Non-cancer related lymphoedema
Lymphoedema is part of who I am!
When I was 19 years old and in my second year of University I remember standing in the living room saying to my housemates, "Do my legs look swollen to you?" They agreed they did look a little swollen but we didn't know why so left it there! A few months later I moved to Reading to carry out my placement year for my third year of University. This meant for the first time I had a 'proper' office job! I very much enjoyed my job and was learning lots of new exciting things. However, there was something which appeared to be bothering me during the day at work and that was my legs! I asked the women in my office for their advice as to why they thought I was getting swollen legs and they said it could be due to sitting down all day or water retention.
As a perk of the job the company hired a reflexologist to come in for the day so we could all have some treatment. As I had never had this before I signed up for a session. The lady worked her magic on my feet and at the end asked if I had trouble with the circulation in my legs. I said "no, not that I was aware of" as I didn't put two and two together about suffering from swollen legs. The lady said that I should keep an eye on it as she had struggled to get my feet to warm up and could feel something wasn't quite right. I just thought, "Oh yeah, I bet this reflexology lark is all a myth!" I couldn't have been more wrong!!
So, for the rest of my placement year I struggled with my legs at work. They were fine when I woke up but as the day went on and I sat at my desk they became heavier, more swollen and painful. By the time I got home my legs were really hard. In the evening I used to sit on the floor and elevate my legs on the sofa as this felt like it relieved the pressure for me and it was as if I could feel all the fluid flow back down my leg to where it was supposed to be!
When I returned home for a visit, my mum and I agreed this wasn't normal, so off to the doctors we went. I was fortunate in the fact that my GP diagnosed my condition, in a very matter of fact way: I had lymphoedema. Surprisingly they didn't offer me any support or treatment. And when we asked why I had this condition and what could be done, we were told that I was either born with it, had a tumour or had an infection which caused it. She said there was no cure for the condition and that was that! So when we got home, very confused and upset, we started researching on the Internet - all that stuck in my head was the reference to the tumour... did that mean I had one?! So we decided to get a second opinion from another GP. The second GP was very sympathetic and agreed with what the first GP had diagnosed but couldn't refer me anywhere as I wasn't her patient. So I wrote a letter to the first GP explaining my concern over the tumour and how I didn't know what to do. We went back to see her and I wanted to know if there were any tests I could have and how was I supposed to live with this condition - the images we had found on the Internet were worst case scenario and did that mean that was what my future held? She said she would refer me to our local lymphoedema clinic, but didn't see the point in having any tests as she was convinced what my condition was. However, the waiting list for my local clinic was 9 months so how could I wait that long with all these questions and worries in my head? My parents paid for a private appointment and I saw a lymphoedema consultant. He allowed me to have the tests as an NHS patient and I was put on the waiting list.
In the mean time, my friend's boyfriend was studying to be a doctor at university and he had just written a report about lymphoedema, so she gave it to me so I could learn more about the condition!
After I had all the necessary tests to diagnose the condition I went to see the consultant for the results. He said all the results came back normal which confused me even more. He said that sometimes if they came back normal then that also meant you had lymphoedema... that just didn't make any sense to me! Then he had the cheek to say "Well I don't know what else to say, your tests are normal and sometimes people just have chubby ankles!!" I was shocked that the one man who I thought was on my side and knew what my condition was dismissed me in one sentence and made me feel like a fake!
Luckily for me my appointment with the lymphoedema clinic came up and I went for my first appointment. What a saviour!! The nurses there were very supportive, sympathetic and took the time to explain things to me. I was fitted with my first set of stockings. They were knee length stockings and an horrendous beige colour! I started wearing them and they were itchy as hell! My knees started to swell so I was then fitted with full length stockings, these were even itchier! Not to mention made me feel unattractive and totally different to everyone else. I had returned back to my 4th year at university by this time and it was a very stressful time with lots of work as well as coming to terms with my condition.
