I currently have a breast cancer patient who is having a significant increase
in bilateral limb volumes, but her involved side is 15 % larger than her non
involved side, after her second chemo treatment. The swelling is soft and
diffuse in the arm. Her hand does not appear to have swelling.Her skin is
reacting to the chemo, some blisters and rashes all over her body. She does
have significant cording but full ROM and is very active, is swimming daily.
She is in a Juzo CCl 2 RTW sleeve. She is performing self MLD and is consistent
with compression. I had her rest her arm for a week, thinking she was stressing
her system too much but the swelling worsened even more. I know I can do CDT
with her but am wondering if anyone has seen this resolve once chemo was
finished or if you have any suggestions. Can’t tape as she is allergic.
Thank you.
Val Collins. PT CLT LANA
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