diseases where a patient goes in feeling reasonably well and emerges

More information

Sentinel Lymph Node Biopsy: An Information Guide for Patients

Sentinel Lymph Node Biopsy: An Information Guide for Patients Sentinel Lymph Node Biopsy: An Information Guide for Patients Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified healthcare

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 20 LYMPHEDEMA DIAGNOSIS AND THERAPY Original authors: Audrea Cheville, Cindy Felty, Gail L. Gamble, Peter Gloviczki, Thom W. Rooke, David Strick Abstracted by Raghu Motaganahalli Introduction Lymphedema

More information

BREAST OEDEMA. Breast swelling following treatment for cancer

BREAST OEDEMA. Breast swelling following treatment for cancer BREAST OEDEMA Breast swelling following treatment for cancer Introduction This fact sheet gives information about swelling (oedema) of the breast (or remaining breast tissue) following breast cancer treatment.

More information

Helping you manage symptoms and side effects associated with metastatic breast cancer treatment

Helping you manage symptoms and side effects associated with metastatic breast cancer treatment Helping you manage symptoms and side effects associated with metastatic breast cancer treatment 2015 AstraZeneca. All rights reserved. 3156710 Last Updated 9/15 with metastatic breast cancer treatment

More information

Understanding Your Surgical Options For Breast Cancer

Understanding Your Surgical Options For Breast Cancer RADIATION THERAPY SYMPTOM MANAGEMENT CANCER INFORMATION Understanding Your Surgical Options For Breast Cancer In this booklet you will learn about: Role of surgery in breast cancer diagnosis and treatment

More information

Liposuction helped shrink my agonising swollen leg: How lipo is relieving a chronic lymph problem affecting thousands

Liposuction helped shrink my agonising swollen leg: How lipo is relieving a chronic lymph problem affecting thousands dailymail.co.uk ORIGINAL PAGE Liposuction helped shrink my agonising swollen leg: How lipo is relieving a chronic lymph problem affecting thousands by ANGELA BROOKS AUG. 21, 2012 By Angela Brooks PUBLISHED:

More information

Surgery for breast cancer in men

Surgery for breast cancer in men Surgery for breast cancer in men This information is an extract from the booklet Understanding breast cancer in men. You may find the full booklet helpful. We can send you a free copy see page 9. Contents

More information

Patient Guide to Lymphedema and Breast Cancer

Patient Guide to Lymphedema and Breast Cancer Patient Guide to Lymphedema and Breast Cancer Marcia Pearl, PT, PhD, CLT Jill Binkley, PT, MSc Cathy Furbish, PT, DPT Overview and Facts: Definition: Lymphedema is an abnormal accumulation of lymphatic

More information

Cecilia de Villiers Lead Oncology Physiotherapist Cancer Centre London/Parkside Hospital

Cecilia de Villiers Lead Oncology Physiotherapist Cancer Centre London/Parkside Hospital Cecilia de Villiers Lead Oncology Physiotherapist Cancer Centre London/Parkside Hospital Why Physiotherapy?? Consider the effects of the cancer itself. Consider the possible physical and emotional effects

More information

Breast Cancer Radiation Therapy: What You Need to Know

Breast Cancer Radiation Therapy: What You Need to Know Breast Cancer Radiation Therapy: What You Need to Know The information in this pamphlet is for patients, family members and caregivers. What is radiation treatment? Radiation treatment uses high energy

More information

THORACIC OUTLET SYNDROME & BRACHIAL PLEXUS INJURIES

THORACIC OUTLET SYNDROME & BRACHIAL PLEXUS INJURIES THORACIC OUTLET SYNDROME & BRACHIAL PLEXUS INJURIES I. THORACIC OUTLET SYNDROME TOS is a compression of nerves or blood vessels, or both, in the thoracic outlet region, which is the space between the collarbone

More information

Breast Cancer Surgery

Breast Cancer Surgery Breast Cancer Surgery PROOF Index page Introduction... 2 Breast Anatomy... 3 Breast surgery... 4 Breast conserving surgery.. 4 Mastectomy... 5 Axillary node dissection... 6 Breast reconstructive surgery...

