Here in Fitzroy North, at my Myotherapy Clinic and 1:1 fitness class studio, I get to work with a wide range of clients, and what I notice is that there is a lack of knowledge and awareness on how to deliver a Glutes Strengthening. And why I believe that a squat is important is simply because squatting is an action that we do so often throughout the day that we all should be good at it, and it is the best functional movement that allows you to reinforce the full body structure. Therefore, when I come across those presentations, I ensure to educate my patients about the basic mechanics of a squat, including mobility, stability, and glutes strengthing. Are You Looking Into Glutes Strengthening? Let’s Check Your Joint Mobility and Stability First In order to deliver effective training for your glutes, including delivering an efficient squat, you will look at: Adequate ankle mobility A well-coordinated hip hinge Stability in fee tarsals and knee joints Those are regular things I would look at during a myotherapy treatment and 1:1 fitness class in Fitzroy North, to improve glute activation, movement efficiency, and injury resilience. Ankle Mobility Exercise to Improve Squat Depth and Lower Limb Mechanics As discussed in greater depth in the mobility and stability blog, before we start looking at strength and start working on functional movement, like the squat, we want to ensure that the mobile joints are mobile enough to deliver the right mechanics. In fact, limited ankle mobility often results in compensatory strategies such as: Excessive forward trunk lean during squats Early heel lift Increased stress on the knees or lumbar spine Clinical Importance of Ankle Mobility Adequate ankle dorsiflexion allows improved tibial progression during squatting movements, enabling more effective hip and glute loading. Exercise: Knee-to-Wall Ankle Dorsiflexion Drill Position the foot flat on the ground, facing a wall Aim for a 10 cm distance between the big toes and the wall Maintain heel contact with the floor Drive the knee forward toward the wall under control Perform slow, controlled repetitions Your aim is to teach the wall with the kneem, with a big toe-wall distance of min. 10 to 12 cm Clinical application:This exercise is commonly prescribed in myotherapy sessions to improve squat mechanics, reduce compensatory loading, and support long-term joint health. Hip Hinge Drill for Posterior Chain Activation and Spinal Control The hip hinge is a fundamental movement pattern required for safe and effective loading of the gluteal muscles, but not only that, indeed, poor hip hinge mechanics often present as excessive lumbar flexion or extension during deadlift-based movements. Why Hip Hinge Mechanics Matter Efficient hip hinging can help with: Increases glute and hamstring activation Reduces lumbar spine strain Improves RDL and deadlift performance Exercise: Wall-Assisted Hip Hinge Drill Stand approximately 20–30 cm from a wall Push the hips posteriorly to make contact with the wall Maintain a neutral spine and rib position Return to standing using glute contraction (squeeze those glutes) Clinical focus:This drill is a key component of both rehabilitation and performance-based programming at Melbourne Massage and Treatment. It is also a fundamental movement pattern taught in my glute-focused fitness classes, ensuring clients build strength safely and efficiently. Stability Starts From Your Feet Foot stability is a crucial part of delivering a good squat, especially during a low-bar squat, when feet are flat on the ground. Imagine your feet unable to give a stable direction to whatever is above, like the ankle, knee and hip. This would lead to knee shaking during squatting, and once the squat load increases, the risk of injury rises. So for foot stability, we look at: Even weight distribution of your load along the plantar of the feet, not only on your toes or on the heel. All toes, grabbing the floor, throughout the squat performance Lower-bar squat, feet flat on the floor (be barefoot or use gambaletto type of shoes) and feet wider than hip, stand in slight external rotation High-bar squat, feet open wide as hip stand (so a narrow stand) and heel well elevated. In both my clinical work and my strength-based fitness classes, foot stability is always assessed first. On the other hand, more about the high and low bar squat is available from this blog. Squats for Functional Glutes Strengthening In my glute-strengthening fitness class sessions, the squat is one of the primary movements we refine. Keep in mind that when we talk about squat for glut strength, we always refer to the lower-bar squat. Therefore, when performed with appropriate technique, this exercise is the most effective exercise for developing functional glutes strenghtening and improving lower-limb coordination. Below, you will find the most common Clinical Faults in Squatting Limited ankle mobility restricting depth Poor hip control resulting in lumbar compensation Reduced gluteus contribution due to motor control deficits So this is what you need to focus on to for a Optimal Glute Engagement while squatting: Maintain even foot pressure throughout the movement Maintain spinal alignment and controlled descent Drive upward through the heels and mid-foot Clinical note:Squat depth should be dictated by movement quality rather than arbitrary range targets. Romanian Deadlifts (RDLs) Another Glutes strengthening Exercise The Romanian deadlift, in comparison to the conventional deadlift, is a partial movement, where the load never touch the ground throughout the exercise (once it gets picked off the ground). This type of lift is ideal for exercising the posterior chain, particularly in the gluteal and hamstring musculature. Benefits of RDLs in Myotherapy and Strength Training Enhances glute and hamstring load tolerance Improves hip-dominant movement capacity Reduces injury risk through controlled eccentric loading RDL Execution Guidelines Maintain close bar or weight proximity to the body Initiate movement via hip hinge, not knee flexion Maintain spinal neutrality throughout the range Terminate the movement when pelvic control is lost Clinical relevance:RDLs are regularly integrated into rehabilitation and strength programs for clients with lower back pain or who are returning to lifting after injury. But are also ideal to build […]
Category Archives: Blog
Blog
Why Your Grip Strength Might Be Predicting Your Lifespan (Yes, Really)
In this blog, we are going to look into why grip strength is one of [...]
Continue readingApr
Blog
Scapular Stabilisation Exercises for Neck Pain | Melbourne Massage and Treatment
Neck pain and or upper back pain often originates from a disbalance of mobility and [...]
Continue readingApr
Blog
Low Level Laser Therapy in Melbourne: Does It Actually Work?
If you have been at the clinic most recently, you may have heard me talk [...]
Continue readingApr
Blog
Your Neck Matters! 3 Neck Strengthening Exercises To Stop The Pain
Neck pain is such a common presentation, and often I have to hear from my [...]
Continue readingMar
Blog
There Is No “Perfect” Lunge. Let’s Find Out Why.
While I guide my client during a 1:1 fitness class at Melbourne Massage and Treatment, [...]
