Understanding Lymphoedema

At Melbourne Massage and Treatment, located in Fitzroy North, I do understand that living with lymphoedema can be challenging, both physically and emotionally. As part of my commitment to providing exceptional care and treatment for my patient, I have created this comprehensive guide to help you better understand what lymphoedema is, its causes, symptoms, and how the lymphatic system works. Whether you’re newly diagnosed or managing the condition long-term, this guide will help empower you with the knowledge to make informed decisions about your treatment.

What is Lymphoedema?

Lymphoedema is a condition that causes swelling due to the improper function of the lymphatic system. The lymphatic system is responsible for draining excess fluid, proteins, and waste products from tissues back into the bloodstream. When this system is compromised, fluid can accumulate in the affected areas, causing swelling, discomfort, and other health issues.

At Melbourne Massage and Treatment, I specialize in lymphoedema care and offer a range of services, like Manual Lymphatic Drainage and Combined Decongestive Therapy, to help manage the condition and reduce its symptoms, allowing you to live a more comfortable and active life.

The Biology of the Lymphatic System

To better understand lymphoedema, it’s important to first explore the lymphatic system’s function in the body. The lymphatic system consists of a network of vessels, lymph nodes, and other organs that help maintain fluid balance and support the immune system.

• Lymph Vessels: These small tubes transport lymph fluid, which contains immune cells, proteins, waste, and other substances.
• Lymph Nodes: These small, bean-shaped structures filter lymph liquid and trap harmful substances, such as bacteria and viruses, to protect the body, thanks to the action of the immune system.
• Lymph liquid: The fluid circulating throughout the lymphatic vessels, which is dug in the body by the bloodstream and collected by the lymphatic system.
• Lymphatic Organs: The spleen and tonsils also contribute to the lymphatic system, filtering blood and defending against infections. But along the list of organs that are part of the lymphatic system we also find bone marrow, spleen, thymus, tonsils and adenoids.

The lymphatic system works by collecting excess fluid below the skin and between tissues and returning it to the bloodstream. The fluid is collected from anywhere in the body and is then delivered to the clavicle, cervical area, and is there where it gets discharged into the bloodstream. However, when the lymphatic system becomes damaged or obstructed, it can lead to lymphedema because the liquid can not be brought to the discharging destination. This may occur due to interruption of the lymphatic vessels or the removal of lymph nodes.

Causes of Lymphoedema

We classified Lymphoedema into two types: primary and secondary. Both types have different causes, and understanding the underlying factors can help guide appropriate treatment options.

Primary Lymphoedema

Primary lymphoedema is rare and is based on genetic predisposition. This condition arises due to an abnormal development of the lymphatic system. This form of lymphoedema can manifest at any stage of life, and when it does so, the swelling would start distally and move proximally:

• Congenital Lymphoedema: Present from birth, this occurs when the lymphatic vessels fail to form properly.
• Lymphedema Praecox: This type typically develops during adolescence, often affecting one or both legs.
• Lymphedema Tarda: This type occurs after the age of 35 and may be linked to genetic factors or environmental triggers.

Secondary Lymphoedema

Secondary lymphoedema is far more common due to external factors that damage the lymphatic system. In this case, the swelling would start proximal to the damaged area and move distally down the limb/s.

These include:

• Cancer Treatment: This is particularly common after surgeries that remove lymph nodes or radiation therapy, which can interfere with the normal flow of lymph fluid.
• Infection: Conditions like cellulitis (skin infection) or parasitic infections can damage the lymphatic vessels and lead to fluid buildup.
• Surgery or Physical Trauma: Any injury or surgical procedure that affects the lymphatic system can result in lymphoedema.
• Lipedema: A presentation like lipedema that is characterised by excess fat accumulation can, in a late stage, increase pressure on the lymphatic vessels, impairing their ability to drain fluid effectively.
• Venous Insufficiency: Chronic venous insufficiency causes poor circulation and increases pressure on the lymphatic system.

At Melbourne Massage and Treatment in Fitzroy North, I work to support clients with lymphoedema, particularly those who have developed the condition due to cancer treatments or other medical interventions.

Symptoms of Lymphoedema

The main symptom of lymphoedema is swelling, often affecting one or both limbs. However, other signs and symptoms can also develop, especially if the condition is left untreated. Common symptoms include:

1. Swelling: The affected area will swell, most commonly in the arms or legs, but can also occur in other parts of the body. The swelling may start gradually and worsen over time.
2. Heaviness or Tightness: The swollen area may feel heavy, tight, or full, making it difficult to move the affected limb
3. Reduced Mobility: As the condition progresses, the swelling can limit your ability to move the affected limb freely.
4. Skin Changes: The skin may become thickened, dry, or prone to infection as the condition worsens.
5. Frequent Infections: Due to the severe swelling, the skin is prone to cuts and cracks. Underneath, a high protein liquid is now present, which, when in contact with pathogens present in the air, can easily develop infections.

If you experience any of these symptoms, it’s important to seek treatment promptly to manage the condition and prevent complications. At Melbourne Massage and Treatment, we offer a range of therapies designed to help reduce swelling and improve mobility.

Treatment and Management of Lymphoedema

While lymphoedema is a chronic condition, it is highly manageable with the right care. At Melbourne Massage and Treatment, we specialize in lymphoedema management and offer a holistic approach that combines various therapies to reduce swelling, improve circulation, and maintain quality of life.

Treatment Options Include:

1. Manual Lymphatic Drainage (MLD): A gentle, specialized massage technique that encourages the movement of lymph fluid and reduces swelling.
2. Combined Decongestive Therapy (CDT): Application of bandages, applied post Lymphatic Drainage treatment, which are used to quickly reduce the swelling.
3. Exercise: Regular physical activity, especially exercises that promote lymphatic drainage, is beneficial for managing lymphoedema.
4. Skin Care: Proper skin hygiene is vital to prevent infections. We provide guidance on how to protect the skin and keep it moisturized.
5. Liposuction or Surgery: In some cases, surgical options may be explored to remove excess tissue or repair damaged lymphatic vessels (IT IS NOT a service that we offer at our clinic).

We also provide personalized advice on lifestyle changes that can help manage lymphoedema, such as maintaining a healthy weight, avoiding prolonged standing or sitting, and taking steps to reduce the risk of infection.

Why Choose Melbourne Massage and Treatment?

At Melbourne Massage and Treatment, a Lymphoedema Clinic in the heart of Fitzroy North, Giovanni is a myotherapist who undertook his Lymphoedema management qualification with the Vodder Academy, the leading institution in Lymphoedema therapist education. In addition to the Lymphoedema qualification, Giovanni has been working with MLD since 2021.

So, whether you’re managing a primary lymphoedema or a lymphedema post cancer treatment, or seeking relief from the symptoms, Giovanni is here to support you every step of the way. And if you are unsure if this treatment is what you need, book now a free 15-mins consultation with Giovanni.

Understanding lymphoedema and its treatment options is crucial to managing the condition effectively. With the right support and therapies, people living with lymphoedema can lead fulfilling lives. At Melbourne Massage and Treatment, we are proud to be a trusted resource for the Fitzroy North community and beyond, offering expert care to support your health and well-being.

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