A prosthesis usually is not necessary after a lumpectomy, but a bra should be worn day and night for several days following surgery to prevent traction of the wound and to help the breast regain its previous shape. Self help measures can help to minimize common complications affecting the arm and hand on the mastectomy side. To minimize swelling, exercise your arm as soon as your surgeon says it is okay. Lift it as high as you comfortably can several times a day to promote the flow of lymph. Also, "walk" your fingers up a wall as high as possible and do isometric, or pumping, exercises for the hand such as squeezing a rubber ball. If arm swelling still occurs, talk to your doctor about wearing an elastic sleeve to reduce swelling and improve lymph flow. If lymph nodes have been removed, the arm and hand on that side are more vulnerable to infection. It is best to avoid anything that constricts or burdens them. Wear loose fitting clothing and switch your watch and purse to the opposite arm. Also have blood drawn or blood pressure measured on the opposite arm. Try to minimize cuts or injuries; for example, use an electric razor if you shave underarm hair; wear protective gloves for gardening and other tasks; and use special care when trimming nails and cuticles. If you do get a cut or burn, wash it immediately with soap and water and apply an antiseptic plus an antibiotic cream. Consult your doctor promptly if an infection develops.

Other Causes of Breast Symptoms

Many women experience swelling and tenderness of the breasts as part of premenstrual syndrome. Benign fibrocystic breast lumps are also exceedingly common. Nursing mothers often develop mastitis, a bacterial breast infection.

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