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Wednesday, 13 November 2013

Researchers test bandaging for swollen arm




As a complication of treatment, breast cancer patients may develop swelling in the arm, called lymphedema, which can last a long time.


But there's no difference if simple compression bandages or a complicated daily lymphatic massage are used as treatment, McMaster University researchers have found.


"In the future, patients who receive or can only afford elastic sleeves and gloves should be comforted knowing that their care has not been compromised," said Dr. Ian Dayes, associate professor of oncology for the Michael G. DeGroote School of Medicine and principal investigator of the study.


The research was published in the Journal of Clinical Oncology.


The arm swelling is a complication affecting six to 30 per cent of and can result in discomfort, reduction of , infection and emotional upset. Patients who are obese, have infection or additional surgery or radiation are more likely to have the swelling complication which can last indefinitely.


The research team followed more than 100 women at six Canadian centres for a full year. One group wore elastic compression sleeve and glove garments on the arm for 12 waking hours a day.


The other group received an hour of lymphatic drainage massage from trained therapists each weekday for four weeks along with exercise and skin care. Participants had compression bandages left on the arm and hand for the rest of the 24-hour day. After the month of treatment, these wore an elastic compression sleeve and glove for daytime wear, the same as the first group.


Regular measurements of arm volume, arm function and quality of life were taken, but no appreciative difference was found between the treatments.



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As a complication of treatment, breast cancer patients may develop swelling in the arm, called lymphedema, which can last a long time.


But there's no difference if simple compression bandages or a complicated daily lymphatic massage are used as treatment, McMaster University researchers have found.


"In the future, patients who receive or can only afford elastic sleeves and gloves should be comforted knowing that their care has not been compromised," said Dr. Ian Dayes, associate professor of oncology for the Michael G. DeGroote School of Medicine and principal investigator of the study.


The research was published in the Journal of Clinical Oncology.


The arm swelling is a complication affecting six to 30 per cent of and can result in discomfort, reduction of , infection and emotional upset. Patients who are obese, have infection or additional surgery or radiation are more likely to have the swelling complication which can last indefinitely.


The research team followed more than 100 women at six Canadian centres for a full year. One group wore elastic compression sleeve and glove garments on the arm for 12 waking hours a day.


The other group received an hour of lymphatic drainage massage from trained therapists each weekday for four weeks along with exercise and skin care. Participants had compression bandages left on the arm and hand for the rest of the 24-hour day. After the month of treatment, these wore an elastic compression sleeve and glove for daytime wear, the same as the first group.


Regular measurements of arm volume, arm function and quality of life were taken, but no appreciative difference was found between the treatments.



Medical Xpress on facebook

Related Stories


Breast cancer surgery linked to swollen arm syndrome


Aug 06, 2013



Breast cancer survivors who have extensive surgery are four times more likely to develop the debilitating disorder arm lymphoedema, a QUT study has found.



How women can improve their quality of life after breast cancer treatment


Nov 06, 2008



Opting for less damaging treatments, staying active and learning about the warning signs of lymphedema: that's how women with breast cancer can avoid developing chronic lymphedema, according to the German Institute for Quality ...



MU researchers recommend exercise for breast cancer survivors, lymphedema patients


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Lymphedema, a chronic swelling condition common in breast cancer survivors, affects three million people in the U.S. In the past, most people believed that exercise might induce or worsen lymphedema. After reviewing the literature, ...



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Women who have had the lymph nodes under their arm surgically removed during breast cancer treatment are warned to avoid certain practices that can cause lymphedema—a condition that causes chronic, painless swelling in ...



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6 hours ago



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