Physiotherapist calls on breast cancer survivors

Liesl Way invites breast cancer survivors to be part of a new support group. There will be other survivors who will share aspects of their breast cancer journey.

BREAST cancer survivors are invited to be part of a new support group called Abreast. They will be meeting at Red Point Church at 80a Caversham Road, Pinetown. The first meeting will be held on Saturday, November 18, from 10:00 to 12:00.

The meeting will be facilitated by Liesl Way who is a physiotherapist and certified lymphoedema therapist.

Speaking to the Highway Mail, Way said a diagnosis of breast cancer is often a formidable and overwhelming start to a journey of courage and vulnerability. A key to walking this journey with confidence is to surround oneself with supportive family and friends, as well as knowledgeable and caring healthcare providers.

Also read: Coping with mental-health struggles after a breast cancer diagnosis

She said breast cancer treatment is a vital lifesaving intervention but can lead to a complication known as secondary lymphoedema.

“The lymphatic system is responsible for helping the body to dispose of toxins and waste products. It plays a key role in our immune system and drains excess fluid from our tissues.

“Breast-cancer surgery commonly involves the removal of lymph nodes in the armpit. Radiation therapy can cause fibrosis of the lymphatic system and scar tissue in the region of the surgery.”

According to the physiotherapist, this can reduce shoulder mobility and strength and lead to poor posture which will compromise the efficiency of the lymphatic system.

“This may lead to swelling of the chest, trunk, arm or hand on the side of the treatment area. This condition is referred to as lymphoedema and affects one in five breast cancer survivors globally.”

She said that 90% of breast cancer-related lymphoedema presents within the first two years following breast cancer treatment but may develop years to decades later.

“The condition is chronic and if not identified early or managed properly, may degenerate over time and lead to skin changes and vulnerability to bacterial infection of the skin known as cellulitis.”

Symptoms and treatment 

In some cases, Way said symptoms may develop before the swelling occurs, and it is important to seek specialised advice from a certified lymphoedema therapist as soon as possible.

The early symptoms may include tingling, numbness, a feeling of tightness or heaviness and feeling constricted by clothing or jewellery.

Also read: Breast Cancer Awareness Month: Risk factors, the signs and self-examination tips

She advised that early intervention and education are key in preventing the progression of this condition.

“Lymphoedema management is multifaceted and specialised and includes advice on skincare, diet, exercise and specialised massage techniques, known as manual lymphatic drainage and compression therapy.

“The goal of treatment is two-fold: The first phase aims to reduce the swelling as much as possible and requires hands-on treatment from a lymphatic therapist. The second phase involves long-term self-monitoring and management by the patient, as well as the use of a compression garment to maintain the reduction of the affected area,” she said.

Attendance for the support group is free, but pre-booking is essential. Phone or WhatsApp us on 060 663 4398 by Monday, November 13.

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