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Tag Archives: lymph nodes

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Symptoms of Lymphoedema

Posted on by Giovanni La Rocca
A-therapist-applying-bandages-to-a-lymphoedema-arm
06
Dec

When the lymphatic system stop working, either because for a congential malfunctioning, or because of a an external intervention, which did lead to lymphatic system damage, the individual may start experiencing symptoms of Lymphoedema. At Melbourne Massage and Treatment in Fitzroy North, Giovanni understand how challenging lymphoedema can be, which is why he provide expert care through Manual Lymphatic Drainage (MLD) and Combined Decongestive Therapy (CDT). These non-invasive treatments help manage the symptoms and improve your quality of life. What is Lymphoedema? Lymphoedema occurs when the lymphatic system is blocked or malfunctioning, leading to a buildup of lymphatic fluid. This fluid results in swelling in the affected areas, often in the arms, legs, or other extremities. Lymphoedema can be primary (a hereditary condition) or secondary (often caused by injury, surgery, or infection). The fluid that builds up in the body is a fluid that is naturally produced by the body and is released under the skin and between tissues by the bloodstream. It is reached in protein, bacteria, viruses, dust, and other minor substances that the body is unsure how to handle. Stages of Lymphoedema Lymphoedema progresses in stages, with each stage representing the severity of the condition. Recognizing the symptoms early on can help prevent the condition from advancing, so it’s important to be aware of the subtle changes in your body. Stage 0: Latent or Subclinical Stage In this early stage, there are no visible signs or symptoms of lymphoedema, but the lymphatic system may already be compromised. People in Stage 0 may experience a feeling of heaviness, discomfort, or mild swelling, int the limbs affected by this presentation, but these symptoms typically disappear after resting or with limb elevation. The fluid retention is still minimal and may not be noticed by the individual, but it can be detected through careful assessment. Stage 1: Reversible Stage At this stage, swelling is more noticeable, but the skin is still soft, and the swelling can still decrease with limb elevation and movement. When the swelling is present, the skin will feel puffy or tight, and there may be a sensation of heaviness in the affected area. In this relevant early stage, it i still easy to intervene for prevent further degeneration, and if you are unsure of what you are experiencing, reach out Giovanni for a 15 minutes free consultation, in which, at least thanks to the analysis of your clinical history, we can already evaluate if what you are experiencing is a Stage 1 Lymphoedema. Stage 2: Spontaneously Irreversible Stage In Stage 2, the swelling becomes more persistent and is not fully responsive to movement and limb elevation. The asking of the affected area may begin to feel firmer, and there can be noticeable thickening of the skin. This is the stage where fibrosis (scarring of the tissue) starts to develop, and it’s crucial to stop this from going any worse. While the swelling might fluctuate, it becomes more difficult to manage without intervention. At this point, manual treatments like Manual Lymphatic Drainage (MLD) can significantly help reduce swelling and improve the overall function of the lymphatic system. Stage 3: Lymphostatic Elephantiasis The final stage of lymphoedema is characterized by extreme swelling and thickened, hardened skin. The affected area may look large, disfigured, and become painful to the touch. Tissue fibrosis is advanced, and the skin may develop ulcerations or infections due to poor circulation and immune system function. Indeed, along with the swelling and the fibrosis buildup, the outer layer of the skin is placed further away from the blood capillary, which is responsible for releasing oxygen and other substances essential for skin regeneration.Therefore, as the skin breaks open, due to its poor condition, it is more subject to infections and contamination of pathogens. Stage 3 lymphoedema is debilitating and requires ongoing care and treatment to prevent complications and manage symptoms. At this stage, a combination of therapies such as Combined Decongestive Therapy (CDT) and MLD becomes vital for managing the swelling and restoring lymphatic flow. Common Symptoms of Lymphoedema Lymphoedema symptoms can vary from person to person and depend on the stage of the condition. The common symptoms include: Swelling: The most obvious sign of lymphoedema is swelling in the affected area, typically starting in the arms or legs. The swelling is often gradual and may worsen over the course of the day, especially after prolonged standing or sitting. Tightness or Heaviness: Affected limbs may feel heavy or tight, particularly after physical activity or at the end of the day. This sensation is often worse in the early stages and may become more pronounced as the condition progresses. Pain or Discomfort: Pain, tenderness, or discomfort in the swollen area is common, especially when there is fibrosis (hardening) of the tissues. The pain can range from mild to severe, depending on the stage. Reduced Range of Motion: As the swelling and fibrosis increase, it can lead to a limited range of motion, particularly in the arms and legs. This can impact daily activities and mobility. Skin Changes: In later stages of lymphoedema, the skin may appear thickened or leathery, with a shiny, tight appearance. There may also be visible folds in the skin, particularly around the knees, elbows, or ankles. Frequent Infections: Swollen tissues have a reduced ability to fight off infections, so people with lymphoedema are more susceptible to bacterial and fungal infections, which can further complicate the condition. Numbness or Tingling: As the swelling progresses, the nerves in the affected area may be compressed, leading to sensations of tingling, numbness, or even burning. Increased Skin Sensitivity: The skin in the affected area may become more sensitive, prone to rashes, or develop sores due to the increased swelling and poor circulation. Commonly Affected Areas of the Body Lymphoedema can affect different parts of the body, but the most common areas are: Arms: After surgery, particularly mastectomy (breast cancer surgery) that involves the removal of lymph nodes, the arms are a common site for lymphoedema. The swelling […]