Continue readingMar
Feb
Calf injuries, such as a muscle tear, can be annoying to deal with because they can affect how we move and walk. This type of injury is common in runners, but can affect any person who may take part in a hit-class or go off for an occasional run, without proper athletic preparation. As a Myotherapist in Fitzroy North, my approach to calf injury rehab combines: Hands-on myotherapy Load management strategies Progressive exercise rehab Fitness-based rehabilitation classes What is a calf muscle tear? To start with, we need to understand which muscles make up the calf and which are most likely to tear. Calf muscles include: Gastrocnemius (medial head) Gastrocnemius (lateral head) Soleus Plantaris Tibialis posterior Flexor hallucis longus Flexor digitorum longus Fibularis (peroneus) longus Fibularis (peroneus) brevis Fibularis (peroneus) tertius The gastrocnemius (medial and lateral head) and soleus muscles are indeed the muscles that are most likely to tear, given the high load of work they do for ankle plantarflexion. These injuries commonly happen during: Sprinting or sudden acceleration Jumping or rapid change of direction Fatigue, poor load management, or inadequate warm-up Common symptoms include: Sudden sharp pain in the calf Tightness or cramping sensation Swelling or bruising Reduced push-off strength when walking or running When we look into the recovery approach, regardless of the injury severity, calf tears respond best to active rehabilitation rather than prolonged rest. How Myotherapy Can Help With Calf Muscle Tear? Myotherapy is a hands-on approach to musculoskeletal injury, and we not only look at massage as a form of treatment but also actively show you how to load your injured calf to rebuild the resiliency and strength needed to recover and prevent further injury. In summary, myotherapy can help by: Reducing excessive muscle tone via massage and or dry needling Improving circulation Supporting movement efficiency Addressing compensations in the ankle, knee, and hip Create a step-by-step exercise guide for your rehab protocol In fact, rehab isn’t just about pain relief; it’s about building capacity for better performance in everyday life. Calf Injury Rehab: A Step-by-Step Approach Calf injury, as mentioned earlier, is really common in active and not active patients, and therefore it is important to look at the clinical history of the patient, including the load those muscles go through in everyday life, the mechanism of injury, the mobility capacity and what the patient expects from the recovery process too. Indeed, at Melbourne Massage and treatment, I focus on: Individual assessment Pain-guided progression Gradual return to sport, work, or training If you’re searching for calf injury treatment in Melbourne, structured rehab with a myotherapist makes a real difference. Acute Calf Injury Management: PEACE & LOVE Acute or early-stage calf injury rehab follows the PEACE & LOVE framework rather than outdated RICE protocols. PEACE – First 1–3 Days After Injury Protect – Avoid excessive loading that may worsen the tear. Elevate – Elevation assists in swelling reduction. Avoid Anti-Inflammatories – Inflammation plays a key role in tissue healing. Compress – Light compression may help manage swelling. Educate – Understanding recovery timelines improves outcomes. LOVE – Subacute Phase and Beyond Load – Gradual loading improves tissue strength and tolerance. Optimism – Positive expectations support recovery. Vascularisation – Gentle pain-free movement improves circulation. Exercise – Progressive rehab restores function and confidence. In the acute phase, which lasts about 72 hours, we call it the inflammatory phase, and pain, redness, and swelling are expected Rest is recommended to let the body kick in its own healing capacity. Phase 1 Rehab: Isometric Calf Exercises As in most musculoskeletal injuries, once pain settles, even in the case of a calf injury, the first step to take in the rehab process is isometric exercises. Isometrics involve muscle contraction without repetitive movement, making them ideal for early healing. Benefits of isometric calf loading: Maintains strength Reduces pain Minimises stress on healing fibres Common examples: Standing calf press into the floor – works well for both the gastrocnemius and soleus muscles Seated calf holds – focus onthe soleus muscles Wall-supported calf contractions – if equilibrium is an issue Pain should remain low and settle quickly after exercise. A formula that I use with my patient is: pain post exercises = worst pain from injury / 2 So if your worst pain given by the calf injury was 8/10, post-isometric exercises, we are happy if you get a 4/10, but no more. And as long as it takes few minutes to 24 to settle, it’s fine. We will touch base on “why?” at the end of this blog. Phase 2 Rehab: Concentric and Eccentric Strengthening Week 1 to week 2 have passed since the injury, and it’s time to start loading the calf muscles with dynamic strengthening. The second phase is the longest one, and it may last somewhere between 4 and 5 weeks. Concentric loading The muscle shortens while producing force – Rising up during a calf raise Eccentric loading The muscle lengthens under load – Slow controlled lowering from a calf raise This phase restores: Calf strength Tendon resilience Capacity for walking, running, and work demands Isometric training allows the muscle fibres start the healing process, start closing the gap post calf tear, and therefore, now, with the strength training, we aim at improving the calf muscle function and injury resilience. This phase focuses as a priority on calf muscles, via calf raises, with a series of progressions: From double leg to single leg From feet flat on the ground to standing on a platform with a heel, with free fall From body weight only to increase the load From low reps to higher reps On top of those progressions for specific calf exercises, we will include other types of exercises, which focus on: Ankle mobility Quads and hamstring exercises to improve knee stability Glute exercises per equilibrium and power That said, at my Fitzroy North clinic, I ensure to pass on this information to my clients, teaching them the importance of tailored load, tempo, and volume to their […]
Jan
In Victoria, Lymphoedema patients are entitled to access the SWEP program (State Wide Equipment Program), a government-funded program that provides funding for garment wear on an annual basis. As a Myotherapist and Lymphoedema therapist working in Fitzroy North, I can help you overcome the bureaucracy and understand how to access the SWEP incentives and where to go and purchase the garments. What Is the SWEP Program? The SWEP or State-Wide Equipment Program is a Victorian government-funded scheme that provides subsidised or fully funded medical equipment to eligible individuals living with permanent or long-term conditions, and Lymphoedema is one of these conditions. For those who live with a chronic condition like lymphoedema, the SWEP can significantly reduce the financial burden of compression garments, which are an essential, not optional, part of lymphoedema management. So yes, SWEP is not a treatment program but an equipment funding pathway. Why Compression Garments Are Essential for Lymphoedema Lymphoedema is a lifelong condition, and unfortunately, in most cases, it is not curable. For managing this presentation, therapies like Manual Lymphatic Drainage (MLD) and Complete Decongestive Therapy (CDT) can help reduce the swelling, and then compression is what maintains results. Without appropriate compression: Swelling returns Tissue becomes heavier and more fibrotic Skin integrity is compromised Infection risk (cellulitis) increases This is why access to properly fitted garments through programs like SWEP is so important. What Lymphoedema Items Can Be Funded Through SWEP? The SWEP may assist with funding for: Compression garments (flat knit or circular knit, based on clinical need) Wrap systems Custom-made garments when off-the-shelf options are unsuitable The funding is based on: Medical necessity