Why those with lymphoedema may avoid activity

This article describes four main reasons why people with, or at risk of, lymphoedema or chronic oedema may be inactive:

1. Fear that activity, or certain types of activity or exercise, may cause lymphoedema or make existing lymphoedema worse. This is fairly common in those who have developed lymphoedema following cancer treatment, partly arising from advice to be cautious and limit some movements immediately after such treatment. However, these restrictions are temporary, and every effort should be made to regain full function; gradually increase range of movement, flexibility and muscle strength; and to improve the capacity and functioning of the lymphatic system (BLS, 2019)
2. Having limited activity, or limiting certain types of activity, leads to weakened muscles and stiffened joints, causing discomfort, especially if new activity is attempted
3. The presence of lymphoedema may cause discomfort and heaviness in the affected area, making some movements awkward or more challenging
4. The swelling caused by lymphoedema may cause the person to be very self-conscious about taking part in activities that reveal the affected area, for example, swimming or going to a gym.

As described in the article there are some points to consider to make sure any activity works best for each individual, but the good news is that inactivity is the enemy when it comes to lymphoedema, and any activity enjoyed is likely to benefit the lymphatic system if a few simple principles are followed, for example, taking it easy, starting slowly and monitoring breathing and building up very gradually. Effects should be monitored and, if there are problems or an increase in swelling lasting more than 24 hours, the activity should be reduced or temporarily stopped until the issue is resolved. Whatever the activity, it should be undertaken regularly. If there is a prolonged period of inactivity, it should be restarted very slowly (BLS, 2020).