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Diagnosis of Lymphoedema

Posted on by Giovanni La Rocca

Lymphoedema is a condition often associated with cancer survivors, particularly those who have undergone surgery or radiation therapy, but it can also occur due to other chronic conditions or injuries. Characterized by the swelling of limbs due to the accumulation of lymphatic fluid, lymphoedema can significantly impact a person’s mobility, emotional well-being, and overall quality of life. Early diagnosis of lymphedema and management are key to preventing long-term complications, and at Melbourne Massage and Treatment in Fitzroy North, Giovanni, a skilled Myotherapist and Lymphoedema therapist, specializes in identifying and managing this condition using a combination of manual techniques and physical assessments. In this blog, we’ll explore how lymphoedema is diagnosed, the challenges of identifying it early, and Giovanni’s approaches to detecting and managing the condition. What is Lymphoedema? Lymphoedema occurs when there is a disruption in the lymphatic system, leading to the accumulation of lymph fluid, a protein-rich fluid that sits beneath the skin and between the body’s tissue, which often causes swelling in the limbs or other areas of the body. This condition can develop due to a variety of factors, such as lymph node removal during surgery, radiation treatments, injury, or genetic predisposition. Early detection of lymphoedema is crucial to prevent the condition from worsening and causing complications like tissue fibrosis, infections, or reduced mobility. Challenges in the Diagnosis of Lymphoedema Lymphoedema can be difficult to diagnose, especially in its early stages. In its initial phase, symptoms such as heaviness, tightness, or mild swelling may seem subtle and easy to overlook. Patients might attribute these sensations to muscle strain or arthritis, delaying the diagnosis. Furthermore, swelling can fluctuate, making it even harder to identify at the outset. By the time noticeable swelling occurs, the condition may have already advanced, complicating treatment and requiring more intensive management. This is why early detection is so important, as it allows for less invasive treatments and better long-term outcomes. Giovanni’s Approach to Diagnosis of Lymphoedema As a Myotherapist and Lymphoedema therapist at Melbourne Massage and Treatment Lymphoedema Clinic, Giovanni uses manual techniques and physical assessments to diagnose lymphoedema. Although he does not use imaging technology or machines to detect the condition, Giovanni’s training and experience enable him to identify the signs and symptoms through careful observation, palpation, and physical examination. That said, if it is needed, Giovanni can write a referral doctor for your GP to indicate why he believes it is important for you to undertake a specific scan or some medical test. 1. History taking The earlier approach to Lymphoedema diagnosis is an extended look at the medical history, where any past surgery, injury, accident or medications need to be outlined and taken into consideration. 2. Clinical Assessment Following the history taken to diagnose lymphoedema is the clinical assessment. Giovanni conducts a thorough physical examination of the affected limb or area, paying close attention to key signs of lymphoedema, such as: Persistent swelling that doesn’t subside with rest Feeling of heaviness or tightness in the limb Changes in skin texture, such as hardening or thickening Reduced range of motion in the affected area Along with your booking confirmation, you would also receive a form to fill in online, which would start paving the road to your diagnosis. 