Functional impact Long-term condition status Financial eligibility The SWEP does not automatically cover all the costs, as approval depends on correct documentation and assessment, and that’s where I can assist you. Below you will find a section dedicated to the cost covered by SWEP via the Lymphoedema Compression Gargments Program (LCGP). SWEP and Lymphoedema Compression Garment Program (LCGP) In Victoria, patients with lymphoedema can access the Lymphoedema Compression Garment Program (LCGP) via SWEP. Indeed, SWEP and LCGP are 2 separate programs, but it is SWEP that took control of the LCGP in 2017, and this is how it works. LCGP is funded by the Department of Health and provides subsidised compression garments and wrap systems for eligible individuals diagnosed with primary, secondary, or sub-clinical lymphoedema affecting the limbs. What Is Funded Under the LCGP? From the day of submission to the SWEP for the garment wear, you have 12 months to get funding for: Adults 4 sets of compression garments per affected limb, or 3 sets of compression garments and 1 kit of Adjustable Wrap Systems (AWS) per affected limb, or 2 kits of Adjustable Wrap Systems (AWS) per affected limb 1 donner (once off) Children under 18 years of age 6 sets of compression garments per affected limb, or 5 sets of compression garments and 1 kit of Adjustable Wrap Systems (AWS) per affected limb, or 2 kits of Adjustable Wrap Systems (AWS) per affected limb 1 donner (once off) Available Subsidies Those above are the number of garments you get funding for, and each garment is subsidised as follows: Ready to Wear (RTW):$150 per set of garments per affected limb Made to Measure (M2M):$300 per set of garments per affected limb where RTW is not compatible with limb size, shape, or required compression class Adjustable Wrap Systems (AWS) kit:$150 per kit Donner (once off):$60 Who Is Eligible for State Wide Equipment Program? To be eligible for SWEP in Victoria, you must: Are a permanent Victorian resident, hold a temporary or permanent protection visa, or are an asylum seeker Have a long-term condition or disability, and/or are frail aged Do not receive other government funding for compression garments Are not an inpatient of a public or private hospital, or a permanent resident of a residential care facility Cannot claim garments through private health insurance Have not been discharged from a public hospital or extended care centre within the last 30 days, where garments relate to the hospital admission Further assistance with determining your eligibility can be obtained via this link, which directs you to the SWEP website’s Check Eligibility page. My Role in Supporting SWEP Applications At my Lymphoedema clinic in Fitzroy North, I regularly support patients by: Performing comprehensive lymphoedema assessments Identifying the correct compression type and class Providing clinical justification for garments Working alongside GPs and specialists for referrals (my clinic is situated in a GP clinic) Ensuring garments align with the patient’s stage of lymphoedema and lifestyle needs As a lymphedema practitioner, I trained with the Vodder Academy for Lymphoedema Management, so I do understand the importance of precise garment selection, not just eligibility. On the other hand, I am also a member of the Australasian Lymphology Association (ALA), and I stay aligned with current best-practice standards when recommending compression solutions. SWEP Is Not a Substitute for Treatment Another important point that I want to mark again is that SWEP does not replace therapy. What this means is that for the best outcomes, compression garments should be used alongside: Manual Lymphatic Drainage (MLD) Complete Decongestive Therapy (CDT) Skin care Movement and load management Ongoing review and garment reassessment In fact, compression works best after swelling has been optimally reduced, not as a standalone solution. This is because compression, applied to a non-managed Lymphoedema, may result in hard to apply, can crack the skin (which would lead to infections), and it may also be painful. SWEP in Fitzroy North At Melbourne Massage and Treatment, Myotherapy & Lymphoedema clinic in Fitzroy North, I support patients with evidence-based care, practical guidance, and individualised planning, so you can manage lymphoedema with confidence. If you’d like support with SWEP-related compression, assessment, or ongoing lymphoedema management, use the button below to book a FREE 15-minute online consultation (Option 9).
Jan
Compression therapy is essential for lymphoedema management, and therefore, is worth it write a blog where we are going to talk about what compression is ideal for what lymphoedema presentations, including the mmHg levels. I’m Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), which forms the foundation of effective lymphoedema treatment. What Does mmHg Mean in Lymphoedema Compression? As when measuring blood pressure, even when working with Lymphoedema, we use the measuring unit mmHg (millimetres of mercury) when talking about compression. Based on the type of presentation, as lymphoedema therapists, we would recommend different types of compression garments, including flat knit or circular knit. So, here is a short list of the purposes of compression garments: Support the lymphatic system Encourage lymphatic flow Prevent fluid from re-accumulating Maintain the results achieved through CDT Therefore, choosing the correct mmHg compression level is about balancing effectiveness, safety, and comfort, and not only apply some form of pressure on the affected limb. Compression Classes and Lymphoedema Management To simplify how compression garments work, companies like Sigvaris or Juzo grouped the compression into classes or levels, each corresponding to a specific mmHg range. Common Compression Levels Used in Lymphoedema Compression Lower compression levels – 15–20 mmHgOften considered in: Mild lymphoedema Early-stage swelling Fragile or sensitive skin Situations where tolerance is limited Moderate compression levels – 20–30 mmHgCommonly used for: Established lymphoedema Post-intensive CDT Long-term volume maintenance Daily functional support Higher compression levels – 30–40 mmHgUsually required for: Moderate to severe lymphoedema Fibrotic or hardened tissue Significant limb shape changes Swelling that rebounds quickly My personal suggestion is that the correct Compression Level should always be determined following a thorough clinical assessment, in order to avoid fluid retention and waste of money. Why Higher Compression Is Not Always Better Compression level in lymphoedema treatment, as mentioned above, has to be a balance of effectiveness and comfort, and different presentation, with or without fibrosis, mobile or immobile limb, comes with different compression needs. Indeed, applying the wrong type of compression can: Reduce comfort and compliance Increase skin irritation or skin breakdown Compromised lymph circulation Make garments difficult to don and doff In fact, effective Lymphoedema Compression works with the body, not against it, and that’s why for lymphedema presentation compression garments are recommended to be worn after taking specific measurements, that ensure a gradient pressure is applied on the limb, so that the lymph fluid is pushed in the right direction and not towards the extremity of the limb. Compression Levels and Complete Decongestive Therapy (CDT) At Melbourne Massage and Treatment, as part of lymphedema management, I offer MLD as a manual therapy to stimulate the lymphatic system, and CDT (Complete Decongestive Therapy), to reduce the swelling and limb size. More specifically, CDT, can help with: Reduce swelling after the delivery of Manual Lymphatic Drainage (MLD) Improve tissue quality Shape the limb appropriately Prepare the limb for long-term Lymphoedema Compression Help in the breakdown of fibrosis Once the limb has stabilised, compression garments help maintain volume reduction and prevent progression of lymphedema. Professional Assessment Is Essential Certain pharmacies or retail shops (including