Cellulitis is a serious bacterial skin infection that can occur in individuals with breast cancer-related lymphoedema. Research suggests that up to  12.7% of patients (Cheng MH et al 2022) with lympheodema experience cellulitis, that is much higher than those without it. Cellulitis can worsen lymphoedema, cause increased swelling, and firther damage the lymphatic system. Proper treatment and aiming for prevention are essential.

The occurence of cellulitis in breast cancer-related lymphoedema patients is associated with increased swelling. Episodes of cellulitis can exacerbate lymphoedema by causing further damange to the lymphatic system, leading to more severe symptoms (Mads Gustaf Jorgensen et al 2021).

Mitigate and Prevent

To limit your risk of cellulitis, it is essential to:

• Maintain meticulous skin hygiene

• Promptly address any skin injuries

• Engage in regular exercise to promote lymphatic flow

Recognising the seriousness of the condition and implementing preventative measures are crucial in managing lymphoedema and enhancing your outcome.

Key Points to Remember

   • Cellutis is serious – Early treatment with antibiotics is crucial

   • Lymphoedema increases susceptibility – prevention and reducing your risks is essential

   • Proper skin care, proper use of your compression garments, avaoiding injuries, early intervention can help reduce risks.

  * No Manual Lymphatic Drainage and massage until cellutis has cleared up *

While manual lymphatic drainage is beneficial for lymphoedema under normal circumstances, they can spread the infection during active cellulitis infection. This could lead to further complications.

What Should I Do?

   • Recognise the symptoms – Redness, warmth, pain, swelling, fever, and flu-like symptoms.

   • Seek immediate medical care (this will usually be for 14 days with antibiotic treatment)

   • Rest and elevate the limb which can help reduce the swelling and discomfort.

   • Prevention – maintain good skin hygiene, moisturise regularly, avoid cuts and insect bites by covering up

   • Consult a specialist – Once your cellulitis has resolved consult a specialist to discuss a long-term plan to help manage the lymphoedema and reduce your risk of recurrence.

Please get in touch if you would like help with some strategies and a long-term plan to help manage your lymphoedema.

fi@therapyinmotion.co or call 07767 384983