Hi, I just wondered whether it is ok to sleep on your side if you’ve had a full node clearance?
I always slept on my left. I had a full clearance (+WLE) four weeks ago and I feel that my sleep is suffering, but I don’t want to lay on that side/my arm and risk lymphoedema?
Will it be ok or do I have to try and avoid that side forever?
Hi, it’s 21/2 years since my node clearance on my right side and I don’t lay on that side, in fact I rest my right arm on a pillow when l lay on my back or I lay on my left side.
Hi leelee1
Thank you for your questions.
Many people have difficulties sleeping during and after breast cancer. Getting comfortable in bed after breast cancer surgery can be difficult. It’s now four weeks since your surgery so you can normally sleep in the position that’s most comfortable for you. Sometimes using some extra soft pillows for comfort can help. Long term you can sleep in the position where you are most comfortable.
You may be interested in the Speakers Live session Sleep Better with Dr Leanne Fleming.
You mention you are concerned about your risk of developing lymphoedema. It’s not clear why some people develop lymphoedema and others do not, but lymphoedema can develop soon after treatment or may occur many years later. The risk is greatest for those who have both surgery and radiotherapy to the axilla (armpit).
There are ways in which to help reduce the risk of lymphoedema developing. Try to use your arm normally as you’re more likely to increase your risk of lymphoedema by overly protecting your arm and not using it enough. Maintaining a healthy weight and exercising (as able) will reduce the burden on the lymphatic system. Infection in your ‘at risk’ arm can cause swelling and may damage the lymphatic system leading to lymphoedema. It’s important to keep the skin clean and well moisturised to reduce the risk of skin damage and infection. Tips on how to help reduce the risk of infection can be found in the link above.
Doing your exercises after breast cancer surgery can also help to reduce the risk of lymphoedema.
You may also be interested in Jen Mckenzie The Breast Cancer Physio videos.
If you have any symptoms that sound like lymphoedema tell your breast care nurse, your treatment team, or your GP as soon as possible.
We offer a range of free supportive services for anyone who has had a diagnosis of breast cancer which you may be interested in. They include face to face and online courses and events.
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Best wishes
Grete
Breast Care Nurse
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