Yes, I would agree with Molly that some chemo classes can cause edema such as
taxols and platinums (especially cisplatin) are known to cause angioedema. They
present with a mixed edma in this situation and yes, your CDT is important to
help reduce the risk of progressive lymphedema but know there should be an
improvement after she finishes chemo. The timelines vary by person but usually
reduce by 6 months.
Alaina
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On Jan 15, 2021, at 7:15 PM, Temitopeawakan <dmarc-noreply@xxxxxxxxxxxxx>
wrote:
Hi Val,
I had this happen to a patient as well and it resolved after chemo .
Temi Asein, PT.
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On Jan 15, 2021, at 5:32 PM, Molly Reynolds <dmarc-noreply@xxxxxxxxxxxxx> Is she receiving Taxol? It can cause edema.
wrote:
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On Friday, January 15, 2021, 5:30 PM, Val <cavecollins@xxxxxxxxx> wrote:
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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