More information

The lymph system. Part of your body, like your arm, leg, belly, or genitals, feels full or heavy

The lymph system. Part of your body, like your arm, leg, belly, or genitals, feels full or heavy Understanding Lymphedema For Cancers Other Than Breast Cancer What is lymphedema? Lymphedema (limf-uh-dee-muh) is a build-up of lymph (limf) fluid in the fatty tissues just under the skin. This build-up

More information

Mosby s PATHOLOGY for Massage Therapists. Lesson 9.1 Objectives. Chapter 9 Lymphatic and Immune Pathologies. Lymphatic System Overview

Mosby s PATHOLOGY for Massage Therapists. Lesson 9.1 Objectives. Chapter 9 Lymphatic and Immune Pathologies. Lymphatic System Overview Mosby s PATHOLOGY for Massage Therapists Chapter 9 Lymphatic and Immune Pathologies Lesson 9.1 Objectives Discuss anatomic structures and physiologic processes related to the lymphatic system. Describe

More information

Information for patients. Lymphoedema. Sheffield Vascular Institute. Northern General Hospital

Information for patients. Lymphoedema. Sheffield Vascular Institute. Northern General Hospital Information for patients Lymphoedema Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Lymphoedema. This leaflet explains more about Lymphoedema and answers some

More information

Recurrent Varicose Veins

Recurrent Varicose Veins Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains

More information

PATIENT INFORMATION. Radiotherapy following Breast Conservation Surgery. Liverpool & Campbelltown Cancer Therapy Centres

PATIENT INFORMATION. Radiotherapy following Breast Conservation Surgery. Liverpool & Campbelltown Cancer Therapy Centres PATIENT INFORMATION Radiotherapy following Breast Conservation Surgery Liverpool & Campbelltown Cancer Therapy Centres 1. Introduction This booklet is to assist you with information related to the treatment

More information

Carpal Tunnel Release

Carpal Tunnel Release Carpal Tunnel Release Carpal tunnel syndrome is a condition in the hand and wrist caused by excessive pressure on the median nerve in the wrist. Compression of the nerve typically causes numbness and tingling

More information

Exercises after Breast Surgery

Exercises after Breast Surgery Exercises after Breast Surgery This guide is for anyone who s had surgery for breast cancer. Breast cancer happens mainly in women, but each year a small number of men are also diagnosed. We sometimes

More information

Tennis Elbow Rehabilitation Program

Tennis Elbow Rehabilitation Program Tennis Elbow Rehabilitation Program Purpose: An effective program for using Powerball in the direct treatment of Lateral Epicondylitis Tennis Elbow. This is a painful condition typically aggravated by

More information

Functional Rehab After Breast Cancer Surgery

Functional Rehab After Breast Cancer Surgery Functional Rehab After Breast Cancer Surgery Princess Margaret A guide for patients who had a Lumpectomy, Mastectomy, Sentinel node biopsy or Axillary node dissection Read this information to learn: how

More information

Surgery Choices. National Cancer Institute. For Women with DCIS or Breast Cancer. National Institutes of Health

Surgery Choices. National Cancer Institute. For Women with DCIS or Breast Cancer. National Institutes of Health National Cancer Institute Surgery Choices For Women with DCIS or Breast Cancer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health The National Cancer Institute is grateful for our

More information

Lymph Node Dissection for Penile Cancer

Lymph Node Dissection for Penile Cancer Lymph Node Dissection for Penile Cancer Exceptional healthcare, personally delivered Removal of Lymph Nodes Why are the Lymph Nodes so important when I have penile cancer? Lymph nodes are small bean shaped

More information

Information for Patients Receiving Radiation Therapy: Breast Cancer or Ductal Carcinoma in Situ (DCIS) of the Breast

Information for Patients Receiving Radiation Therapy: Breast Cancer or Ductal Carcinoma in Situ (DCIS) of the Breast Information for Patients Receiving Radiation Therapy: Breast Cancer or Ductal Carcinoma in Situ (DCIS) of the Breast Why is radiation therapy used to treat breast cancer or DCIS? Breast cancer or DCIS

More information

Groin or inguinal lymph node dissection

Groin or inguinal lymph node dissection Department of plastic surgery Groin or inguinal lymph node dissection Groin lymph node dissection The surgery you are going to have is called groin or inguinal lymph node dissection. This means removing

More information

Breast Implants: Local Complications and Adverse Outcomes

Breast Implants: Local Complications and Adverse Outcomes Breast Implants: Local Complications and Adverse Outcomes This booklet highlights the most common problems associated with silicone gel-filled and saline-filled breast implants: those that occur in the

More information

LYMPHOEDEMA A PATIENT GUIDE

LYMPHOEDEMA A PATIENT GUIDE LYMPHOEDEMA A PATIENT GUIDE What is Lymphoedema? Lymphoedema is a chronic swelling of parts of the body, caused by a build up of fluid (lymph) in the tissues. It can happen as a result of damage or disruption

