PHYS THER
Vol. 82, No. 3, March 2002, pp. 276-282
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Evidence In Practice

Can a comprehensive lymphedema management program decrease limb size and reduce the incidence of infection in a woman with postmastectomy lymphedema?

Charles D Ciccone

Charles D Ciccone, PT, PhD, is Professor, Department of Physical Therapy, Ithaca College, Ithaca, NY


Because this article has no abstract, we have provided an extract of the full text and any section headings.

A 57-year-old woman with a history of breast cancer was referred to our clinic for treatment of lymphedema in the right upper extremity. Cancer was detected originally in her right breast in 1996, and she was treated surgically by lumpectomy at that time. The cancer recurred, however, and she underwent a right radical mastectomy in July 1999. The mastectomy was followed by a series of irradiation treatments to the right axilla, starting in September 1999 and ending in December 1999. She also has been receiving tamoxifen (Nolvadex) continuously since the mastectomy (20 mg administered orally once per day). Over the past year, the patient developed 3 infections in her right upper extremity. She described these infections as "painful, fiery red blotches" that covered various areas of her upper thorax, arm, forearm, and hand. These infections were usually treated by oral administration of penicillin (eg, penicillin V, 250 mg 3 times . . . [Full Text of this Article]


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This article has been cited by other articles:


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C. G Maher, C. Sherrington, M. Elkins, R. D Herbert, and A. M Moseley
Challenges for Evidence-Based Physical Therapy: Accessing and Interpreting High-Quality Evidence on Therapy
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