I was now 21 years old and had to wear these horrendous stockings for the rest of my life! I felt so alone, as no-one knew how I felt and when I tried to talk about it, it sounded like I was being vain. I would never be able to wear skirts again, I felt frumpy and unattractive, which boy would ever want to go out with me? What happens if the condition gets worse? Would I be able to have children? Although people tried to understand, I did hear a few times 'Well it could be worse, at least you don't have cancer.' Which is true and of course I was grateful for that, but being a young female, body image seemed to outweigh how worse off others were... this was my life and my problem seemed the biggest thing to me.
I kept up my appointments at the clinic and the nurses were still great but there never seemed to be any time to talk about how this was affecting me emotionally. I went to our local support network group but I was disheartened by this as all the members were a lot older than me, so this made me feel even more alone, like I was the only young person in the world who had the condition!
I rebelled against wearing my stockings and only wore them for work, taking them off as soon as I got home and not wearing them at weekends! I was only hurting myself and causing myself pain but I just wanted to be like everyone else my age.
The years went by and I started to come to terms with it a bit more. Then out of the blue I met my boyfriend! We went on a few dates and I didn't wear my stockings as these made me feel unattractive but then I thought, if this is going to work, I need to tell him. So I plucked up the courage and told him about my condition and that I needed to wear stockings everyday. He looked at me and said "So what, it doesn't bother me. I like you for who you are and that is all of you." I couldn't believe what I was hearing! Well if he wasn't bothered then why was I?! He made me realise that it was just a part of who I am and should just accept it instead of fighting it. He also told me I had to wear my stockings all the time as he didn't want me to be in pain, especially if I wasn't wearing them just around him. So I started to wear my stockings all the time like I was meant to and my goodness what a relief! My legs didn't hurt as much and felt really supported!
I then started getting complementary therapy from my clinic and this was such a blessing, not only did it help with my condition but the therapist listened to all my thoughts and emotions, so I was able to get all my concerns off my chest without being judged or being told "It could be worse." I then also paid for reflexology and again the therapist was amazing and she helped balance out all of my body.
I have now been with my boyfriend for 2 and a half years and we have been living together for 18 months. He has a daughter who when I first met her asked a lot of questions about my stockings and why I had to wear them. She even commented on how she had never seen me in a skirt! But now she too just accepts that I have the condition and putting my stockings on in the morning is just part of my daily routine and it is just part of who I am.
I decided to write to the Lymphoedema Support Network's newsletter, LymphLine, because in last month's edition there was a letter from a 26 year old who also had primary lymphoedema and wanted to speak to someone her own age. This took me back to how alone I used to feel and wished there was someone my age I could talk to. Well this inspired me to set up a group on the social networking site Facebook to try and bring together all young people who suffer from the condition to talk about their experiences, concerns or just to meet people in a similar situation as them. Patients of any age are welcome to join if they want to. All you need to do is register at www.facebook.com and set yourself up a profile, then search for my group which is called 'Lymphoedema is part of who I am.' I hope this will encourage people to join so we can unite and all say loud and proud 'Lymphoedema is part of who I am.' It's taken me a few years, but now at the age of 26 and thanks to my family, boyfriend and lymphoedema clinic, I have learnt to live with my condition instead of fighting against it!
Non-cancer related lymphoedema
I am a woman of 79 years. I have one daughter, one granddaughter and one dear little great grandson. I live in sheltered accommodation as I find walking very difficult now.
I was born in East Yorkshire; as a girl I can remember my mother suffering, she was a tiny little woman and very slim except both her knees were very swollen. I'd come home from school to find her standing on one leg to do the veg for dinner. When I asked her why, she said "they both hurt so I use them one at a time."
As a teenager I noticed that my ankles were always puffy, when I asked the doctor why, he said "it's only a drop of water you carry". The ankles never changed, but years after I realised my legs were misshapen.
In my 40's we went to Australia and my legs got very painful in the heat and I was advised to have my varicose veins stripped; after all this, I had one leg skinnier than the other. As time went by, my legs became misshapen more than ever; the doctors didn't know what it was. I felt so conscious all the time. I was 49 years old when I had a hysterectomy and the legs just spread out more. I suffered badly with Ortho Arthritis and had both knees replaced. One of the operating team, after the operation said "you have a lot of fat on your legs, you should slim them". I asked "how do I do that?" …no answer.
