How to Self Massage After an Axillary Node Dissection

Axillary node dissection is a common procedure to diagnose one's breast cancer stage and to remove affected lymph nodes. The more nodes that are removed, the more advanced the breast cancer is. After the procedure, about 21 percent of individuals experience fluid build up in the area leading to lymphedema. Performing self-massage is an effective treatment option to reduce swelling and pain.

Instructions

• 1

  Get prepared. Simple lymphatic drainage massage is the type of massage used following an axillary dissection and it takes time and patience. Learn from an experienced professional with manual lymphatic drainage knowledge, watch it being performed or study techniques first. Make it part of your routine during showering or as part of your activities of daily living. Plan enough time to complete the process based on the area you will focus on for the massage. At least 15 to 30 minutes is a good minimum, but massage can go for much longer if you have the time.

• 2

  Perform diaphragmatic breathing. Find a comfortable and relaxing area free from interruptions or stress. Sit or lie down. Breathe in slowly through your nose to the count of four and out through your nose for the same count. Imagine expanding your ribcage with air and pushing it open to the sides of your body. Place your hand on your ribcage to check for expansion. Continue diaphragmatic breathing for several minutes to prepare for the massage.

• 3

  Practice massage strokes. There are several types of strokes to perform that are much different than traditional massage techniques. The lymphatic system is stimulated by pumping. Use two fingers to gently press down on a specific area and make small circular motions about the size of a quarter to move the skin. Massage toward the heart always. Release the pressure from that area and move to the next. Stretch and twist the skin for another stroke type. Use three fingers to stretch out the skin area an inch or so and then gently hold the skin in your fingers and twist to one side and then the other. Toward the end of the massage use fast sweeping strokes. To perform, imagine wiping something away from the surface of your skin with your fingers.

• 4

  Sequence massage strokes. Start in the armpit area and use pumping circular strokes upward with light pressure. Go slowly and repeat the motion in one area for several minutes. Add stretching and twisting strokes. End with faster sweeping strokes. Move gently to the shoulder area and repeat stroke sequence. Try to avoid friction as you go and be especially gentle to not increase fluid retention. Take your time and direct the strokes up and toward the heart. Move on toward the navel and work up underneath the breast. If you have time, work up the arm and hand.