3. Tape Measurement Method One of the simplest, yet effective, ways Giovanni diagnoses lymphoedema is by using tape measurements. This involves measuring the circumference of the affected limb at various points (e.g., wrist, forearm, upper arm) and comparing these measurements to the unaffected side. Over time, consistent and progressive changes in limb circumference can indicate the development of lymphoedema. While this method is cost-effective and easy to perform, it may not detect early, subtle changes in limb volume. However, when paired with other assessments, it offers valuable information about the progression of the condition. 4. The Pitting Test Giovanni often performs the pitting test, a hands-on method to assess fluid accumulation in the affected area. This simple test involves pressing down on the swollen area with his fingers. If an indentation (or “pit”) remains for several seconds after the pressure is released, it indicates the presence of excess fluid in the tissue, which is a hallmark of lymphoedema. The pitting test helps Giovanni evaluate the severity of fluid retention, but it is more subjective than advanced diagnostic tools. 5. Stemmer’s Sign – Tissue assessment Giovanni also uses palpation (manual examination through touch) to assess the affected area’s tissue texture and consistency. In the early stages of lymphoedema, the tissue may feel soft and puffy, but as the condition progresses, it can become firmer, and in some cases, the skin may develop a thicker, fibrous texture. These changes are essential indicators of lymphoedema and are crucial for determining the stage of the condition. In addition to this, the Stemmer’s Sign is a test that consists of picking what we would expect to be wrinkled skin, like the one just before the toe/tarsal joint. A positive test would result in the impossibility of pinching any skin due to the swelling in the area. 6. Lymphoscintigraphy A lymphoscintigraphy is a scan that is part of nuclear medicine tests, and it is specifically used to detect any interruption within the lymphatic system. The test is done in the specific clinic, and no recovery is needed for it. The procedure consists of injecting a radioactive liquid either in the feet or hands and with a specific camera, detecting the movement of the liquid within the body. We would expect the liquid to move within a certain timing and pathway along the lymphatic system. If that doesn’t happen, this test can give a good understanding if anything is not functioning with the lymphatic system. Why is Early Detection Crucial? The earlier lymphoedema is detected, the easier it is to manage. Early-stage lymphoedema is often easier to treat with less invasive interventions, such as manual lymphatic drainage (MLD), compression therapy (CDT), specific exercises, and skin care. These treatments can help reduce swelling, prevent the condition from worsening, and improve […]

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Understanding Lymphoedema

Posted on by Giovanni La Rocca
a finger pressing on a lymphoedema fit
27
Nov

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: 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. Heaviness or Tightness: The swollen area may feel heavy, tight, or full, making it difficult to move the affected limb Reduced Mobility: As the condition progresses, the swelling can limit your ability to move the affected limb freely. Skin Changes: The skin may become thickened, dry, or prone to infection as the condition worsens. 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: Manual Lymphatic Drainage (MLD): A gentle, specialized massage technique that encourages the movement of lymph fluid and reduces swelling. Combined Decongestive Therapy (CDT): Application of bandages, applied post Lymphatic Drainage treatment, […]

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Lymphatic Drainage Massage for Cellulite Treatment

Posted on by Giovanni La Rocca
two hands squeezing the thigh skin to show cellulite
16
Nov