My knees now were very swollen; one of the doctors said "its lymphoedema". "Is there any treatment?" I asked. "I don't really know" was his reply. I found the name of the Lymphoedema Support Network in a magazine and wrote to them for some advice. I have been an LSN member for quite some years now. My own doctor didn't want to know or try to help me.
I recently had to have another operation to replace the left knee replacement, the surgeon worried about my leg swelling but decided to operate any way. As the lymphoedema made my leg look crooked, he put a large pin in my leg to straighten it. The leg looks straight but I now have swelling round my knee and also on the thigh on the outside of my leg. Now my legs are quite grotesque and walking is difficult.
My daughter's legs have thickened and her ankles are very swollen. My granddaughter's ankles swelled when she was carrying her baby but are back to normal now.
I know that there is nothing that can help me now but I would dearly love to hear that there is hope for my family's legs. When I look at my great grandson's lovely bay limbs, I pray that he will not suffer like this.
Non-cancer related lymphoedema
There is little or no help for people who get lymphoedema other than through cancer. Thirty years ago I got lymphoedema after a fall on my left leg. Over the years, I was told I would have to live with it.
Three years ago I managed to see a consultant and was referred to an NHS clinic but didn't hear anything. I went private for lymph drainage massage. Six months ago I had to give up as I couldn't afford it anymore. I feel the £2,000 I spent was a waste of money. Now I'm having trouble finding a nurse on the NHS who can measure me for my stockings. The ones I've got at the moment don't fit very well.
There needs to be more done for people like myself on the NHS… where on earth do we go!
Non-cancer related lymphoedema
I was born in August, 1931. I am assured and know for a fact that both my legs were exactly the same size until I was around 10 - 11 years. My Mother then noticed swelling in my right leg. I had at some stage fallen from a bicycle and had a very bad cut knee, but do not know whether this was connected. My Mother took me to our Doctor. It was, of course, Wartime and there were far more urgent cases to be dealt with.
However, I was referred to a South London hospital and spent some time in there. No conclusion was reached and I was then sent to a different hospital. under a heart specialist. After a period there, during which the blitz was in progress, and, having numerous tests including one in which my leg was immersed in water for some considerable time, I was discharged and no treatment was recommended and no conclusion reached.
I had my first dose of erysipelas (cellulitis) at the age of about 12. I was very ill for about 3 weeks and was on M.&.B. My bedroom was fumigated by the Council after the attack.
After this, I was prescribed elastic bandages which I managed to do myself. Fortunately, by this time, penicillin was invented and any further attacks of cellulitis were dealt with by this. I also had many types of elastic stockings - none of which were strong enough.
I married and my husband's work involved us moving frequently and having to attend different surgeries. It was always a struggle to get doctors to give me antibiotics and none of them seemed to be very conversant with lymphoedema.
At 35 I had a gall bladder operation. After the operation, the Surgeon asked me if I would like to have an investigation whilst there on my leg to ascertain the problem. Dye was inserted in my foot and I had to lie still for sometime. The conclusion was that the lymph glands in my right leg did not function. The same surgeon told me about the procedure called Thomson Flap operation.
After 3 pregnancies, and at the age of 49, and after many attacks of cellulitis, I decided to go for the above operation. The procedure consisted of cutting the leg each side from the ankle to above the knee and making a flap of the skin so that the fluid ran back up the leg. I was in hospital for 5 weeks as the first side operated on did not heal and I had to have 3 skin grafts. It was decided not to operate on the other side of the leg. My leg improved in size but soon began to increase with activity.
Much later, my Sister saw an article in a magazine about treatment given at a London hospital and I asked my Doctor for a referral. I had very strong bandaging over a period of 2 weeks and my leg reduced considerably. I was also provided with 2 stockings, Sigvaris 505 and Mediven plus 208 (worn on top). I have continued using these stockings and my leg remains much smaller and I have less attacks of cellulitis.