More information

ARTHRITIS INTRODUCTION

ARTHRITIS INTRODUCTION ARTHRITIS INTRODUCTION Arthritis is the most common disease affecting the joints. There are various forms of arthritis but the two that are the most common are osteoarthritis (OA), and rheumatoid arthritis

More information

Cellulitis. Patient information Leaflet. Leaflet no: GMed 005 Version 1.2

Cellulitis. Patient information Leaflet. Leaflet no: GMed 005 Version 1.2 Cellulitis Patient information Leaflet Leaflet no: GMed 005 Version 1.2 October 2013 What is Cellulitis? Cellulitis is a bacterial infection of the deep layer of skin (dermis) and the layer of fat and

More information

LYMPHEDEMA DIAGNOSIS AND TREATMENT COST SAVING ACT. HR 2499, 112th Congress REPRESENTATIVE LARRY KISSELL (NC-8)

LYMPHEDEMA DIAGNOSIS AND TREATMENT COST SAVING ACT. HR 2499, 112th Congress REPRESENTATIVE LARRY KISSELL (NC-8) LYMPHEDEMA DIAGNOSIS AND TEATMENT COST SAVING ACT H, 11th Congress EPESENTATIVE LAY KISSELL (NC-8) ENDOSED BY: The American Cancer Society Komen Advocacy Alliance LiveSTONG Oncology Nursing Society The

More information

Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction

Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction About This Brochure This brochure is intended to provide you with a high level overview of the facts about

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

Blepharoplasty - Eyelid Surgery

Blepharoplasty - Eyelid Surgery Blepharoplasty - Eyelid Surgery Introduction Eyelid surgery repairs sagging or drooping eyelids. The surgery is also known as blepharoplasty, or an eyelid lift. Sagging or drooping eyelids happen naturally

More information

dedicated to curing BREAST CANCER

dedicated to curing BREAST CANCER dedicated to curing BREAST CANCER When you are diagnosed with breast cancer, you need a team of specialists who will share their knowledge of breast disease and the latest treatments available. At Cancer

More information

Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment

Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment I ve had breast cancer treatment, and now I m having pain. Does this mean the cancer

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Elbow Injuries and Disorders

Elbow Injuries and Disorders Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that

More information

THORACIC OUTLET SYNDROME

THORACIC OUTLET SYNDROME THORACIC OUTLET SYNDROME The Problem The term thoracic outlet syndrome is used to describe a condition of compression of the nerves and/or blood vessels in the region around the neck and collarbone, called

More information

Groin dissection. This leaflet describes the removal of lymph nodes in the groin

Groin dissection. This leaflet describes the removal of lymph nodes in the groin Groin dissection How can I help reduce healthcare associated infections? Infection control is important to the well-being of our patients and for that reason we have infection control procedures in place.

More information

REHABILITATION SERVICES

REHABILITATION SERVICES REHABILITATION SERVICES S O U T H A M P T O N H O S P I T A L C o m m i t t e d to E xc e l l e n c e, to C o m m u n i t y, a n d to Yo u. A c ute C a r e R e h a b i l itati o n C a r d i o p u l m o

More information

BREAST CANCER WHAT ARE MY SURGICAL OPTIONS?

BREAST CANCER WHAT ARE MY SURGICAL OPTIONS? BREAST CANCER WHAT ARE MY SURGICAL OPTIONS? Contents: The aims of surgery Know your surgical options Breast reconstruction Questions to ask your surgeon The aims of surgery Every woman is different and

More information

Sports Injury Treatment

Sports Injury Treatment Sports Injury Treatment Participating in a variety of sports is fun and healthy for children and adults. However, it's critical that before you participate in any sport, you are aware of the precautions

More information

Early Education, Exercise and CDT Following Radiation Therapy for Breast Cancer

Early Education, Exercise and CDT Following Radiation Therapy for Breast Cancer Early Education, Exercise and CDT Following Radiation Therapy for Breast Cancer By Linda Boyle, PT, DPT, CLT-LANA OUTLINE FOR CASE PRESENTATIONS I. Reason for presenting case Patients receiving external

More information

Throughout this reference summary, you will find out what massage therapy is, its benefits, risks, and what to expect during and after a massage.

