Arm movements at the sea side

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Tel: 01728 638604

Katharina Hesse

Pilates Foundation Accredited Instructor

Lebed Method Certified Instructor

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Exercise and lymphoedema

Focus on Healing Through Movement and Dance

  • Should I exercise if I have lymphoedema?
    • Yes. Lymphatic flow is stimulated by movement and exercise. Appropriate exercise has been shown to clear lymph more effectively, especially if you wear your compression sleeve or garment.
    • Swimming and walking are generally a good exercise for those with lymphoedema.
    • The Lebed Method is a therapeutic movement programme that has been shown to effectively manage lymphoedema by two US studies. The Vodder School of North America has added The Lebed Method to their advanced review course and it is the recommended exercise programme of choice for all their hospitals.
    • Exercise increases deep breathing which helps lymphatic flow. Starting your day with five minutes of deep breathing is a wonderful start to the day. In the Lebed Method we start our classes by blowing bubbles, which is also relaxing and great fun.
    • Remember: laughter is another great way to stimulate the lymphatic flow!
    • Is there anything I should remember if I have lymphoedema and want to exercise?
      • ‘Warm-up’ your lymphatic system: Every exercise class should start with a warm-up and an exercise class specifically designed for those with lymphoedema is no exception.
      • Each Lebed class starts with a 15 minute lymphatic warm-up to open the main lymphatic drains in a particular order and prepare them to receive more lymph. The class may continue with a short exercise routine to stimulate the lower limb lymphatic flow.
      • Keep hydrated. This is very important, especially for those with lymphoedema. In the Lebed class, there are two short water breaks - they also give you a chance to have a quick chat with the other participants!
      • Don’t overexert yourself. Take a rest when you need to or even exercise sitting down. The Lebed Method is useful for all fitness levels as participants can take part either sitting or standing.
      • Always wear your compression sleeve or garment if you have been fitted for one.
  • Can exercise help to prevent breast-cancer related lymphoedema?
    • Yes. Recent research indicates that exercise is useful in preventing and managing lymphoedema, especially where it is breast-cancer related. Exercise can also help with some of the symptoms of lymphoedema, increasing range of movement, for example.
    • However, any exercise carried out predominately lying on the floor is probably contra-indicated if you suffer from lymphoedema in your arms, mainly because you might put pressure on the affected arm to raise yourself from the floor. Exercise carried out standing and sitting is perfect, however.
    • Whatever exercise you chose, try to start with a short lymphatic warm-up, as taught by The Lebed Method, to open your main lymphatic drains and prepare them to receive more lymph. Avoid overexertion and always wear your compression sleeve when exercising. If you have not been fitted with a compression sleeve yet, some exercises might be unsuitable. Always talk to your certified Lebed instructor.
    • Caution: If you have recently undergone breast-cancer surgery, check with your surgeon and instructor that you are ready to exercise.
  • Should I see my GP about my lymphoedema?
    • Yes. Your GP should always investigate the possible causes and accompanying medical conditions of lymphoedema. It is also a good idea to inform your GP if you are taking up a new form of exercise.
  • What else can I do?
    • A combination of Manual Lymphatic Drainage (MLD), compression, exercise and skincare are all important in helping you manage your lymphoedema. There are also a number of herbs that may help in the management of lymphoedema, such as horse chestnut, calendula or cleavers, for example. A professional medical herbalist can help you find the right herbs for you.
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  • This information does not replace medical advice. If you suffer from any of the above medical conditions you should always seek the advice of a suitably qualified practitioner.
 
 
    
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