Common conservative treatments for lymphoedema post breast cancer: A focus article

Abstract

Breast cancer is the most common type of cancer in women worldwide [1]. Breast cancer-related lymphoedema (BCRL) is a disabling complication with long term impact on quality on life after breast cancer treatment with an incidence of 2–5%in patients post sentinel node procedures [2] up to 40%following axillary lymph node dissection [3]. BCRL results in swelling of the arm, hand, and trunk which can lead to limb pain, heaviness, and altered sensation [4]. These symptoms can result in functional limitations, psychosocial distress and an overall reduction in quality of life [5]. The aim of this review is evaluate the effects of some of the more common conservative rehabilitation interventions in BCRL. Conservative interventions reviewed include early physiotherapy and exercise, Complex decongestive therapy, Manual Lymphatic Drainage, Compression, Electrotherapy & Acupuncture, Self-Treatment & Weight Management. The review may inform policies for treatment within the health service.