Throughout this reference summary, you will find out what massage therapy is, its benefits, risks, and what to expect during and after a massage. Massage Therapy Introduction Massage therapy is the manipulation of the soft tissues of the body, including the skin, tendons, muscles and connective tissue by a professional, for relaxation or to enhance

More information

A Patient s Guide to Guyon s Canal Syndrome

A Patient s Guide to Guyon s Canal Syndrome A Patient s Guide to DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or

More information

HOW TO CHECK YOUR LYMPH NODES

HOW TO CHECK YOUR LYMPH NODES HOW TO CHECK YOUR LYMPH NODES What are the aims of this leaflet? This leaflet has been written to help you to understand more about how to check your lymph nodes yourself. It tells you why you should be

More information

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments

More information

Lymphedema Education. Our core values: Dignity Collaboration Justice Stewardship Excellence

Lymphedema Education. Our core values: Dignity Collaboration Justice Stewardship Excellence Arroyo Grande Community Hospital French Hospital Medical Center Marian Regional Medical Center Lymphedema Education Our core values: Dignity Collaboration Justice Stewardship Excellence The art of healing

More information

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor.

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor. Breast Cancer Introduction Cancer of the breast is the most common form of cancer that affects women but is no longer the leading cause of cancer deaths. About 1 out of 8 women are diagnosed with breast

More information

Breast Cancer Rehabilitation Therapy. Focusing on Your Recovery

Breast Cancer Rehabilitation Therapy. Focusing on Your Recovery Breast Cancer Rehabilitation Therapy Focusing on Your Recovery Northwestern Medicine Breast Cancer Rehabilitation The right place for breast cancer rehabilitation With breast cancer surgery behind you,

More information

Stronger than Before: Focus on Exercise after Breast Cancer Treatment

Stronger than Before: Focus on Exercise after Breast Cancer Treatment Stronger than Before: Focus on Exercise after Breast Cancer Treatment Sharon Cowden MD Janette Poppenberg: ACSM Certified Health/Fitness Instructor, Cancer Exercise Trainer Amanda Kulifay: DPT, CLT-LANA

More information

Promote health and well-being through therapeutic techniques, products that support the lymph system and client education. Lymphatic Enhancement

Promote health and well-being through therapeutic techniques, products that support the lymph system and client education. Lymphatic Enhancement Promote health and well-being through therapeutic techniques, products that support the lymph system and client education. Lymphatic Enhancement The Lymphatic System Our first exposure to the lymphatic

More information

Wrist Fracture. Please stick addressograph here

Wrist Fracture. Please stick addressograph here ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING WRIST FRACTURE Please stick addressograph

More information

Breast Cancer Surgery Education Program

Breast Cancer Surgery Education Program Breast Cancer Surgery Education Program Purpose & Objectives Purpose: To prepare patients and their families to care for themselves after breast cancer surgery. Objectives: 1. To describe post operative

More information

Neck Pain Frequently Asked Questions. Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789)

Neck Pain Frequently Asked Questions. Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789) Neck Pain Frequently Asked Questions Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789) Neck Pain Human Spine 25 bones Cervical (7) Thoracic (12) Lumbar (5) Sacrum Human Spine

More information

Physiotherapy in Rheumatoid Arthritis. Information for patients Gina Wall Senior Physiotherapist

Physiotherapy in Rheumatoid Arthritis. Information for patients Gina Wall Senior Physiotherapist Physiotherapy in Rheumatoid Arthritis Information for patients Gina Wall Senior Physiotherapist What do Physiotherapists do? We conduct assessments by asking detailed questions about your symptoms, medical

More information

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause Tennis Elbow (Lateral Epicondylitis) Page ( 1 ) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can

More information

X-Plain Rheumatoid Arthritis Reference Summary

X-Plain Rheumatoid Arthritis Reference Summary X-Plain Rheumatoid Arthritis Reference Summary Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating

More information

Therapeutic Canine Massage

Therapeutic Canine Massage Meet our Certified Canine Massage Therapist, Stevi Quick After years of competitive grooming and handling several breeds in conformation, I became interested in training and competing with my dogs in the

More information

Breast Cancer. Breast Cancer Page 1

Breast Cancer. Breast Cancer Page 1 Breast Cancer Summary Breast cancers which are detected early are curable by local treatments. The initial surgery will give the most information about the cancer; such as size or whether the glands (or

More information

Get Rid of Elbow Pain

Get Rid of Elbow Pain Get Rid of Elbow Pain Self Regional Healthcare Optimum Life Center 115 Academy Avenue Greenwood, SC 29646 Office: (864) 725-7088 Self Regional Healthcare Physical Therapy Savannah Lakes 207 Holiday Road

More information

Obesity: Skin Problems and Care

Obesity: Skin Problems and Care Faculty Obesity: Skin Problems and Care Jacqueline Giddens, RN, MSN, WOCN, CWCCN Clinical Nurse Consultant Alabama Department of Public Health Satellite Conference and Live Webcast Wednesday, May 23, 2012

More information

X-Plain Breast Cancer Reference Summary

X-Plain Breast Cancer Reference Summary X-Plain Breast Cancer Reference Summary The risk of breast cancer among Asian Americans living in the U.S. is relatively low compared to caucasian women. However, there is concern that the risk of breast