online one) may sell compression garments, but those are probably not specific enough for a Lymphoedema presentation. Indeed, the appropriate Compression Level depends on: Lymphoedema stage Limb shape and size Tissue texture and fibrosis Skin condition Functional needs and daily activity For compression garments, post MLD and CDT therapies, I refer patients to Sigvaris in West Melbourne, which specialises in medical compression for lymphoedema and ensures accurate fitting and garment selection. Lymphoedema Compression in Fitzroy North Living with lymphoedema can be challenging, and you may find yourself in need of ongoing care and help in navigating information regarding the right compression strategy. At Melbourne Massage and Treatment in Fitzroy North, I provide: Evidence-based CDT Personalised lymphoedema management Clear guidance on Lymphoedema Compressions Collaborative care with trusted compression garment providers So if you’re seeking professional lymphoedema treatment in Melbourne, or want clarity around compression levels and mmHg, I’m here to help. Accessing Compression Garments Through the SWEP Program For some people living with lymphoedema, the cost of Lymphoedema Compression garments can be a barrier to effective long-term management. In Victoria, eligible patients may access support through the State-Wide Equipment Program (SWEP), which provides funding for medically necessary aids, including compression garments for lymphoedema. As a Clinical Myotherapist, I can help you go through the SWEP program in collaboration with your GP. The role of the GP is to write a diagnosis and a referral to the SWEP program, and that’s where I can assist them. After that, you can refer to an approved compression provider, such as Sigvaris in West Melbourne, who can advise on garment selection and fitting. The Swep program for Lymphoedema patients can help with: Reduces the cost of Lymphoedema Compression garments for eligible patients Supports long-term lymphoedema management after Complete Decongestive Therapy (CDT) Ensures clinically appropriate compression through professional assessment FAQ – Lymphoedema Compression Levels
Jan
Once you have been diagnosed with lymphoedema (also known as lymphedema), you will soon learn that compression therapy plays a vital role in long-term management of this chronic condition, and one of the most common questions I hear in my clinic is: “What’s the difference between circular knit and flat knit lymphoedema compression garments?” In this blog, I will explain the difference between these two types of lymphoedema compression knit, so that it may help you understand better how your lymphoedema can be managed in the long term. Why Is Lymphoedema Compression Essential? As discussed in many more blogs, lymphoedema is a chronic condition caused by an impaired lymphatic system, which leads to the accumulation of lymph fluid and persistent swelling in one or more body parts. If not correctly managed, lymphoedema can progress and cause: Increased limb size – elephant leg Tissue fibrosis (hardening) Skin changes – including numbness Higher risk of infections – cellulitis is a common one Compression therapy is a cornerstone of CDT (Complete Decongestive Therapy), alongside: Manual Lymphatic Drainage (MLD) – ideal to boost your lymphatic system drainage capacity Skin care is essential to avoid skin cracks and infections Exercise and movement – especially if wearing circular knit compression Long-term compression – So in short, lymphedema compression supports lymphatic flow, helps maintain limb volume reduction, and prevents the worsening of lymphoedema. What Is Circular Knit Lymphoedema Compression? Circular knit compression refers to the method by which garments or bandages are made. In this case, the knit is made using a continuous circular weaving method, creating a seamless and highly elastic fabric. Benefits of circular knit compression: Lightweight and smooth texture Greater elasticity and stretch Often available off-the-shelf More discreet under clothing Circular knits are ideal for those lymphoedema patients who can and should move with the limb affected by lymphoedema. Indeed, the circular knits are designed to allow the lymphedema patient to move; therefore, while the limb is compressed, the lymphatic system is simultaneously boosted by compression and movement. When circular knitting may be suitable: Mild lymphoedema Early-stage lymphedema Limbs with minimal shape distortion Well-controlled swelling However, due to their elasticity, circular knit garments often lack the containment needed for more advanced lymphoedema, especially when fibrosis or limb shape changes are present. What Is Flat Knit Lymphoedema Compression? So, even in the case of Flat-knit compression, the name refers to the way the fabric is produced, like flat fabric and stitched together with a seam. This allows for higher stiffness and customised shaping. Benefits of flat knit compression: Firmer, more supportive structure Superior containment of swelling Custom-made to individual limb measurements Better control of irregular limb shapes Flat knit is usually recommended for: Moderate to severe lymphoedema Long-standing or progressive lymphedema Skin folds or lobes Fibrotic tissue Swelling that rebounds quickly A lymphoedema patient is unable to move much Therefore, based on the severity and lymphoedema stage, we would suggest using flat knit compression for more severe presentations or for someone who is unable to move the limb(s) affected. Compression Garments and Complete Decongestive Therapy (CDT) At Melbourne Massage and Treatment, in Fitzroy North, I offer Complete Decongestive Therapy (CDT) as part of lymphoedema management, which is internationally recognised as the most effective approach to lymphoedema treatment. Here is a list of things that I would offer during a lymphoedema management appointment: Comprehensive lymphedema assessment Manual Lymphatic Drainage Swelling reduction during the intensive phase of CDT Preparing limbs for compression garments Education on long-term self-management To simplify the process of lymphoedema management, at Melbourne Massage and Treatment, I do offer a free 15-minute online consultation, where I can answer your questions and go through an initial assessment about your clinical history. Compression After CDT After we manage to reduce the swelling in the limb(s) affected by lymphoedema, via MLD and CDT, which can take 3 to 5 appointments, or more, depending on your presentation, we can then look into getting garment wear that can fit your limb(s), so that the swelling can be managed for a longer time. While I do not supply compression garments directly, I refer patients to Sigvaris in West Melbourne, specialists in medical compression for lymphoedema, ensuring accurate fitting and high-quality garments. Circular Knit vs Flat Knit: Which Is Right for You? The correct compression garment depends on several factors, including: Stage and severity of lymphoedema Limb shape and tissue texture Presence of fibrosis Skin health Lifestyle and daily activity This is why coming for an appointment and getting your lymphoedema assessed and treated, where needed, is essential before selecting compression. Lymphoedema Treatment in Fitzroy North Living with lymphoedema can be challenging, but with the proper care, education, and treatment plan, it can be effectively managed. At Melbourne Massage and Treatment in Fitzroy North, I focus on: Evidence-based CDT Individualised lymphedema management Clear guidance around compression therapy Collaborative care with trusted garment providers Therefore, if you are in need of professional lymphoedema treatment in Melbourne or need clarity around compression options, I’m here to support you. About myself: a Myotherapist specialised in Lymphoedema Management My name is Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), the gold standard for lymphedema treatment. My approach is tailored to each individual patient, to achieve objective results, and to help you enjoy more your life while dealing with Lymphoedema management.
