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Lymphedema is condition of localized fluid retention due to the inability of the lymphatic system to properly remove excess fluid from that region. Because breast cancer patients often have the lymph nodes under the arm removed as a part of their cancer treatment strategy, they are susceptible to developing lymphedema in that arm.

Stress and trauma

Lymphedema can be brought on by stress or trauma to the affected area � in this case the arm and surrounding areas. Any swelling should be noted and checked out immediately by a professional lymphedema specialist to determine if it is lymphedema. This should be followed by a proper course of action to treat it.

A manageable condition

Lymphedema is manageable. Physical and occupational therapists that are familiar with lymphedema can show you how to monitor yourself. A regimen to manage this condition may include:

• manual lymphatic therapy
• compression bandaging
• deep breathing exercises

Or, you may have an individually designed exercise program to develop flexibility and strength, created for you.

Be in the know

All breast cancer patients should ask a professional familiar with lymphedema about:

• their particular risks
• prevention
• monitoring
• treatment
• management

Recovery in Motion

Linda T. Miller has a comprehensive program for breast cancer rehabilitation called �Recovery in Motion�. It is structured in four modules, with the 4^th module dedicated to lymphedema management.

Slow and steady

Please understand that when your physical or occupational therapist designs your specific program, it will be very progressive, with very mild resistance and slow progression. The slow and steady progression is designed with lymphedema in mind - to prevent any undue stress or trauma to the area.

I would like to encourage everyone to research lymphedema thoroughly and ask plenty of questions in order to have a full understanding of this condition. If you note any swelling, seek professional medical attention immediately.