Cellulite is a common concern, particularly for those who have undergone procedures like liposuction, and it can be a source of frustration for many. Fortunately, there are effective, non-invasive methods to reduce its appearance and improve skin texture. One such treatment is lymphatic drainage massage, a technique offered at the Melbourne Massage and Treatment, a Lymphoedema Clinic in Fitzroy North. If you’re struggling with cellulite and want to explore natural, therapeutic options to improve your skin’s appearance, this treatment might be just what you need. Understanding Cellulite Cellulite refers to the dimpled, lumpy appearance of the skin, typically found on the thighs, buttocks, and abdomen. It occurs when fat cells beneath the skin push against the connective tissue, creating an uneven, puckered look. Although cellulite is not harmful and is entirely natural, it can be a cosmetic concern for many people, especially after liposuction or other body contouring procedures. Cellulite can often become more pronounced post-surgery, making it important to address the underlying issues, such as poor lymphatic drainage and the buildup of toxins. How Lymphatic Drainage Massage Helps with Cellulite Lymphatic drainage massage is a gentle, specialized form of massage that targets the lymphatic system—the body’s natural detoxification system. By using light, rhythmic strokes, the treatment helps stimulate the lymphatic flow, encouraging the removal of excess fluid, waste, and toxins from the body. This can result in a noticeable reduction in the appearance of cellulite, as it addresses one of the primary causes of the condition—fluid retention and poor circulation. At the Melbourne Massage and Treatment Lymphoedema Clinic in Fitzroy North, Giovanni use Manual lymphatic drainage (MLD) massage techniques to improve the efficiency of your lymphatic system. By boosting circulation and helping to break down the fatty deposits that contribute to cellulite, the treatment can significantly improve skin tone, texture, and elasticity. Why Choose Lymphatic Drainage Massage for Cellulite? Non-Invasive Solution Unlike surgical treatments or invasive procedures, lymphatic drainage massage is a natural, non-invasive way to tackle cellulite. It doesn’t require any downtime, and it offers a holistic approach to skin care and overall wellness. Whether you’re looking to treat cellulite post-liposuction or simply want to reduce its appearance, this gentle therapy is a safe, effective option. Stimulates Circulation One of the key benefits of lymphatic drainage massage is its ability to stimulate blood and lymphatic circulation. Improved circulation helps deliver oxygen and nutrients to the skin and tissues, while also aiding in the removal of waste products that can lead to skin dimpling and uneven texture. By promoting better blood flow, lymphatic drainage massage helps to reduce the appearance of cellulite over time. Reduces Fluid Retention Lymphatic drainage massage is particularly beneficial for those suffering from fluid retention. The lymphatic system is responsible for draining excess fluid from tissues, and when it becomes sluggish or compromised, fluid can build up, contributing to swelling and a more pronounced appearance of cellulite. By encouraging lymph flow, lymphatic drainage massage helps to