Lymphedema After Breast Cancer Surgery Myths Explained - Part 2: Flying, Body Weight, and more

There are many controversial recommendations circulating about lymphedema risk after breast cancer surgery, such as a mastectomy or lumpectomy. What causes lymphedema after breast cancer surgery? What is true and what is not? Why is there so much confusion? In today's video, which is part 2 of a series, we are going to go through 3 different myths about lymphedema after breast cancer surgery. Does Flying cause lymphedema? Does lymphatic drainage or wearing a compression sleeve after surgery reduce the risk of lymphedema? Does body weight or BMI matter for lymphedema risk after breast cancer surgery?
𝐋𝐨𝐨𝐤𝐢𝐧𝐠 𝐟𝐨𝐫 𝐋𝐲𝐦𝐩𝐡𝐚𝐭𝐢𝐜 𝐃𝐫𝐚𝐢𝐧𝐚𝐠𝐞 𝐨𝐫 𝐄𝐱𝐞𝐫𝐜𝐢𝐬𝐞 𝐏𝐫𝐢𝐧𝐭𝐚𝐛𝐥𝐞?
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00:00 Intro
01:01 Flying
3:24 Lymphatic Drainage and Compression after Surgery
06:08 Body Weight or Obesity
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Ferguson, CM, et al. Impact of Ipsilateral Blood Draws, Injections, Blood Pressure Measurements, and Air Travel on the Risk of Lymphedema for Patients Treated for Breast Cancer. Journal of Clinical Oncology. (2016) March 1l 34(7):691-698.www.ncbi.nlm.nih.gov/pmc/arti...
Kilbreath SL, Ward LC, Lane K, McNeely M, Dylke ES, Refshauge KM, McKenzie D, Lee MJ, Peddle C, Battersby KJ. Effect of air travel on lymphedema risk in women with history of breast cancer. Breast Cancer Res Treat. 2010;120:649-54.
Gillespie TC, Sayegh HE, Brunelle CL, Daniell KM, Taghian AG. Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments. Gland Surg. 2018;7(4):379-403. doi:10.21037/gs.2017.11.04
Asdourian, MS, et al. Association Between Precautionary Behaviors and Breast Cancer-Related Lymphedema in Patients Undergoing Bilateral Surgery. Journal of Clinical Oncology. (2017) Dec 10;35(35):3934-3941. www.ncbi.nlm.nih.gov/pubmed/2...
Co, M, et al. Air Travel Safety in Postoperative Breast Cancer Patients: A Systematic Review. Clinical Breast Cancer. (2018) Oct;18(5):e813-e817.

Claire Davies, Kimberly Levenhagen, Kathryn Ryans, Marisa Perdomo, Laura Gilchrist, Interventions for Breast Cancer-Related Lymphedema: Clinical Practice Guideline From the Academy of Oncologic Physical Therapy of APTA, Physical Therapy, Volume 100, Issue 7, July 2020, Pages 1163-1179.
Devoogdt N, Christiaens M, Geraerts I, Truijen S, Smeets A, Leunen K et al. Effect of manual lymph drainage in addition to guidelines and exercise therapy on arm lymphoedema related to breast cancer: randomised controlled trial BMJ 2011; 343
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THE CONTENT OF THIS VIDEO DOES NOT REPLACE THE CARE OF PHYSICAL THERAPISTS OR OTHER HEALTHCARE PROFESSIONALS. THIS VIDEO CONTENT IS IN NO WAY TO BE CONSTRUED OR SUBSTITUTED AS PHYSICAL THERAPY OR ANY OTHER TYPE MEDICAL ADVICE, BUT IS FOR GENERAL EDUCATION aND DEMONSTRATION ONLY. THESE MOVES MAY NOT BE APPROPRIATE FOR YOUR SPECIFIC SITUATION, SO GET APPROVAL AND GUIDANCE FROM YOUR OWN HEALTHCARE PROVIDER BEFORE BEGINNING. PERFORM AT YOUR OWN RISK. DON'T USE THIS CONTENT TO SELF-DIAGNOSE OR SELF-TREAT ANY HEALTH, MEDICAL, OR PHYSICAL CONDITION. YOU AGREE TO HOLD HARMLESS AND INDEMNIFY CANCER REHAB PT LLC FOR ANY AND ALL LOSSES INJURIES, OR DAMAGES RESULTING FROM ANY AND ALL CLAIMS THAT ARISE FROM YOUR USE OR MISUSE OF THIS CONTENT.ALL CONTENT OR RECOMMENDATIONS ON THE COMPANY’S WEBSITE, SOCIAL MEDIA, BLOG, OR EMAIL SERIES AND CANCER REHAB PT LLC's COMMENTS ARE EXPRESSIONS OF OPINION ONLY.

[@fromindramayucity7892]

Good video

[@cynthiaong5277]

Would appreciate if you can share Part I of this topic. I think I have missed it. Thank you.

[@cynthiaong5277]

Thanks for the valuable information. Any advices to reduce weight which can help lymphedema condition?

[@direland8484]

Hi. My question #1 -can get in a sauna if lymph nodes have been renewed? #2 - why can we not use a heating pad (ie causing swelling in the area)?
Thank you.

[@direland8484]

One more question - if you haven’t had an issue after surgery for over 5 years are you considered safe/clear from every developing lymphedema?

[@Baronesssa]

If lymph nodes were removed, the risk exists even years after surgery. I've met patients who had had their surgery more than 10 years ago, thought they were "safe" now, did the things they weren't supposed to (like carrying heavy stuff) and developed serious lymphedema.