Functional Recovery in a Post-Mastectomy Lymphedema Case Using Kinesiological Taping as an Adjunct to Physiotherapy: A Case Study

BACKGROUND: Post-mastectomy lymphedema is a prevalent and distressing complication experienced by many breast cancer survivors. It typically results from disruption of lymphatic channels following axillary lymph node dissection or radiation therapy, leading to fluid accumulation, pain, and reduced upper limb function. Conventional physiotherapy remains the cornerstone of treatment; however, complementary modalities such as kinesiological taping (KT) are emerging as promising non-invasive interventions to enhance lymphatic flow, reduce edema, and restore functional independence. CASE DESCRIPTION: A 52-year-old right-handed female, 8 weeks post-right-sided modified radical mastectomy for stage II invasive ductal carcinoma, presented to the physiotherapy department with complaints of heaviness, swelling, and restricted mobility in her right upper limb. Clinical examination revealed Grade II lymphedema with moderate pitting edema and shoulder range of motion (ROM) limitation. There were no signs of active infection or contraindications to physical therapy or taping. Her baseline Disability of the Arm, Shoulder and Hand (DASH) score was 58, and Visual Analog Scale (VAS) for pain was 6/10. INTERVENTION: A comprehensive rehabilitation program was designed, consisting of: Manual Lymphatic Drainage (MLD): Gentle, rhythmic massage to stimulate lymph flow, performed 5 times/week, Kinesiological Taping: Fan-cut KT strips were applied from distal to proximal limb to facilitate lymphatic return, replaced every 3–4 days, Range of Motion Exercises: Assisted and active ROM for shoulder flexion, abduction, and external rotation, Scapular Stabilization: Isometric and resistance band exercises targeting rhomboids, trapezius, and serratus anterior, Patient Education: On skin care, positioning, self-drainage techniques, and daily arm elevation. The treatment protocol was continued over a period of 6 weeks with regular monitoring. Outcomes: Marked improvements were observed in clinical parameters: Limb Circumference Reduction:, Mid-bicep: Reduced from 32 cm to 29 cm, Wrist: Reduced from 21.5 cm to 19 cm, Shoulder ROM Gains (Active Range), Flexion: 80° → 145°, Abduction: 60° → 135°, External Rotation: 30° → 70°, VAS Score: Reduced from 6/10 to 2/10, DASH Score: Improved from 58 to 22, Patient Feedback: Reported lighter limb sensation, reduced discomfort during dressing/grooming tasks, and improved self-esteem. No adverse effects or skin reactions were reported during the taping intervention. CONCLUSION: This case highlights the effective use of kinesiological taping as an adjunct to physiotherapy in managing post-mastectomy upper limb lymphedema. The lymphatic KT application technique, when combined with traditional manual and exercise therapies, contributed to measurable reductions in limb edema, improved upper limb mobility, and enhanced overall functional independence. KT is safe, economical, and easily applicable in outpatient settings, and its integration into post-breast cancer rehabilitation programs may offer additional therapeutic value.