I am now 75 and have always had a very active life. I still have to be very careful to avoid infections and I always keep antibiotics with me.
Non-cancer related lymphoedema
My left leg and foot are my main problem, but over the years, the swelling has spread to the right leg and foot and sometimes other parts of my body, but only slightly. After years of being told nothing else could be done to help and that I had to take pain killers, I saw a relief doctor. I was crying with the pain and he sent me to see a specialist. He couldn't believe that I hadn't been seen by anyone for 47 years (I had been told I had Milroy's Disease when I was 13 and given diuretics which I had taken on and off for years). He sent me for a lymph scan but that didn't show up any blockages. They couldn't tell me exactly what was causing the condition but organised support stockings. These have made such a difference to my life. It took time for the stockings to work and at first the pain was unbearable putting them on, but it's not so bad now and it's well worth it. At least now I get a little respite from the severe pain a lot of the time and most of the time when I do get pain, it's bearable.
Non-cancer related lymphoedema
In July 1992, when I was aged 69, I woke up in the night with a great pain down my left leg, which was relieved when I got up and walked around. As time went on I noticed my knee was swollen and later in the month my ankle swelled. My doctor said that I had damaged a drainage vessel. (How right she proved to be). However, at the time, little was known about Lymphoedema and all she could recommend was support stockings.
As the year went on I visited another Doctor; (the first one having left the practice), because the leg was getting more swollen, he carried out a rectal examination to check if there was a spinal tumour; most unpleasant. He sent me to a specialist who also insisted on giving me a rectal examination! He then arranged an ultrasound scan, which showed nothing and then said "I think you have had a DVT. Get a support stocking ready for when you have the next". I walked out in disgust
In March 1993 I went privately to another specialist who said "I do not think you have had a DVT" and sent me for a lymphoscintigraphy which diagnosed what my first Doctor had said - a blocked lymph gland in the groin.
In April 1993 he booked me in for a week of complete bed rest with raised leg, after which time the swelling on the leg was reduced by so much that you could see the bone on the shin. Physiotherapy then followed, twice a week, during April, May and June after which time the Physio and I decided that it was doing no good. I therefore, had to rely on stockings for control.
I then heard from a friend about a hospital treating lymphoedema patients and asked to be referred there and this was arranged. I was admitted for a scan and was then put on to a Flowtron pump and it was decided my leg had responded. For the next 2 years I attended the swollen leg clinic at the hospital every six months, where they supplied me with stronger support stockings. In 1996 I attended the Vascular Clinic, but after 2 years of visits, which entailed travelling down from the Wirral and staying overnight, only to be given minutes when they said "You are doing OK, carry on." I decided it was not worth it.
I then asked if I could be referred to the local hospital oncology section which was pioneering a Lymphatic Clinic and that was when things improved. Under their treatment my leg reduced considerably and I attended there every six months for four layer bandaging. In the beginning, Flowtron pumps were used but these were gradually replaced by MLD (Manual Lymphatic Drainage).
I was lucky to be included in the treatment, being a primary case. Others were not so lucky. They had two treatments and that was it. I was allowed to keep having treatment until October 1996 when the Oncology Section passed primary cases over to a new pioneering service, funded by my first correct diagnostician, who is fighting hard to get the service funded by the PCT for primary patients. They are 'coming out of the woodwork now', never having had any treatment on the Wirral, some since birth. The Oncology Section has been wonderful for post cancer patients.
I am lucky, in that it is only one leg affected, and that of late onset and probably due to damage. I can play the occasional golf and get about normally. I do need shoes of two different sizes and do suffer from some discomfort, but that is a small price to pay as I am now aged 83.
I broke the ankle of my normal leg, playing golf 3 months ago and my Lymphatic leg supported me throughout the months of Zimmer and Crutches and is still going strong. Thank goodness it was not the Lymphatic leg as that would have caused complications and no surgeon would have dared to operate.
I go for 4 layer bandaging next week and hope the broken ankle leg will repay the complement!
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