Swelling of the feet after massage
Lymphostasis of limbs (edema of limbs, lymphodema) with cancer: skin care, exercise, massage, lymph drainage.
Lymphodema - this is a swelling of the tissues caused by lymphostasis of the extremities.
In most cases, swelling of the extremitiesdevelops after surgery for breast cancer. cancer of the pelvic organs, as a result of postoperative infection, radiation therapy, recurrence of cancer in the axillary, inguinal and pelvic areas.
Unlike other types of edema, lymphostasislimbs is associated with changes in the skin and subcutaneous tissues, especially when the surface lymphatic vessels are heavily congested or clogged. As a result of these changes, the patient has the following symptoms:
- swelling of the extremity (upper or lower);
- sensation of tension in the limbs;
- feeling of heaviness;
- pain and discomfort due to pressure on the joints and ligaments.
- lymphatic drainage (leakage of lymphatic fluid);
- keratosis (coarsening of the skin as a result of protein fibrosis and infection);
- the formation of deep folds in the skin;
- a sign of Stemler (impossibility to take the skin in the region of the limb into the fold);
The patient experiences psychological difficulties associated with changes in the shape of the body, an increase in the volume of the upper or lower limbs.
Lymphodema can not be completely cured,therefore, the sooner the treatment begins, the sooner the positive result will be achieved. The effectiveness of treatment depends on the degree of edema of the limb and the overall physical condition of the patient.
In a complex of therapeutic measures with lymphostasislimbs includes psychological support for the patient (training, counseling), skin care, exercise, light massage, lymph drainage.
Skin care for swelling of the extremities
Skin with chronic lymphodema becomes dry anddiscolored. Microcracks of the skin contribute to the entry of bacteria into an ideal environment for their reproduction - immobile lymph. Accuracy and adherence to hygiene rules can reduce the risk of infection:
- wash, dry (blotting movements) edematous limb, the area between the fingers and in the folds of the skin (to prevent fungal infections);
- lubricate the skin of the washed limb with an emollient cream - to moisturize the skin and prevent the appearance of cracks. (Remember: cracks are the entrance gates for infection!);
- apply a cream on a water basis (ointment in the form of emulsions). It is not recommended to use creams
- and lotions containing lanolin (prevention of contact dermatitis), perfume creams and lotions that cause irritation;
- Wear gloves when working at home or on the plot;
- use a thimble when sewing;
- be careful when cutting nails;
- protect the skin on the limb-affected limb from sunburn;
- use an electric shaver when shaving hair in the armpit;
- protect the edematous arm from injections, taking blood for analysis, measuring pressure;
- treat cuts and abrasions with antiseptic agents in a timely manner.
If the swelling of the limb, her skin reddened,there was burning, soreness, local fever, increased swelling, should see a doctor as soon as possible. In this case, prescribe antibiotics, rest, elevated position for the swollen limb (a pillow under the arm or leg). Unfortunately, cases of acute inflammation are an inevitable consequence of chronic congestive lymphodema.
Physical exercises with lymph nodes
Special exercises will help improve drainagelymphoma, to prevent fibrosis, to increase the effect of contraction, to expand the range of motion of limb-affected limb, to prevent rigor mortis. Regular systematic movement of the swollen limb is necessary, since muscle contraction stimulates both lymph flow and circulation. If the implementation of active movements is difficult, the patient should be sparing twice a day sparing physical exercises.
It must be remembered that with swelling of the extremitiestoo energetic, requiring effort, exercises can sometimes be harmful, since they cause the expansion of blood vessels and increase the flow of lymph. Patients with puffy feet should not sit or stand for long, move heavy objects - this leads to stagnation of blood and lymph.
It is not recommended to raise hands at an angle, more90 °. This position helps to reduce the space between the clavicle and the first rib, the violation of blood circulation and leads to an increase in edema. Avoid continual use of maintenance arm bands. Use them only during walks.
Self-massage and lymph drainage for lymphostasis of the extremities
With lymphostasis of the limbs, massage is performed in order for the lymph flow to flow from the initial (non-contracting) lymphatic vessels to deeper muscle (contracting) lymphatic vessels.
Most patients with limb edema afterMastectomy has swelling, spreading from the fingers of the hand to the top of the trunk. Swelling of the lower part of the trunk is observed in patients with lymphoma of the legs.
Massage is the only way to cope with swellingtorso, allowing the lymph to drain more freely from the swollen limb. Methods of massage with swelling of the limb: stroking rectilinear, embracing strokes in the direction from the hand to the axilla or from the foot to the groin area. Massage in the armpit is carried out slowly in circular motions for one minute.
Complex of exercises with lymph nodes
1. Hands behind the head, in front of you, behind your back. Repeat 10 times.
2. Lie on your back on the bed, hands clasped. Raise your hands as high as possible. Repeat 10 times.
3. Slowly, but firmly, take your hands back, as far as possible up, then down. Repeat 10 times.
4. Place a pillow under the swollen foot. Gently pull your knee to your chest. Pull the leg up, and then lower it onto the pillows. Repeat 10 times with each foot in turn.
5. Slowly pull the toe of the foot to the floor, then bend it up to the limit. Repeat 10 times with each foot.
6. Slowly rotate the foot, first to the left, then to the right. Repeat 10 times.
7. Lying on your back, put your hands on your stomach. Deeply and slowly inhale, feel how your arms go up with your stomach, hold your breath for 2 counts, then slowly exhale. Repeat 4 times.
8. Massage the neck in the direction of the hands.
9. Lay the palm of the healthy hand behind the head and massage under the mouse with slow circular motions.