Expert ReplyCondition analysis:
The best risk reduction is to perform less axillary surgery, and thus cause less mechanical disruption of the lymphatics. The results of the American College of Surgeons Oncology Group Z0011 trial (published Feb 2011) showed that full dissection is not always necessary even if the sentinel node is positive. If we surgeons know that a full dissection must be done, then preop evaluation by a lymphedema specialist is helpful for baseline arm measurements.
Instructions:
A diet for lymphedema consists of nutritious foods and should incorporate the following recommendations:
Lower salt intake
Eat less fats
Have two to four servings of fruits every day
Have three to five servings of vegetables every day
Eat foods with a high fiber content like whole-grain breads, cereals, fruits and vegetables
Drink plenty of water
Avoid alcohol
Do not smoke
Maintain your ideal body weight. A registered dietician can help you calculate this.
Exercise is one of the best natural remedies for lymphedema. In case of severe swelling, consult your doctor before starting any new exercise program. Low impact aerobic exercises along with activities like walking or swimming can help improve your cardiovascular fitness. Start your exercise routine with a five minute warm up and include a ten minute cooling down period at the end. Avoid lifting weights until you clear it with your doctor or therapist. Discontinue any exercise that causes sudden unexpected pain or swelling in a limb. If swelling does occur, then rest and elevate that limb.