10/13/2026
COULD THAT SWELLING AFTER CANCER TREATMENT
BE LYMPHEDEMA?
Lymphedema is swelling after damage to the body’s drainage
system. Lymph node surgery, radiation to those areas, and
some chemotherapies can all cause it. Fluid has fewer ways
out, so it can collect in an arm, hand, breast, chest, leg, foot,
groin, or neck.
It is not only something that happens to women after breast
cancer. Men can get cancer related lymphedema after
prostate treatment, melanoma, male breast cancer, and other
lymph node surgery or radiation too.
HOW LIKELY IS IT?
Numbers vary, but large studies give a fair picture:
• After breast cancer: about 1 in 5
• Only a few checker nodes removed: about 1 in 15 to 1 in
20
• Many underarm nodes removed: about 1 in 4 to 1 in 5
• Many nodes plus radiation: often closer to 1 in 3
• After many gynecological cancers: often about 1 in 3
• After prostate treatment with pelvic nodes plus radiation:
can reach about 1 in 5 in higher risk groups
It can start during treatment, months later, or years later. Most
cases appear in the first few years, but the risk does not
simply vanish.
PUFFINESS RIGHT AFTER SURGERY IS COMMON.
Watch for heaviness, tightness, or swelling that does not
settle, or that shows up later on the treated side.
THE EARLY SIGNS ARE QUIET. DO NOT WAIT FOR A BIG
SWOLLEN LIMB.
• A ring, watch, bracelet, or sleeve feels tight, even if you
have not gained weight
• One shoe or sock feels tighter than the other
• A cuff, collar, or waistband leaves a deeper mark on one
side
• The area feels heavy, full, tight, or tired
• New aching
• Swelling that comes and goes, especially later in the day
• Less ease of movement in a wrist, elbow, ankle, or fingers
• Skin that looks a bit puffy or feels different when you press
it
Swelling can show in the breast or chest after breast cancer,
in the leg or groin after pelvic treatment, or in the face and
neck after head and neck treatment. One side simply feels
different.
There is an early stage with almost no visible swelling, just
heaviness or tightness. That is the best time to start care.
WHY EARLY ACTION IS IMPORTANT
Lymphedema is usually lifelong. It cannot be cured, but it can
be controlled. Left alone, it often gets worse, the skin can
thicken, and infections become more likely. Started early,
proper treatment and the right compression can slow or stop
that slide.
SEE A VODDER LEVEL 3 LYMPHEDEMA THERAPIST
Vodder Level 3 is the training that qualifies someone as a
lymphedema therapist in combined decongestive therapy.
That is the pathway for cancer related lymphedema, not a
short introductory course.
Combined decongestive therapy, also called CDT, is the
standard plan:
1. Vodder manual lymph drainage. Precise, gentle work to
move fluid toward working pathways
2. Compression
3. Movement that supports drainage
4. Skin care, because cuts and infections make swelling
worse
This is not a regular massage with a bit of lymph work added
on, and it is not deep tissue.
If you are currently under the care of an oncologist team, tell
them you want to explore manual lymph drainage and
combined decongestive therapy. Make sure they know and
are happy for you to go ahead.
COMPRESSION GARMENTS
Do not guess your size to order online. Compression only
works if it is graduated: firmer at the hand or foot, gentler as it
goes up the limb. That moves fluid up and out.
A fitter (at a drug store, or sometimes a therapist themselves),
usually needs a doctor’s prescription to order. They will take
many measurements to get the correct fit for the individual. A
trained Lymphedema Therapist can recommend tightness,
knit, and garment type (sleeve, sock, stocking, pantyhose etc)
and, with your permission, send that to your doctor. A
Lymphedema therapist is not necessarily able to write the
prescription themselves.
A random garment from Amazon, or Temu, bought without
measuring, is often just tight. Tightness is not treatment. Even
pressure, or a band that digs in at the top, can trap fluid in the
limb. This is the opposite of the intended effect.
Early signs usually need lighter graduated compression, fitted
to you, not the strongest garment on the shelf.
Off the shelf can work for some people. But still get measured
first. The fitter will recommend it if a stock size will work
correctly, or if you need a custom garment made for that limb
or torso. Please remember, bodies are not all the same.
Loose spots and tight spots change how it works, how it feels,
how easy it is to get on, and whether you will actually wear it.
If you spend money on a garment that lives in a drawer
because it does not fit, it is not helping.
A custom garment from an established manufacturer costs
more. But it should also be more comfortable. Garments can
take some getting used to, and a proper custom piece is more
likely to do the job it is meant to do. Well established brands
such as Juzo, Bauerfeind, and Sigvaris, among others, can
make garments to your exact measurements. Some offer a
free one time adjustment. That adjustment is usually only in
reduction, because material cannot be added later to make a
garment bigger. Some makers offer more than one resize. Ask
before you order.
Manufacturers generally recommend replacing a garment
after about six months of regular wear. Elastic wears out with
use and washing. An old sleeve can still feel snug and still not
be doing the job correctly.
If you wore a good garment before and then stopped, do not
assume you can put the same one back on. The fabric may
have lost its spring, and the limb may have changed size.
Even if the garment is not six months old, get remeasured and
re-order. An old, poorly fitting garment can pinch, roll, or leave
a tight band. That can cause problems instead of moving fluid
up and out.
If a garment rolls, wrinkles, hurts, anything goes numb, or
makes the hand or foot puffier, take it off and get it checked
with your fitter.
SAME DAY MEDICAL CARE IF
The area is red, hot, rapidly more swollen, or you feel feverish
or unwell. That can be infection and needs prompt medical
treatment. Do not wait for a therapy appointment.
WHAT YOU CAN DO NOW
Compare both sides. You will likely notice jewellery and
clothes fit changes before you notice visible swelling. Keep
skin clean and moisturized. Treat cuts quickly. Avoid tight
bands on the at risk side. If one arm is at risk, try to have
blood pressure and blood draws on the other arm when
possible.
If these signs are on the treated side, get a lymphedema
assessment. You do not need to wait until there is a good
visible size disparity.
BOOK WITH NEIL THOROGOOD RMT AT ONE ELEVEN
HEALTH HUB
Neil is a Vodder Level 3 lymphedema therapist at One Eleven
Health Hub in Lower Branch, just outside Bridgewater, Nova
Scotia. He offers Vodder manual lymphatic drainage and
combined decongestive therapy for lymphedema patients on
the South Shore, Lunenburg County and beyond if you are
able to get to the clinic.
If you have not had a diagnosis or seen a Doctor about your
symptoms, book an appointment with them, then book a 45
minute consult with Neil to discuss your options.
If you are already in care, and you are familiar with manual
lymph drainage, treatment, self care, and compression, a first
appointment is often best as a 90 minute manual lymphatic
drainage assessment and treatment.
Not sure which is right? Call, text, or email and we can work it
out together.
Please note; If you are seeing an oncologist now, let them
know first and confirm they are happy for you to start manual
lymphatic drainage.
BOOK OR ENQUIRE
Online booking: https://oneelevenhealthhub.janeapp.com
Call or text: 902-529-1916
Email: [email protected]
One Eleven Health Hub 111, Lower Branch Road, Lower
Branch, NS B4V 4M4
Minutes from Bridgewater. Exit 12 off Highway 103.
Neil Thorogood RMT, Vodder lymphedema therapist &
combined decongestive therapy, manual lymph drainage,
myofascial release, Neurofascial reset, General Swedish
massage including deeper tissue treatments.