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Lymphedema: What Every Woman With Breast Cancer Should Know

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How to reduce swelling after surgery or radiation

Right after surgery, the affected arm or breast area may swell. This swelling is usually short-term and slowly goes away over the next 6 to 12 weeks. These tips may help ease the swelling:

  • Use your affected arm as you normally would when combing your hair, bathing, dressing, and eating.
  • Put your affected arm above the level of your heart 2 or 3 times a day and keep it there for 45 minutes. Lie down to do this, and fully support your arm. Place your arm up on pillows so that your hand is higher than your wrist and your elbow is a little higher than your shoulder.
  • Exercise your affected arm while it is supported above the level of your heart by opening and closing your hand 15 to 25 times. Repeat this 3 to 4 times a day. This exercise helps reduce swelling by pumping lymph fluid out of the arm through the undamaged lymph vessels.
  • To get back your normal shoulder and arm movement, start exercising your affected arm about a week after your surgery. But talk to your doctor, nurse, or physical therapist before doing any exercises. For most people, normal range of motion returns within 4 to 6 weeks.
  • Keep in mind that the arm may swell if you have radiation therapy after surgery, and the swelling may last longer than normal. Radiation may also cause some swelling in the chest and breast toward the end of the treatment. In most cases, this swelling is short-term and will slowly go away. During treatment and up to 18 months afterward, you should do simple stretching exercises each day to keep full movement in your chest, arm, and shoulder.

Last Medical Review: 10/25/2010
Last Revised: 10/24/2011

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