eliminate excess fluid, improving the skin’s texture and reducing the bumpy look of cellulite. Improves Skin Tone and Elasticity Regular lymphatic drainage massage can help improve the tone and elasticity of the skin, making it smoother and more supple. As the massage technique stimulates collagen production and enhances circulation, the skin becomes firmer, reducing the visibility of cellulite. The Benefits of Choosing Melbourne Massage and Treatment Lymphoedema Clinic At the Melbourne Massage and Treatment in Fitzroy North, Giovanni is dedicated to providing personalized care that targets your specific needs. Giovanni undertook a series of course for lymphatic drainage, with the Vodder Academy, and he can ensure that each session is tailored to your body’s unique requirements. Whether you’re dealing with cellulite post-liposuction or simply looking for an effective way to enhance your skin’s appearance, Melbourne Massage and Treatment will provide you with a welcoming and professional environment where your comfort and results are our top priorities. What to Expect During Your Lymphatic Drainage Massage Session When you arrive for your lymphatic drainage massage at our Fitzroy North clinic, Giovanni would go through with your initialial consultation form, in order to verify your medical history, and analyse your presentation and your goals. About the Lymphatic Draiange Massage, it is a light touch therapy that aim to stimulate your lymphatic system. If any greater pressure would need to be applied, you will be advised first, and that may be needed to break down fat buildup. Typically, each session lasts between 40 to 60 minutes, and it is recommended to undergo 2–3 treatments per week for optimal results. Many clients notice improvements in their skin’s texture and tone after just a few sessions, with more noticeable results after consistent treatments. Is Lymphatic Drainage Massage Right for You? If you are dealing with the appearance of cellulite or fluid retention, lymphatic drainage massage could be the ideal treatment for you. It’s suitable for individuals of all ages and can be tailored to suit your needs, whether you’re recovering from liposuction or simply looking for a way to improve skin texture and tone. If you’re ready to experience the benefits of this effective, non-invasive treatment, contact Melbourne Massage and Treatment Lymphoedema Clinic today. Final Thoughts If you’re looking for an effective way to reduce cellulite and improve the appearance of your skin, lymphatic drainage massage offers a natural and therapeutic solution. At the Melbourne Massage and Treatment, Lymphoedema Clinic in Fitzroy North, we specialize in lymphatic drainage techniques that can help reduce fluid retention, stimulate circulation, and promote smoother, firmer skin. Say goodbye to dimpled skin and hello to a more confident, refreshed you. For more information or to book an appointment, please get in touch with Giovanni today. Let him help you achieve the smooth, radiant skin you deserve! FAQ: Lymphatic Drainage Massage for Cellulite Treatment Q: What exactly is lymphatic drainage massage? A: Lymphatic drainage massage is a gentle, therapeutic massage technique that stimulates the lymphatic system to encourage the removal of toxins, excess fluid, and waste products from the body. […]

