Navigating Post-Cancer Treatment: Understanding Lymphedema and Radiation-Induced Brachial Plexopathy (RIBP)

After completing cancer treatment, particularly for breast cancer, some patients experience new symptoms like arm swelling, numbness, or weakness. These symptoms can be attributed to conditions such as lymphedema and radiation-induced brachial plexopathy (RIBP), which may occur individually or together.

What are Lymphedema and RIBP?

Lymphedema: This condition involves the accumulation of lymphatic fluid, leading to swelling, commonly in the arm or chest area. It often results from damage to lymph nodes or vessels during surgery or radiation therapy or removal of lymph nodes during surgery. For those seeking Lymphedema Treatment in Ottawa, early diagnosis and intervention are key to managing symptoms and improving quality of life.

Radiation-Induced Brachial Plexopathy (RIBP): RIBP is nerve damage affecting the brachial plexus—a network of nerves controlling the shoulder, arm, and hand—caused by radiation therapy. Symptoms may include pain, numbness, and muscle weakness.

How Are They Connected?

Both conditions can arise from radiation therapy targeting the axilla (underarm) or supraclavicular area (above the collarbone). One condition can trigger the other. Brachial plexus and vascular damage during radiation can cause lymphatic overload and Vice versa the swelling due to lymphedema can cause compression of brachial plexus. 

Radiation may cause:

Fibrosis (scarring): This can obstruct lymphatic flow, leading to lymphedema, and compress nerves, resulting in RIBP.

Inflammation: Persistent inflammation may exacerbate both swelling and nerve irritation.

Often, lymphedema appears earlier, while RIBP may develop months or years later. In some cases, they may occur simultaneously, intensifying each other’s symptoms.

Common Symptoms:

• Swelling or heaviness in the arm
• Numbness, tingling, or burning sensations
• Weakness or reduced coordination
• Pain in the shoulder, arm, or hand
• Decreased range of motion
• Muscle atrophy over time

Physiotherapy’s Role in Management:

• Physiotherapy is a cornerstone of lymphedema management in Ottawa, helping patients regain function and reduce discomfort. Our Physiocare Physiotherapy & Rehab centre offers personalized treatment plans that may include:

  • Manual Lymphatic Drainage (MLD):Gentle massage techniques to reduce swelling.
  • Compression Therapy: Use of garments or devices to manage lymphedema.
  • Targeted Exercises:Strengthening and stretching routines to improve mobility and function.
  • Pain Management Strategies: Techniques such as Transcutaneous Electrical Nerve Stimulation (TENS)  or LASER to alleviate discomfort.
  • Patient Education: Guidance on self-care practices and home exercise programs.

Importance of Early Intervention:

Recognizing and addressing symptoms promptly can prevent complications and enhance recovery. If you experience persistent arm discomfort, swelling, or weakness after cancer treatment, consult a healthcare professional for assessment and management.

We’re Here to Support You:

Our dedicated team is committed to helping you regain comfort and functionality. Contact us to schedule an assessment or learn more about our services.

This blog post is for informational purposes only and does not substitute professional medical advice. Always consult your healthcare provider for personalized care.

By: Prateeksha Viradiya Registered Physiotherapist | Operations Manager
Certified in Pelvic Floor, Lymphedema, Acupuncture, and Dry Needling
Certified ROST Therapist | RAPID Treatment Specialist

Physiocare Physiotherapy and Rehab Centre