Jan
Along with many types of post-cosmetic surgery presentations I get to work with, Rhinoplasty can also present with facial swelling, which is one of the most common (and often most frustrating) parts of post-surgery recovery. While you may find many therapists claiming to work with lymphatic massage, as a therapist trained in Manual Lymphatic Drainage (MLD) through the Vodder Academy, I can help you achieve great results post surgery and help your body deal with excessive swelling, bruising, and, where it happens, even fibrosis. I So in this article, I want to explain why swelling can last longer than expected after rhinoplasty, what the science tells us, and how MLD may help reduce swelling and limit the development of fibrosis during the healing process. Why Does Swelling Persist After Rhinoplasty? Rhinoplasty is a surgery that can be done for cosmetic or functional reasons, like improving nasal breathing, and is a surgical procedure that involves deliberate trauma to bone, cartilage, and soft tissue. This trauma triggers inflammation and a temporary disruption of the lymphatic system, the network responsible for clearing excess fluid from tissues. Scientific research published in the Plastic and Reconstructive Surgery Journal shows that: Approximately two-thirds of post-rhinoplasty swelling resolves within the first month Up to 95% resolves by 6 months Residual swelling can still be present 12 months or longer, particularly in the nasal tip. Now, two things about those data: Those numbers are the results of a study done on 40 patients, so still, even if they are quite promising, more evidence is welcome for further comparison. On the other hand, this prolonged swelling is a normal physiological response, but it can be uncomfortable and visually concerning. The Role of the Lymphatic System in Facial Swelling The swelling that you may present with post-rhynoplasty surgery is due to a temporary impairment of the lymphatic system, which acts as the body’s drainage mechanism. After surgery, lymphatic vessels can become overloaded or temporarily impaired, leading to fluid stagnation in facial tissues. In another paper by Meade R et al. (2012), published in the Oxford Academic Journal, it is shown that postoperative facial surgery disrupts lymphatic flow, leading to prolonged edema in the head and neck region. In more chronic cases, where lymphatic fluid stagnates for prolonged periods, patients may also experience tissue hardening and early fibrosis. What Is Manual Lymphatic Drainage (MLD)? Manual Lymphatic Drainage is a gentle, non-invasive manual therapy designed to stimulate lymphatic vessels and redirect fluid toward functioning lymph nodes. Unlike remedial massage or deep tissue techniques, MLD is a post-surgical lymphatic massage characterised by: Light Pressure Slow and rhythmic Movements MLD aims to stimulate superficial and deep lymph vessels, not muscle tissue MLD is internationally recognised as part of Complete Decongestive Therapy (CDT), the gold-standard conservative treatment for lymphatic swelling. Lasinski B.B. et al. (2012). How MLD May Help Reduce Swelling After Rhinoplasty As mentioned above, the number of patients who undergone clinical trials for post-rhinoplasty swelling treatment is limited, but along with other studies available on PubMed, the physiological principles of MLD are well supported, and here is a breakdown of what you can come across while doing some research: Supporting Fluid Reabsorption By stimulating lymphatic flow, MLD helps the body clear excess interstitial fluid more efficiently, which may assist in reducing facial puffiness and pressure. Marxen T. et al. (2023). Improving Tissue Mobility Reduced fluid stagnation helps tissues remain softer and more pliable during healing, an essential factor for aesthetic outcomes. Masson I. et al. (2014). Encouraging Symmetrical Healing MLD techniques can be adapted to address asymmetrical swelling, which is very common after rhinoplasty. Ulu M. et al. (2025) MLD and the Prevention of Fibrosis When the body goes through severe trauma, like a surgery, as part of its natural reaction, it may build tissue under the skin. This tissue is called: Fibrosis. Fibrosis may feel firm to the touch and leave you with a feeling of tightness under the skin. When swelling is unattended, can leads to fibrotic formation and changes. In this clinical study by Masson I. et al. (2014), they looked into post-liposuction and body contouring surgery, and how Manual Lymphatic Drainage, particularly when combined with other conservative therapies, can reduce both swelling and tissue fibrosis. While facial tissues differ, the underlying biological mechanism is shared: improved lymph flow supports healthier tissue remodelling. When Can MLD Begin After Rhinoplasty? Timing is crucial, but MLD post- rhinoplasty should only begin: With surgeon approval Once acute inflammation has stabilised Using facial lymphatic drainage massage protocols appropriate for post-surgical tissue Once the antibiotic cycle is finished, and the risk of infections is no longer there anymore At Melbourne Massage and Treatment in Fitzroy North, I tailor each session based on: Surgical date Healing stage Tissue sensitivity Presence of swelling or firmness MLD is not a painful treatment, and it doesn’t matter how sensitive your skin is, or how good you are at tolerating pain, still, throughout the treatment, pain should not be experienced, as this would lead to increased inflammation, which is not what we need, when clearing off exceed lymph liquid to reduce oedema post-surgery. My Approach With MLD at Melbourne Massage and Treatment – Fitzroy North As a Vodder-trained MLD therapist, my focus is on precision, safety, and evidence-informed care. Each session is: Gentle and non-invasive Individualised to your healing phase Focused on supporting natural lymphatic recovery Most clients benefit from a short series of treatments over several weeks or months, depending on swelling persistence. Nothing can boost your healing, whether you went through a cosmetic surgery or just had a severe incident, but there are certain practices, like MLD or exercises, and even good food and plenty of rest, that can help in assisting your healing process and not make it worse or longer. <div class=”faq-accordion”> FAQs: </div>
Dec
Elbow tendinopathy, whether it presents as tennis elbow (lateral elbow pain) or golfer’s elbow (medial elbow pain), is one of the most common overuse injuries in active people, desk workers, and manual labourers. At Melbourne Massage and Treatment in Fitzroy North, I frequently help patients recover from both forms of elbow tendinopathy. Elbow Tendinopathy: How Does It Manifest? “Tendinopathy” refers to irritation and degeneration within a tendon due to repeated overload. Elbow Tendinopathy, in both of its forms, tennis or golfer’s elbow, can sound like a sport-related injury, but it has little to do with the sports world. The reason why those presentations carry their name is due to the sport action, which requires that specific muscle group to work to deliver the golfer strike (medial) or tennis strike (lateral). So what can actually cause an elbow tendinopathy are: Sudden increase of tendon load – lifting heavier than usual, at the gym or at work Repetitive action – think of that constant mouse or keyboard action in the office environment Overstretching of the tendon – Poor office ergonomics can overload the elbow joint and the elbow’s tendons To be more specific, the office worker presenting with elbow tendinopathy often has repetitive mouse/keyboard use, which is often accompanied by poor ergonomic factors, such as the forearm being in a prolonged pronated position (palm facing down), which places the common extensor digitorum tendon (CEDT) under stretch. Medial