Saturday, February 11, 2012
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Lymphedema and My Hands

Something I’ve dreaded has happened to me at last—lymphedema, that swelled-up hand and arm that can happen on the surgery side any time after someone’s had lymph nodes removed from under her arm. My doctors pretty much dismissed my lymphedema concerns two and a half years ago, when I had my breast cancer surgery and radiation therapies. But, large studies cited by www.cancer.gov, the Web site of the National Cancer Institute, have shown that at least a quarter of breast cancer survivors eventually experience some form of arm edema.



My physical therapist said today that she treats breast cancer survivors with arms five times normal size. My flare-up is mild in comparison. I had only four lymph nodes removed, so I am less apt to suffer an extreme attack. As I tend to do when something bad happens, I’m trying to figure out why. What did I do to cause all this pain in my hands? Did it start when I vacuumed and scrubbed ten years of dust and debris out of my conversion van? (Men, I discovered, call this “detailing”.) Was it clutching my hot pink three-pound weights while bouncing on my mini-trampoline? Maybe it began after the hours and days of computer “mousing around” required for the layouts of my next children’s book.



Whatever—about three weeks ago, I got tendonitis in both hands, a condition I’ve fought for years. I normally treat it with ice, ibuprofen, rest, and a pair of worn, black leather bowling braces that make me look more vixen than victim. This time, however, the tight wristband that cured my left hand caused edema in my right.

Welcome to yet another medical facility. Today I made my second visit to physical therapy, a large, brightly lit, friendly place bristling with complicated workout equipment. I was given a light arm and hand massage, a few sheets of photocopied exercises, and a whopping bill.  I got off easy—apparently, breast cancer lymphedema folks at my facility are often assigned nine double sessions of one and a half hours which include extensive massage, exercise, and a special compression glove and sleeve.

I’ve escaped most of that. So far. I was told that my lymphedema can recur any time. I panic when my right hand is threatened—I need it to making a living. I need it to do art, write, keyboard, cook, drive, do laundry, write checks, wash dishes, peel oranges, “detail” my apartment, comb my hair, floss my teeth, and maneuver my blankets when I turn over in bed.

These concerns are not “nothing to worry about.” My dad would have stood up for me if he were still here: Dad was a plastic surgeon who abstained from almost every form of manual labor except trout and salmon fishing. Until he retired, he couldn’t even boil water. He was very careful with his hands and even had them insured. I miss my dad. He would have understood.



Looking for More on Lymphedema and Breast Cancer?


Learn more about the incidence of edema following breast cancer treament from www.cancer.gov.
Anonymous
Anonymous
3/ 5/07 11:23am
A few years ago, I also developed tendonitis (in my right hand), and it was one of the scariest experiences I have been through.  Not only did it hurt for days, it was impossible to dress myself... hard to button things, open food storage containers, etc.  I continuously had to ask people for help, which I am bad at. I can't even imagine how much scarier it would be with lymphedema on top of all of that.  Good luck!
Anonymous
Anonymous
3/ 5/07 2:06pm
Dear Anonymous,

Thank you for your sympathy about my hands. The tendonitis began about ten years ago when I put together a futon frame with a hand screwdriver. I could not turn on a light switch the next day and was not able to work for almost a year. You're right— it is very, very scary. I hope it doesn't happen to you again. Rest, ice, ibuprofen, and a lot of patience, and so far, I've always recovered. Good luck to you.  Mary B
3/ 5/07 6:54pm
Mary, hang in there. At least you're getting it treated quickly, that's a help. Do what they say; do the exercises; try to keep it elevated (above heart level), for 45 minutes or so at a time - did they tell you that? I have confidence it'll all work out well for you. I went through the entire expensive rigmarole 2 years after surgery - and I've been "lymph-free" for 2 years now. Look for and expect a good outcome, and you're much more likely to get one! - PJH
Anonymous
Mary B
3/ 5/07 10:21pm
Thanks PJ. How encouraging. And no one did tell me about the 45-minute handraise, not even at physical therapy!  mb
Anonymous
Anonymous
4/13/07 10:23am
i have raised white lumps on the left palm
4/15/07 3:32pm
For anonymous with white lumps on her palm, please see your doctor about this! I am not a health professional and I have no idea what could cause something like that. It must be worrying you, so do take care of yourself.

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