Lymphoedema can affect you practically, physically and emotionally. You can get support with this. There are also ways you can help yourself cope.
How to cope
Most people have a mix of feelings when they find they have lymphoedema. After treatment, people are often glad that they have got through it. But it can also feel very unfair to have to cope with a treatment side effect.
Living with any chronic (long term) condition isn’t easy. It’s important to give yourself time to come to terms with it.
Do ask for help if you need it. There’s a lot of support available. Your doctors or nurses can put you in touch with people specially trained in supporting people with lymphoedema.
There are services in most areas. What they offer may vary. You might need to ask your doctor for a referral.
Learning about your condition can help you to manage it. People who are well informed about their illness and treatment tend to be more able to make decisions and cope with what happens.
The impact of any changes to your appearance will depend on where you have lymphoedema.
But even if other people can’t see your lymphoedema, the swelling can affect how you feel about yourself. You might feel less attractive or find it harder to go out and socialise.
Over time, things get easier. But it doesn’t always help to hear this at first.
You might find meeting new people difficult. It can help to think beforehand about what you want to say if someone asks you questions about the lymphoedema. Remember that it’s up to you how much you explain.
Talking to others with lymphoedema
Some people find it helpful to talk to other people with similar experiences. Not everyone wants to do this. But if you do, there are organisations that can put you in touch.
The Lymphoedema Support Network (LSN) is a national charity offering information and support. You can also share experiences with people who have been through cancer treatment on our online forum Cancer Chat.
A healthy well balanced diet helps to keep you well and maintain a normal weight. This can make it easier to manage your lymphoedema.
But maintaining a healthy weight can be difficult for some people, especially if the lymphoedema makes it hard for you to move around. For advice on losing weight, ask your lymphoedema specialist or cancer specialist to refer you to a dietician.
Exercise can help with your weight and is also an important part of managing lymphoedema.
Generally, it’s best to start exercising gently and build up slowly. Walking is often a good way to begin. You can gradually build up the distance and pace.
Things to look out for
Be careful with any sports that involve repetitive movements or staying in the same position. These could make the lymphoedema worse. So could sports that need a lot of muscle strength, unless you build up gradually.
You might be doing too much if you develop any pain, aching or swelling. Go back to your lymphoedema specialist if you have any concerns.
Changes in your appearance
Changes in your appearance might make you feel less confident about sex. The swelling can affect the way you feel about yourself and how you think others see you.
Try talking to your partner. It can be hard for them to understand unless you explain how you feel.
This is a difficult conversation for many people. But if you can talk about your worries, it can help you both to get used to your new situation. Then things might feel less awkward. A caring and loving partner can help to ease your concerns.
Talk to your nurse or physiotherapist about how your partner can help. Some people find that if their partner learns to help with massaging and using touch, it can be part of the intimacy you share.
Sexual activity will be more difficult if you have genital lymphoedema. You might need to think about other ways of gaining pleasure while you have swelling in that area.
It might still be possible to have sexual intercourse. But to avoid any pain or tissue damage, you might need to be very gentle and take things more slowly.
If you have difficulties or are worried about having sex, talk to your lymphoedema specialist for advice.
Whether lymphoedema will affect your work depends on your job and where you have swelling.
You might need to change your job if it involves doing repetitive things or standing for long periods. Often employers can make physical or practical changes to help you carry on working. Talk to your employer and your lymphoedema specialist to work out what might help.
You will need to claim benefits if you’re unable to work.
There is no reason why you can’t go on holiday when you have lymphoedema. But getting there and back might mean sitting still for long periods of time.
Try to move around as much as possible. You may need to stop more often if you are travelling by car.
On a plane, try to do leg and arm exercises and get up every hour. You might also need to wear a compression garment. Put it on before you get on the plane and try to keep it on for 2 hours after you get off.
Things that might help
- Talking to your doctor about taking antibiotics with you, in case you get an infection
- Wearing a well fitting elastic (compression) sleeve or stocking when travelling
- Wearing loose clothing
- Exercising at least every hour
- Avoiding extremes of temperature – if possible, keep cool
- Avoiding sunburn
- Looking after your skin – keep it clean and moisturised
- Avoiding insect bites – use an insect repellent
- Cleaning cuts and grazes with antiseptic and covering them
- Drinking plenty of water
- Not overdoing it when you are away –- do the same amount of exercise as you would normally