and Lateral Tendinopathy of the Elbow Let’s look into the difference between the actual Tennis (lateral) and Golfer’s (medial) Elbow. Tennis Elbow (Lateral Epicondylitis) Pain in the outer elbow Irritation of the wrist extensor tendons, especially the Extensor Carpi Radialis Brevis (ECRB) Familiar with typing, lifting, racquet sports, and DIY tasks Golfer’s Elbow (Medial Epicondylitis) Pain in the inner elbow Irritation of the wrist flexor tendons Related to gripping, pulling, forearm rotation, and throwing How To Recover From a Tendinopathy? Despite different pain locations, the rehab approach is almost identical, and while rest provides temporary relief, it does not fix the underlying tendon changes. The true solution? A structured, progressive exercise rehab program that restores tendon strength and resilience. In fact, as the tendinopathy itself came to be an issue due to an overload of the elbow’s tendon, to settle the pain and discomfort, we have to: Reinforce the elbow tendon and muscle so that it can perform better. Analyse what overloaded the elbow tendons – we have to understand what can be changed in the loading process, starting from: Shoulder stability (looking up in the joint chain – Mobility and Stability) The ergonomic of your workload, that is, office or heavy repetitive work (like gardening, for example, or construction). Workout program – ensure there is a progressive load in the program that is right for your capacity. The 3-Phase Exercise Program for Elbow Tendinopathy Here at Melbourne Massage and Treatment in Fitzroy North, as a clinical myotherapist, I get to see many patients presenting with Elbow Tendinopathy, and the rehab protocol and recovery that I used is detailed below. Phase 1: Pain Reduction & Tendon Activation (Week 1–3) In this initial phase, the goal is to calm symptoms without resting the tendon completely. Tendons respond best to gentle, controlled tension, better known as isometric exercises. Isometric is ideal because: Tendons have a low blood supply compared to muscles, so in order to receive the nutrients that allow the healing process to be delivered, they need long and steady engagements. A tenodon that is inflamed presents with disorganised collagen fibres, which are not running straight, and no longer form a compact line. And there is a need for a constant load to restore new fibres that can regain the tendon’s functionality. Wrist Extension Isometric (for Tennis Elbow) You will be sitting at a desk with your forearm comfortably supported by the desk, with your hand in a prone position (palm down) Slightly extend your wrist against resistance. Pain-free movement (it could be a bend or a lightweight) Hold 20 seconds, repeat 10 reps Wrist Flexion Isometric (for Golfer’s Elbow) You will be sitting at a desk with your forearm comfortably supported by the desk, with your hand in a supine position (palm up) Deliver a slight wrist flexion against resistance. Again, it has to be a pain-free movement. Hold 20 seconds, repeat 10 reps Time of hold, repetition and pain response are subjective to each individual. That’s where we would stop and focus on each individual clinical history and presentation, and adapt the elbow tendinopathy rehab program to your needs. Gentle Mobility & Dry Needling From a point of view of massage for elbow tendinopathy, there are a few techniques that work really well, especially in the early phase of recovery: Joint Mobilisation – passive movement applied to the wrist and elbow joint, to improve the range of motion of this joint and disengage the area. Dry Needling – The usage of a needle on muscle, to create a micro-inflammation and to drive more attention from the nervous system into the targeted area. Deep Tissue Massage – When dry needling is not an option, deep tissue massage can also help in creating this targeted central nervous system response. Phase 2: Strength & Tendon Remodelling (Week 3–8) This is the most critical phase, and the one that actually restores tendon health. Eccentric Wrist Extension (Tennis Elbow Gold Standard) How to do it: Extend the wrist of the affected side with your good hand, while in the affected side, you are holding a lightweight or resistance band. Slowly lower the weight with your injured side with a tempo that last 3–5 seconds Repeat 12–15 reps, 2–3 sets – this is an endurance setup. Between each set, rest for at least 30 seconds. Eccentric Wrist Flexion (Golfer’s Elbow Gold Standard) Same method, but applied in a flexion motion. Assist the initial movement of flexion Slowly bring the wrist back to the straight position with a 3-5 second tempo. Look always at somewhere between 12-15 reps, for endurance performance. […]
Dec
As a therapist who works with Lymphatic Massage in Fitzroy North and post-cosmetic-surgery patients, I often get asked, “What’s the difference between MLD and Brazilian lymphatic drainage?” To answer this question, I often have to give people a background of my training as a Lymphatic Drainage therapist and what is happening to their body post-liposuction. What are the differences between Vodder MLD and Brazilian Lymphatic Drainage Vodder MLD, which is the therapy I offer for post-cosmetic surgery and also Lymphoedema management, is a very light, rhythmical, skin-stretching technique. It has about 100 years of history, and it has a strong research base for lymphedema management and is useful in postoperative recovery, either in cosmetic or orthopedic surgery. Brazilian lymphatic drainage, on the other hand, tends to be firmer, more continuous, and pragmatically geared toward reducing swelling and bruising after cosmetic procedures, but it has less scientific evidence to support any benefits. For post-cosmetic surgery lymphatic massage (liposuction, abdominoplasty, facelifts, tummy tuck…) I would strongly recommend gentle Vodder-style MLD, and here is why: Any surgery, including cosmetic surgery, is highly invasive for the body, and therefore, you will present post-surgery with High skin sensitivity Swelling and bruising Pain A gentle approach, as Vodder MLD, would allow: Reduce the swelling with a pain-free approach Take away exceeds inflammation Help reinforce skin sensitivity As the healing process progresses and you move from the acute to the sub-acute healing phase (week 2 to week 3), we can start applying stronger pressure to break down fibrosis. What people call “Brazilian Lymphatic Drainage” “Brazilian lymphatic drainage” (BLD) is a manual therapy that is getting famous thanks to social media presence and some influencers talking about it. It is a practice which often refers to faster, more continuous wave-like movements and sometimes firmer pressure than Vodder MLD, and involves the usage of oil too. Those who offer Brazilian Lymphatic Drainage claim a faster recovery after aesthetic procedures (reducing bruising, local oedema, and tissue stiffness), even though clinical literature that looked into BLD in aesthetic and post-op settings, like randomised trials, describes this technique as debatable, and furthermore, the evidence of its efficacy is limited compared with Vodder studies. What does the research say? Systematic reviews on MLD (Vodder used often) show MLD is commonly used for decongestive therapy in Lymphoedema patients. The quality of the evidence varies, while effect sizes are moderate for some outcomes. Randomised trials that compare Vodder MLD with other modalities (e.g., compression, pneumatic compression) report benefit for symptoms and arm volume in breast cancer-related lymphedema and postoperative swelling in some surgical contexts. An early RCT explicitly used the Vodder technique and showed benefits in arm lymphedema management. Recent reviews and clinical articles regarding plastic-surgery literature highly support the use of postoperative