Although there are well published risk factors for developing secondary lymphedema, current research indicates that all swelling should be treated. It is well known that post-surgical swelling in the arm may resolve or progress depending on many factors. Instead of the watch and wait approach, a light compression sleeve of 20-30 mm Hg is recommended in the post-surgical period and up to three months following chemotherapy and radiation therapy. Depending on the presentation, a glove or gauntlet can be worn.
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Be aware that poorly fitting sleeves with excessive tightness in forearm or wrist can promote hand and finger swelling. It is important that you have a compression sleeve fitted to you by a compression specialist or certified lymphedema therapist. With surveillance and guidance under a certified lymphedema therapist, progression of post-surgical arm swelling can be monitored to determine continued use of a compression sleeve. Wearing of the sleeve can be during the day time.
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Exercise as Part of Rehabilitation
Moderate upper extremity exercise is an important part of post breast cancer rehabilitation and is a strong factor against developing lymphedema. Wearing compression during exercise does not prevent swelling when there is no evidence of upper extremity swelling but if wearing a sleeve, wear it during exercise.
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