Reducing the risk of developing lymphoedema

The risk of lymphoedema varies depending on the type of cancer, its stage and its treatment. Your doctor will talk to you about your risk. There are several things you can do to help reduce the risk of developing lymphoedema. These suggestions are also useful for people living with lymphoedema. If you notice changes in the affected part of your body, see your doctor, lymphoedema practitioner or nurse immediately.

Exercise regularly

• Keep physically active to help the lymph fluid flow. Any regular exercise (e.g. swimming, yoga, cycling, walking) is helpful, as are activities like gardening and housework.
• Doing strength (resistance) training is usually okay. Increase the weight and intensity gradually, and be guided by how your limb responds. Cool down slowly.
• Start any exercise slowly and build up gradually.
• Visit an accredited exercise physiologist or physiotherapist to develop an exercise program.

Maintain a healthy body weight

• Aim to stay in a healthy weight range. Carrying extra weight can be a risk factor for developing lymphoedema. If you are carrying extra weight, talk to your doctor about how to achieve a healthy weight.
• Eat a variety of nutritious foods each day.

Move normally but avoid pressure and strain

• Don’t try to protect the affected limb by limiting its movement – using the limb normally will keep the lymph fluid flowing.
• Avoid heavy lifting that may result in strain or injury, such as moving heavy boxes or furniture. This does not include exercise or strength (resistance) training.
• Avoid pressure from clothing, underwear and jewellery.

Look after your skin

• Keep your skin clean. Wash with a pH-neutral soap and avoid scented products.
• Moisturise your skin every day. Dry and irritated skin is more likely to tear and break.
• Protect your skin and cuticles – don’t cut your cuticles during nail care; wear gloves for gardening, housework and handling pets; use insect repellent to prevent insect bites; avoid cutting or burning your skin when cooking; wear protective clothing, a broad-brimmed hat, sunglasses and sunscreen when in the sun.
• Seek urgent medical help if you notice redness, heat, pain or think you may have a skin infection.

Tips for travelling

Travel – by plane, train, bus or car – has not been shown to increase the risk of lymphoedema. Even so, you may choose to take simple precautions while travelling like wearing loose-fitting clothing, moving regularly and drinking plenty of water. People with lymphoedema, or who have had lymph nodes removed as part of cancer treatment, may be advised to wear a compression garment during long-distance travel. Talk to your lymphoedema practitioner or doctor before you go.