lymphatic massage. The recommendations are to receive MLD one to three times a week, in the early recovery phase, for reducing swelling, pain, fibrosis and improving comfort. That said, often that information is shared by the surgery clinic staff after the surgery; therefore, it’s always better to choose a clinic that is clear and transparent about the post-surgery recovery, and not only about the surgery itself. When looking for studies about the Brazilian Lymphatic Drainage massage, it is hard to find something that is specific enough about this technique, and that doesn’t mix data and trials with other techniques, like bandaging and exercises. Therefore, it’s hard to evaluate the quality of this technique in terms of the RCT protocols. MLD – What works for what? Practical comparison For lymphedema (medical swelling after lymph node removal/cancer). When someone presents with lymphedema, the best choice is Vodder-style MLD as part of complete decongestive therapy. I don’t do this recommendation only because I offer this service, and I know its potential, but also because Most RCTs and meta-analyses have evaluated MLD (in Vodder style) as the safest and evidence-based treatment that has enough relevance for this type of presentation. For early post-operative care after cosmetic procedures (e.g., liposuction, abdominoplasty, facelifts, tummy tuck). In any given surgery, along the acute phase, the body is a high state of inflammation and the site of surgery would be delicate to touch for several weeks post surgery, indeed a gentle approach to the area is highly recommended, so Vodder-style MLD is way safer compare to Brazilian Lymphatic Drainage, because the tissues are fragile; MLD at this stage in time, it would helps reduce oedema and bruising and promotes comfort. Many plastic surgeons recommend MLD early and frequently in the first 2–6 weeks. Later phase (2–6+ weeks): While healing is progressing and you step into a sub-acute phase of recovery from the post-cosmetic surgery, firmer or more targeted techniques, which recall what Brazilian Lymphatic Drainage can be used to address residual fibrosis/stiffness, always with the surgeon’s clearance. That said When dealing with post-cosmetic surgery fibrosis, even Vodder MLD would include firm pressure. That’s how fibrosis is broken down. For general wellbeing, detox/relaxation, cellulite or fluid retention Gentle MLD (Vodder) is great for relaxation, reducing mild fluid retention, and supporting circulation without soreness. Good for regular wellness maintenance. Brazilian-style DLM is often used in aesthetic clinics for body contouring and cellulite care; people report feeling less heaviness and faster visual improvement, but the high-quality evidence is more limited, and outcomes vary with practitioner technique. MLD Safety & Contraindications – What You Need To Know In my practice, I am selective about who I offer MLD, especially after cosmetic surgery, and here is what I would look out for: Active infection Uncontrolled heart failure Acute deep vein thrombosis (DVT) Untreated cancer without clearance Fever Recent major bleeding or unstable medical conditions Liver or Kidney conditions After cosmetic surgery, you have to make sure to follow the surgeon’s recommendation about antibiotic intake, and or other medications. MLD can not start unless you are cleared of all the above. So, which do I recommend, Vodder or Brazilian Lymphatic Drainage? It is now quite clear that at Melbourne Massage and Treatment, for MLD, either […]
Dec
ACL stands for anterior cruciate ligament, and is the strongest ligament in the knee. ACL injuries can be time-consuming, depending on the severity. At Melbourne Massage and Treatment in Fitzroy North, I offer an ACL rehab program that aims to help you recover based on your clinical history, daily activities, including your sports, if any, and consider that the healing time can’t be boosted, but assisted. ACL – What It Is? ACL is the strongest ligament in your knee, and connects the femur to the tibia. Its role is to keep the knee stable, especially during activities that involve sudden stops, changes in direction, or jumping. You can then understand why so many athletes or sports lovers end up with an ACL-type injury. As with all ligaments in our body, the ACL doesn’t have an excellent blood supply, which makes its recovery longer, compared to what can be a muscle injury. What is Myotherapy and How Can It Help with ACL Rehab? Myotherapy is a hands-on treatment method that targets muscular pain, improves joint mobility, and addresses the root causes of musculoskeletal injuries. For ACL rehab, this approach is essential because an ACL injury affects not just the knee but the surrounding muscles, joints and movement patterns. Hands-on treatment can indeed be a good start for rehab and injury, as it not only creates a trust between the patient and the therapist, but can help in creating better awareness of the muscles, which in a second phase of the myotherapy appointment are going to be used for delivering tailored and injury-specific exercises. The goal is to support your ACL recovery and knee rehabilitation holistically. ACL Injury: Scan and Manual Test There are several methods of diagnosing an ACL injury. Scans: Arthroscopy – A keyhole surgery, where a camera is inserted in the knee to check the level of injury. Partial or complete ACL tear. Magnetic Resonance Imaging (MRI) – Less invasive than an Arthroscopy, but still expensive to run. Indeed, it is rare nowadays; in Australia, you can get an MRI prescribed for this presentation. More information is available here. Manual Test Lachman test Lateral Pivot Shift Test Anterior Draw Test Those together with an attemptive clinical history, range of motion and functional test would help to tailor a conclusion on a possible ACL injury. ACL and Surgery – Is Surgery Still a Thing? Surgery techniques and technologies have come a long way from what we could expect, and yes, ACL surgery is still a thing. That said, before going for surgery, you will be asked to try and recover from your injury with conservative treatment, like a rehab program. The reason behind this is: Suregey cost and pressure on the public health system Rehab gives as good results as surgery most of the time Surgery also goes by the severity of your injury – is any other knee tissue/structure injured, or is it only the ACL? Post surgery, you still have to go for rehab, and it would still take 6 to 12 months for a full recovery. Athletes may benefit the most from ACL surgery, given its longer-lasting effects on knee stability. More information about ACL rehab vs ACL surgery is available from the systematic review by Papaleontiou et al (2024). The ACL Rehab Phases: Strengthen Beyond the Knee To recover from an ACL injury, we need to look behind the mechanics of your lower limb, and set a starting and and ending point of recovery. Acute Phase In the acute phase, which is the first one to two weeks after injury, we may focus on isometric holds, gentle movement, and spend more time on hands-on treatment. In this phase, the aids of crutches is mandatory. Strength Phase Past the acute phase of the injury, you will notice how it would be easier to engage the knee joint, as the swelling would be eased, and therefore, you can achieve greater movement. There, we will start incorporating eccentric and concentric loads, with some light-weight or light-resistance bends. This phase can last somewhere between 10 and 12 weeks. All of these would be a step-by-step process. So the loads would be progressed weekly, based on the strength and mobility outcome. Sometimes, you will have to push through some mild pain, but the most important thing is that you keep that joint moving, and have good rest, good food too, to enhance