Article: COMPRESSION BRAS FOR LYMPHEDEMA: A PHYSICAL THERAPIST'S GUIDE
COMPRESSION BRAS FOR LYMPHEDEMA: A PHYSICAL THERAPIST'S GUIDE
If you're dealing with lymphedema or swelling in your breast or chest area after surgery, you know how uncomfortable it can be. One of the most effective ways to manage this swelling is something you can wear every day: a compression bra.
But here's the thing—not all compression bras are created equal. Many people don't realize there's a big difference between a regular sports bra and a medical-grade compression bra designed specifically for lymphedema.
HOW COMPRESSION BRAS HELP LYMPHEDEMA
Compression bras play a vital role in managing lymphedema by helping move fluid out of the affected area. This reduces existing swelling, prevents further fluid buildup, and minimizes infection risk that comes with stagnant lymphatic fluid.
Whether you're dealing with post-surgical swelling, general edema, or chronic lymphedema, the right compression bra can make a real difference in your daily comfort.
WHY REGULAR SPORTS BRAS DON'T WORK
I see this mistake all the time—people trying to use regular sports bras thinking they'll get the same benefits. Unfortunately, regular sports bras often have thick bands (especially at the bottom) that can act like a tourniquet, actually making swelling worse. They also don't provide the right type of compression needed to encourage lymphatic drainage.
Medical-grade compression bras are specifically designed with lymphedema in mind, providing uniform compression without creating problematic pressure spots that can block fluid flow.
KEY FEATURES TO LOOK FOR
When I'm helping patients choose compression bras, here are the important features:
High side coverage: So many people struggle with swelling on the sides of their chest, but most bras are too narrow and dig in, making swelling worse. The more full coverage on the side, the better!
No thick bands or underwire: These create tourniquet effects that block lymphatic pathways—exactly what we don't want. Not to mention that they are uncomfortable!
Front closure: Much easier to manage when you have limited mobility or soreness, especially after a surgery or procedure.
Adjustability: Swelling and lymphedema fluctuate, so you need a bra that can adapt to changes in your body.
PRAIRIE WEAR HUGGER BRAS: MY TOP RECOMMENDATION
Prairie Wear specializes in creating bras designed explicitly for lymphedema and post-surgical swelling, and it shows in every detail.
HuggerPRIMA: Maximum Support
The HuggerPRIMA is their primary care medical bra and my go-to compression bra for post-surgical recovery and moderate to severe lymphedema.
What makes it special:
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Full coverage with medium to high compression
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Large, dual-layered pockets for ice packs, swell pads, or prosthetics
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High side coverage (so important!)
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Front zip with supportive hooks
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Removable pads for body inclusion—can be worn flat against the chest after mastectomy
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Extender pieces for size fluctuations
HUGGERVIDA: VERSATILE DAILY WEAR
The HuggerVIDA is their secondary care medical bra and works well for mild to moderate swelling and daily activities. It provides medium coverage and compression, making it versatile enough for various activities while still offering therapeutic benefits.
Key features:
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Medium coverage and compression
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No wires or thick bands for comfort
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Front zip with supportive hooks
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Available extender pieces for size adjustments
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Perfect for transitioning from recovery to everyday wear
WHEN TO WEAR COMPRESSION BRAS
For post-surgical swelling: Typically 4-6 weeks of consistent wear can help speed recovery. Your doctor may recommend wearing it day and night during this period.
For chronic lymphedema: You'll likely need daily compression long-term. The good news is that with the right bra, this becomes just part of your routine.
For exercise: Wearing compression during physical activity provides extra support and comfort, especially if you're at risk for lymphedema.
ENHANCING RESULTS WITH GENTLE EXERCISE
Once you have your compression bra, try adding in gentle exercises to help promote lymphatic drainage. Take 5 minutes and try these:
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Gentle arm circles: With your arms out to the sides, draw 10-15 small circles in one direction, then repeat in the opposite direction
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Shoulder blade squeezes: Helps with muscle activation in the upper body and opens up the chest to encourage more fluid flow. Squeeze your shoulder blades back and together 10-15 times. Make sure you are sitting or standing up tall.
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Deep breathing exercises: Your diaphragm is actually a powerful lymphatic pump. Take 3-5 deep breaths, focusing on your abdomen expanding and relaxing.
Remember, always check with your healthcare provider before starting any exercise program, especially after surgery.
Compression bras can be game-changers for managing lymphedema and post-surgical swelling, but only if you choose the right one. Don't settle for a regular sports bra—invest in a medical-grade compression bra designed for your specific needs.
Prairie Wear's Hugger collection offers the specialized features needed for proper lymphedema management, from post-surgical recovery to long-term chronic condition support.
Kelly Sturm is a Doctor of Physical Therapy (PT, DPT), a Board-Certified Oncology Specialist, and a Certified Lymphedema Therapist (CLT-LANA) with over a decade of specialized experience helping patients manage post-surgical swelling and lymphedema.
Cancer Rehab PT Website - https://cancerrehabpt.com/
Written by Holli Markwald
