Guidance for Patients Receiving Radiation Therapy Near the Arm, Leg, or Groin Area

This guide provides evidence-based information for cancer patients undergoing radiation therapy near the arm, leg, or groin. It covers common side effects, their prevention, dos and don’ts, home remedies, dietary changes, supplements, medical consultation, and commonly used medications.

This information is based on international standards (e.g., NCCN, ASTRO) and has been kindly provided by Dr. Narendra Rathore (MB Hospital, Udaipur).

1. Common Side Effects of Radiation Therapy

Radiation therapy in the limb or inguinal (groin) area can affect the skin, muscles, and surrounding tissues. Common side effects include:

• Skin irritation, dryness, or itching

• Fatigue

• Swelling (Lymphedema)

• Pain

• Risk of infection

2. Preventive Measures

• Skin Care: Keep the area clean, dry, and moisturized. Use doctor-recommended moisturizers such as Vaseline.

• Lymphedema Prevention: Avoid placing heavy weight on the affected limb. Do light exercises that promote lymph flow.

• Hydration: Drink 2–3 liters of water daily.

• Nutrition: Eat high-calorie and protein-rich foods to avoid weight loss.

• Sun Protection: Cover the affected area when exposed to sunlight.

• Fatigue Management: Ensure adequate rest and engage in light physical activity (e.g., walking).

3. Dos and Don’ts

✔️ Dos:

• Clean the area 2–3 times a day with lukewarm water and mild soap (e.g., Dove).

• Apply creams and moisturizers prescribed by your doctor.

• Wear soft, loose-fitting clothing.

• Stay hydrated with water, coconut water, or diluted fruit juice.

• Inform your doctor immediately about serious symptoms (e.g., severe irritation, swelling, pain, fever).

• Rest regularly.

❌ Don’ts:

• Avoid scented soaps, lotions, or deodorants.

• Do not scratch or rub the skin.

• Avoid smoking and alcohol.

• Do not lift heavy weights.

• Do not hide symptoms.

• Do not use any home remedies or medications without medical advice.

4. Home Remedies (Only with Doctor’s Approval)

For skin irritation and dryness:

• Aloe vera gel – for cooling effect

• Coconut oil – for external skin only (not on open wounds)

• Rose water in lukewarm water – to wash the area

For pain and swelling:

• Warm milk + turmeric

• Cold compress – wrap ice in cloth and apply gently

For fatigue:

• Ginger water or Tulsi tea – helps with energy and stress

For digestive issues:

• Ripe banana, Isabgol (psyllium husk) – only with doctor’s advice

⚠️ Caution: Do not apply any remedy to open wounds or affected skin without your doctor’s approval.

5. Dietary Changes and Supplements

Recommended Diet:

• Curd rice

• Boiled vegetable soup (e.g., carrot, bottle gourd)

• Mashed potatoes with salt 

• Thin buttermilk or chaas

• 5–6 small meals daily

• Protein supplements (e.g., KABIPRO)

• Hydration – water, coconut water, diluted fruit juice

Avoid: Spicy, fried, acidic, or heavy foods

Supplements (Only under doctor supervision):

• Protein powder

• Omega-3 fatty acids – reduce inflammation

• Multivitamins

• Zinc – supports skin healing

• Probiotics – aids digestion

6. Regular Medical Contact

• Follow up with your doctor regularly.

• Maintain a symptom diary (e.g., skin changes, appetite, weight, pain).

• Share concerns with your doctor and family.

7. Commonly Used Medications (Only with Doctor’s Advice)

For skin irritation:

• Hydrocortisone cream (1%)

• Silver sulfadiazine

• Moisturizers – Aquaphor, Bepanthen

For pain:

• Paracetamol (500–1000 mg)

• Tramadol or Morphine (for severe pain)

• Lidocaine patch (as advised)

For lymphedema:

• Diuretics (under medical supervision)

• Compression therapy (under physiotherapist guidance)

For infection:

• Antibiotics (e.g., Amoxicillin)

• Antifungal creams

For digestive issues:

• Loperamide (for diarrhea)

• Lactulose or Isabgol (for constipation)

• Ondansetron (for nausea)

For nutrition:

• Enteral nutrition formulas (e.g., Ensure, if appetite is low)

⚠️ Warning: Do not self-medicate. All medications must be prescribed and supervised by your oncologist.

8. Lymphedema Prevention and Exercises

🛡️ Prevention Strategies:

• Do not wear tight clothes or jewelry on the affected limb.

• Avoid cuts, scratches, or insect bites.

• Keep skin clean and moisturized.

• Do not lift weights over 5 kg, especially in the early months.

• Wear compression garments as prescribed by your doctor.

🧘‍♀️ Exercises (Under Physiotherapist Guidance):

• Deep breathing (5–10 minutes daily)

• Shoulder rolls (10 times forward and backward)

• Gentle arm/leg lifts (hold for 10 seconds)

• Hand or ankle pumping

• Simple yoga poses (e.g., Surya Namaskar)

⚠️ Caution: Stop exercise immediately and consult your doctor if you notice swelling, pain, or heaviness.

🌟 Additional Tips

• Stay in regular contact with your doctor and physiotherapist.

• Monitor symptoms daily.

• Care for your mental health — deep breathing, mindfulness, and positive thinking help.

📝 Important Note

Side effects from radiation therapy are common. However, with proper care and lymphedema prevention strategies, they can be effectively managed. Always follow your doctor’s advice and use home remedies cautiously.

You are not alone on this journey. ❤️