More information

Shoulder Problems-Overview

Shoulder Problems-Overview Shoulder Problems-Overview Shoulder Arthritis Rotator Cuff Shoulder Instability Shoulder Arthroscopy Shoulder Problems - Rotator Cuff Tear Printer Friendly PDF Questions and Answers What is the rotator

More information

Blood, Lymphatic and Immune Systems

Blood, Lymphatic and Immune Systems Component 3-Terminology in Healthcare and Public Health Settings Unit 4-Blood, Lymphatic and Immune Systems This material was developed by The University of Alabama at Birmingham, funded by the Department

More information

Health Questionnaire for Massage Therapy

Health Questionnaire for Massage Therapy Health Questionnaire for Massage Therapy This form to be completed and brought in prior to receiving massage at SkinLife By Lesa. Contact Information Name : Last First D.O. B / / ( MM / DD / YYYY ) Occupation

More information

The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes

The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Information for patients Introduction This leaflet is for people who have had surgery for

More information

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins

More information

Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns

Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns Overview: A catastrophic injury or illness usually occurs suddenly and without warning. Injuries may be considered catastrophic when they

More information

Liposuction. Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body.

Liposuction. Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body. Liposuction Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body. You may be considering having liposuction. The decision to have liposuction

More information

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause Tennis Elbow (Lateral Epicondylitis) Page ( 1 ) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can

More information

Lexi Harlow, DPT, CLT Physical Therapy Department Seattle Cancer Care Alliance June 26 th, 2010

Lexi Harlow, DPT, CLT Physical Therapy Department Seattle Cancer Care Alliance June 26 th, 2010 Lexi Harlow, DPT, CLT Physical Therapy Department Seattle Cancer Care Alliance June 26 th, 2010 Presentation Topics 1) What are the benefits of exercise? 2) How can exercise help cancer survivors? 3) What

More information

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available. Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against

More information

Guide to Understanding Breast Cancer

Guide to Understanding Breast Cancer An estimated 220,000 women in the United States are diagnosed with breast cancer each year, and one in eight will be diagnosed during their lifetime. While breast cancer is a serious disease, most patients

More information

Whiplash Associated Disorder

Whiplash Associated Disorder Whiplash Associated Disorder Bourassa & Associates Rehabilitation Centre What is Whiplash? Whiplash is a non-medical term used to describe neck pain following hyperflexion or hyperextension of the tissues

More information

Nails Diseases and Problems

Nails Diseases and Problems Nails Diseases and Problems Introduction Your toenails and fingernails protect the tissues of your toes and fingers. The health of your nails can be a clue to your overall health. There are many diseases

More information

Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS

Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS Overview My Background Podiatry: What it was, What it is today Common Ailments of the Foot and Ankle Conservative and Surgical

More information

HEAT ILLNESS PREVENTION PLAN FOR SUTTER COUNTY SUPERINTENDENT OF SCHOOLS

HEAT ILLNESS PREVENTION PLAN FOR SUTTER COUNTY SUPERINTENDENT OF SCHOOLS HEAT ILLNESS PREVENTION PLAN FOR SUTTER COUNTY SUPERINTENDENT OF SCHOOLS TABLE OF CONTENTS 1.0 Purpose... 1 2.0 Heat Illness Prevention... 2 2.1 Heat Stroke... 2 2.2 Heat Exhaustion... 2 2.3 Heat Cramps...

More information

CARDIAC REHABILITATION Follow-up Options & Dismissal Instructions Myocardial Infarction & Angioplasty

CARDIAC REHABILITATION Follow-up Options & Dismissal Instructions Myocardial Infarction & Angioplasty CARDIAC REHABILITATION Follow-up Options & Dismissal Instructions Myocardial Infarction & Angioplasty For patients with: Myocardial infarction with catheterization Myocardial infarction with medical management

More information

Mediastinoscopy: Lymph Node Biopsy

Mediastinoscopy: Lymph Node Biopsy Mediastinoscopy: Lymph Node Biopsy When You Need Mediastinoscopy Your doctor thinks that you have a lung problem. Something suspicious may have been found on a test. Your doctor now recommends that you

More information

The main surgical options for treating early stage cervical cancer are:

The main surgical options for treating early stage cervical cancer are: INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

Exercises after breast or upper body lymph node surgery

Exercises after breast or upper body lymph node surgery Exercises after breast or upper body lymph node surgery Surgery may limit the strength and movement of your arm. These exercises are helpful if you have had: breast surgery with or without lymph node removal

More information