the recovery at its best. Return to daily activity – RDA In the final stage, the focus would shift to plyometrics, an essential part of ligament rehab. That’s where we would re-train your knee to act pre-injury time. This can take another 12 to 24 weeks. It all depends on the severity of the injury and what your needs, in terms of sport or daily activities, are. So, the combination of myotherapy treatment with targeted rehabilitation exercises and fitness classes for recovery is what makes Melbourne Massage and Treatment service stand out. In my rehab-focused classes, we work on: Strengthening the muscles that support the ACL Improving balance and stability to prevent re-injury Gradual conditioning to safely return to sports, running, or everyday activities My Personal Approach At Melbourne Massage and Treatment, I work one-on-one with each client. I assess your movement, identify areas of weakness or tension, and design a personalised ACL rehab program. To be even more specific to your individual presentation, I do use THE MAT as an aid. A measurement tool that allows me to test your mobility and stability, giving us objective numbers and data to work on, too. Recovery from an ACL injury takes time, but with the right approach, you can regain full function and return to the activities you love. I’m here to guide you through every step of your ACL rehabilitation journey. If you’re ready to start your ACL rehabilitation in Fitzroy North or want to see how myotherapy can help, book a session with me at Melbourne Massage and Treatment today. Let’s get you moving stronger and safer than […]
Dec
Liposuction interventions are on the rise, driven by the enormous influence of social media on how we look and by the abundance of cheap clinics worldwide. While liposuction surgery removes stubborn fat deposits, the recovery period from this type of intervention is often underestimated. As a clinical myotherapist specialised in Manual Lymphatic Drainage (MLD) Vodder style, I regularly work with clients who are navigating the post-operative process, and I often get to hear clients who haven’t been fully informed about the post-surgery care needed, and the timeframe of recovery. Indeed, many patients who have undergone Liposuction surgery are surprised to learn that MLD plays a supportive role in the recovery process, and not by “boosting” healing, but by complementing your body’s natural ability to manage swelling, fluid congestion, and fibrosis. Below, I explain what liposuction involves, why MLD is recommended before and after surgery, and what you can expect during the healing timeline. What Exactly Is Liposuction? Liposuction is a surgical procedure that aims to remove excess fat from targeted areas of the body. There are different ways in which liposuction can be delivered, but what they all have in common is the usage of a cannula to break down and suction fat from beneath the skin. Once the surgery is delivered, and the fat is removed, the body experiences trauma in the form of: Swelling Fluid accumulation Tissue inflammation Disruption to lymphatic pathways Development of fibrosis (hardened or rope-like scar tissue) Superficial blood cloth Manual Lymphatic Drainage (MLD) is a manual therapy that can make a significant difference for all those presentations. How Manual Lymphatic Drainage Supports the Healing Process MLD is a non-invasive, gentle manual technique that stimulates the movement of lymphatic fluid toward functioning lymph nodes. Compared to a regular massage (Remedial Massage, Deep Tissue, Thai Massage…), it does involve the usage of oil or creams and does not aim to reproduce any pain or inflammatory response. In fact, it is the opposite; it aims at taking away excessive inflammation, as this is one of the many roles of the lymphatic system, and the technique I used is Vodder style, which is clinically recognised for its rhythmic, directional, and methodical application. Here’s how MLD supports recovery after liposuction: Reducing Post-operative Swelling As with any surgery, even Liposuction leads to significant swelling as the body implements an inflammatory response post-trauma (the physical damage of cutting the skin open and removing body tissue). MLD helps guide the fluid that builds up due to the inflammatory response back into the lymphatic circulation, easing pressure and discomfort. Minimising the Formation of Fibrosis Fibrosis is the body’s natural response to invasive body intervention and to sudden skin dilatation; indeed, it is a common presentation in Lymphoedema too. The fibrotic tissue is a common concern after liposuction, and without proper care, tissue can become firm and lumpy, affecting the final aesthetic result.Here is how MLD supports the breakdown and prevention of fibrosis: Increasing lymph flow Softening congested areas In the fibrotic area, we apply strong pressure (still pain-free) to break fibrosis down Encouraging natural tissue remodelling That’s where more frequent treatment is most helpful. To break and manage fibrosis at its best. Preparing the Body Before Surgery The reason why MLD should be considered as a pre-operative intervention too, lies in the fact that a stimulated Lymphatic System place you in an advantageous position along the recovery process, by improving lymphatic circulation, creating better conditions for tissue recovery after surgery. When Should You Start MLD After Liposuction? Once the surgery has been delivered, the ideal time to begin MLD is as soon as you have finished your course of antibiotics, as long as: All open wounds are closed, and No infection is present. The above are essential precautions to prevent the spread of infections. Also, the early start of MLD practice would ensure the best outcome post-surgery. What To Expect from MLD Treatment Post-Liposuction While many patients find out about MLD only after they receive the surgery, and this often happens when they have their surgery overseas, in countries like Turkey, Thailand, Bali, they are still not sure till the time they meet me, what MLD treatment would be about for their post-surgery recovery. In this case, I always explain in detail what the treatment is going to be about, starting with and overview of: What is the lymphatic system How we stimulated What you should expect post-treatment, and what to do and not to do Healing time frame Other topics I had to share and reassure my patients about are: MLD is not painful There is no body fluid extraction I am not going to push liquid out of your incision Yes, you need to drink plenty of water post-treatment I found that patients who undergo liposuction, especially in Turkey, come back with tough stories about acute post-surgery care, where they get their incision reopened, and liquid milked out from there. THIS IS A DANGEROUS PRACTICE AND IS NOT MLD AND IS NOT WHAT I OFFER ANYWHERE UNDER ANY CIRCUMSTANCES. How Should You Prepare Yourself for and MLD Treatment? Here is a list of things to be aware of before you go for and MLD treatment: Food and water – You can eat a light meal a few hours before your treatment and ensure you drink only water before and after the treatment. Strictly avoid alcohol – Avoid any form of intoxication before and after treatment, as this can make you really sick and unwell Medication and Clinical History – In the initial consultation form, you must declare any medication you are taking or have taken and your clinical history, to ensure no contraindications for MLD are present. Avoid cream or lotion – Application of cream or lotion on the skin would make the skin slippery and more difficult to stretch, impairing then the stimulation of the lymphatic system Post Treatment – MLD is extremely relaxing. Ensure to have some time off after your session, in case you feel like a nap or not doing […]