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Understanding Lymphoedema and the Role of Combined Decongestive Therapy (CDT)

Posted on by Giovanni La Rocca
Diagram of Lymphatic-System-primary-and-collateral-
22
Oct

Lymphoedema is a condition characterized by the accumulation of lymphatic fluid, leading to swelling, primarily in the arms and legs. It can occur for various reasons, including surgery, radiation therapy, or genetic factors. Managing lymphoedema is crucial for reducing swelling and preventing complications such as infections and tissue damage. Combined Decongestive Therapy is a key component of your Lymphoedema management. What is Combined Decongestive Therapy (CDT) Combined Decongestive Therapy (CDT) is a comprehensive treatment approach designed to manage lymphoedema effectively. CDT treatment consists of an application of a series of layers of different materials, which include an initial breathable foam, followed by a series of bandages (usually 3 to 4 layers) of compressive consistency, which may have different lengths and stretches that apply to it. Those layers and materials aim to compress the limb and maintain a specific gradient pressure, higher on the distal side of the limb and weaker at the proximal area, to maintain the lymph fluid movement and induce a decongestive result. Combined Decongestive Therapy and MLD Before starting a CDT treatment, along with the lymphoedema management, you are most likely to receive a manual lymphatic drainage session, which aims to create or boost the lymphatic system pathways, where the lymphatic liquid would then be pushed via the compression applied. Along those modalities, skin care and exercise are essential to your lymphoedema management. CDT aims to reduce swelling, improve lymphatic flow, and enhance overall well-being. How many sessions would I need to reduce the swelling to an optimal level? Each individual and each presentation is unique, so based on your presentation, Giovanni would create a treatment plan that would work best for you. On the other hand, a communal ground to all the presentations is that the higher the frequency of the appointments, the better this therapy would work. Initially, Giovanni would highly recommend to book in 3 to 5 sessions for the first week. That would allow a quick reduction of swelling, leading to a secondary management plan. The more severe the swelling, the longer it could take to manage it. Infections, fibrosis (which is the hardness of the tissue), the number of lymph nodes removed (especially post-cancer surgery), or missing exercise management and an anti-inflammatory diet are all factors that could affect the progress of your presentation. Giovanni can assist you with most of those, and where he can not reach you, he will refer you to another practitioner (like a nutritionist for diet advice). Why Pharmacy Compression Isn’t Enough While pharmacy-grade compression garments may seem like a cost-effective solution for managing swelling, they often lack the specificity required for effective lymphoedema treatment. These garments can lead to several issues: Non-specific Fit: Pharmacy compression products may not provide the correct pressure level needed in targeted areas, leading to inadequate fluid reduction. Potential Blockage: Inadequate fit can create areas of higher pressure, which might push fluid further up the limb, causing increased swelling in areas that are not adequately compressed. Increased Risk of Complications: Without proper compression therapy tailored to individual needs, the risk of complications, including infections and further lymphatic blockage, can increase. Giovanni with his Lymphoedema clinic in Fitzroy North emphasizes the importance of professionally fitted compression garments. Giovanni can refer you to a clinic that can take measurements for you and deliver a tailored on your need compression garment. Combined Decongestive Therapy During the Summer As the temperatures rise, managing lymphoedema can become increasingly challenging. The summer months bring unique issues that can exacerbate swelling: Atmospheric Pressure Changes: During hot weather, atmospheric pressure decreases, which can lead to increased lymphatic fluid accumulation in the limbs. Heat and Humidity: Hot and humid days can cause blood vessels to dilate, which may lead to increased swelling. Additionally, sweat and heat can irritate the skin, raising the risk of infections in already vulnerable areas. To keep swelling under control during the summer, it’s essential to: Stay Hydrated: Drink plenty of water to help maintain fluid balance. Wear Proper Compression: Ensure you are using correctly fitted compression garments that are appropriate for summer use. Lightweight and breathable fabrics can make a significant difference. And yes, they are not going to make you feel hotter. A garment wearer has to be comfortable if is not, you will talk to your supplier, and they would be more than happy to assist you with that. Practice Good Skin Care: Keep the skin clean and moisturized to reduce the risk of infections. Monitor for Signs of Infection: Be vigilant for any signs of redness, swelling, or increased warmth in the affected areas, and seek prompt medical attention if these occur. Why CDT is not recommended for the early Lipedema stage In the early stage of Lipedema, the lymphatic system is not compromised, and CDT therapy, given the nature of this presentation, which is fat accumulation under the skin, could be too aggressive on the skin, which let’s not forget, in a Lipedema presentation would easily bruise. On top of that, as there is an excess of fat accumulation under the skin, the heavy compression applied by CDT to these tissues could compress the dermatome innervations, leading to pain and discomfort. That’s also why lipedema, compared to lymphoedema, can lead to pain when reaching advanced stages. Conclusion Lymphoedema is a manageable condition with the right approach. At Melbourne Massage and Treatment in Fitzroy North, Giovanni is committed to providing tailored treatment options, including Combined Decongestive Therapy and appropriately fitted compression garments, to help you effectively manage your symptoms. As we move into the warmer months, staying proactive in your care is crucial to prevent complications and maintain your quality of life. If you have any questions or need support, please get in touch with Giovanni. Your well-being is the priority! If you are struggling with the management of your lymphoedema, book now your free 15 minutes free consultation with Giovanni, to discuss a treatment plan for your case. FAQ Q: What is lymphoedema? A: Lymphoedema is a condition characterized by the […]

