Lymphedema is an uncomfortable disorder in which fluid from your lymph glands drains and accumulates in the tissues of your arms or legs. Until recently, exercise was not recommended for patients with lymphedema, for fear that activity would worsen the condition. However, new research shows that exercising can be beneficial, particularly for breast cancer survivors. Talk to your doctor before beginning any exercise, and follow her precautions and guidelines for exercising with lymphedema.
Exercise Benefits
Exercising with lymphedema can help assist swollen lymph nodes to drain away from your affected area, carrying the fluid through your body to the kidneys, where it is excreted as waste. Resistance exercises approved by your doctor can increase the pumping action that moves fluid back to your chest and decreases swelling in your lymph nodes. Deep breathing is also beneficial, as it it stimulates normal lymphatic activity. The National Lymphedema Network -- NLN -- advises you wear a compression garment during exercise and that appropriate cautions are taken to prevent fatigue and overuse of your affected limbs.
Remedial Exercise
Lymphedema remedial exercise involves movements that are repetitive and non-resisted. These exercises are specifically performed to promote the proper drainage of your lymph nodes, thereby reducing swelling. Compression garments are worn during remedial exercise, and it is important to work at a mild to moderate pace, refraining from overworking your arms and legs.
Weightlifting
Performing weightlifting activities or other resistance exercises can also benefit lymphedema sufferers. According to a December 2005 study in "Lymphology," low intensity resistance exercises had no adverse effects on breast cancer survivors with lymphedema. This type of exercise actually reduced limb volume when combined with a compression sleeve. The NLN suggests you start low and increase intensity gradually, ensuring proper technique is followed. Avoid constantly gripping weights or handles and give yourself adequate rest time between sets.
Flexibility Exercises
Flexibility is extremely important in maintaining your range-of-motion and performing even the simplest of tasks. Activities like gentle yoga and Pilates emphasize breathing while stretching and strengthening your muscles and joints. Including stretching exercises before and after your workout can minimize scarring and joint contractures, potentially lessening lymph flow. Flexibility is not gained overnight; perform stretches slowly and gradually, and warm your muscles before you begin.
Aerobic Exercise
Aerobic exercise involves using large muscle groups as well as increasing your breathing and heart rates. This increase in circulation and oxygen intake encourages proper lymph flow and drainage, potentially relieving swelling. Aerobic activity can also help you manage your weight and reduce your risks for other diseases, like diabetes and heart disease. Wearing a compression sleeve is recommended. Talk to your doctor about the types of aerobic activities that are suitable for your condition.