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Remedial Massage for Sports Injuries

Posted on by Giovanni La Rocca
30
Sep

At Melbourne Massage and Treatment, we specialise in providing targeted remedial massage therapies for athletes and active individuals who are seeking relief from sports-related injuries. This focused approach not only aids in rapid recovery but also enhances performance by addressing the root causes of pain and discomfort. Key Takeaways: Remedial massage accelerates recovery from sports injuries. It significantly reduces pain and enhances muscle flexibility. Methods such as dry needling and deep tissue massage are especially useful. Techniques of Remedial Massage for Sports Injuries In the realm of sports, injuries can sideline athletes from their regular activities. Remedial massage is a powerful tool in the therapeutic arsenal, employing specific techniques tailored to the needs of those with sports injuries. Here’s how each technique can play a crucial role in recovery: Deep Tissue Massage: This method explores the muscle tissue’s deepest levels. It’s designed to break down adhesions and scar tissue that contribute to pain and stiffness, facilitating a quicker healing process. Trigger Point Therapy: This involves identifying and treating specific points on the body that trigger pain. By applying pressure to these points, the therapy helps in rewiring the pain presentation, involving the pain modulators circuit of your brain. Myofascial Release: Targets the connective tissue (fascia) that surrounds the muscles. This gentle yet effective stretching helps release the tightness and restrictions in the fascia, leading to pain relief and improved mobility. Lymphatic Drainage: Useful, particularly in cases where sports injuries have led to swelling. This technique promotes the drainage of lymph, which carries waste products away from the tissues back toward the heart. Benefits of Remedial Massage for Sports Injuries Engaging in these techniques not only helps in treating the injury but also offers multiple benefits: Enhance The Recovery: By improving blood circulation to the injured area, remedial massage enhances the healing process, allowing athletes to return to their sport quicker. Pain Management: Effective in reducing pain by decreasing muscle tension and inflammation, and stimulating the release of endorphins—natural pain-relieving chemicals in the brain. Prevention of Further Injury: Regular sessions help maintain the body in better condition, reduce the risk of future injuries, and improve overall athletic performance. Increased Range of Motion: Remedial massage, along the different technique of treatment, can improve the motorcotrol of muscles, and the playability of joints. This is particularly beneficial for athletes who need to maintain optimal physical condition. Psychological Benefits: Besides physical benefits, remedial massage has psychological advantages. It can reduce stress and anxiety, improve sleep patterns, and enhance overall well-being, which is crucial for competitive performance. Integrating Remedial Massage into Sports Recovery It’s not only about addressing the injury once it has occurred but also about preventative care, which can significantly reduce the risk of injuries. Sports professionals and those with active lifestyles should consider regular massage sessions as part of their overall sports conditioning program. By doing so, they ensure that they not only recover faster but also perform at their best. How Remedial Massage Complements Conventional Sports Medicine Enhanced Tissue Healing: Remedial massage promotes blood flow to the injured area, which is essential for bringing nutrients and oxygen that aid in the repair and regeneration of tissues. Reduction of Secondary Complications: By maintaining muscle and joint mobility, massage can prevent the common secondary complications associated with immobility from sports injuries, such as joint stiffness and decreased muscle mass. Tailoring Remedial Massage to Individual Athlete Needs Each athlete comes with their unique physiological and recovery needs, influenced by their sport, position, and injury history. Personalising massage techniques to fit these needs is crucial for effectiveness. At Melbourne Massage and Treatment, Giovanni assess each athlete’s specific condition and goals to craft a targeted massage plan. This personalised approach ensures that each session not only addresses the immediate areas of concern but also supports overall bodily health and athletic performance. Regular Maintenance and Performance Enhancement Beyond injury recovery, remedial massage serves as a regular maintenance routine for athletes aiming to enhance performance. The benefits include: Improved Body Awareness: Regular massage increases body awareness, helping athletes tune into the cues their bodies give about fatigue and strain, which can lead to improved technique and reduced injury risk. Stress Reduction and Mental Clarity: Sports are as much a mental challenge as a physical one. Massage helps reduce stress levels, which can improve concentration and mental readiness, a critical aspect during competitions. The Role of Remedial Massage in Training Regimes Integrating remedial massage into regular training regimes can help athletes remain not just injury-free, but also in peak physical condition. Incorporating massage into an athlete’s routine should be seen as part of their training, not just a luxury or reactive care method. Here’s why it should be a staple: Pre-Event Massage: Before a competition, a lighter massage can help warm up the muscles, increase circulation, and prepare the body for the intense activity to come. It also sets a positive mental state for the athlete. Post-Event Massage: After an event, massage helps to cool down the muscles, flush out toxins, and decrease the risk of muscle soreness and injuries that can occur from overexertion. Integrating Mindfulness and Body Mechanics into Massage Therapy An often overlooked aspect of remedial massage is its ability to integrate mindfulness and an understanding of body mechanics. By educating athletes on how their body mechanics work, therapists can help them optimise their movement patterns, which reduces the risk of injury and improves performance. Advancing Recovery and Complementary therapies In addition to remedial massage, Melbourne Massage and Treatment often recommends complementary therapies like Manual Lymphatic Drainage (MLD) and Meditation. As previously mentioned, the lymphatic system takes care of the excess waste the body produces every day and in greater amounts in post-exercise time. Reducing those waste can reduce the time we spent in pain after intense training. Meditation allows the central nervous system to enter a state of present and self-care that no other therapy that we can self-control can achieve. Conclusion At Melbourne Massage and Treatment, we are dedicated to helping our clients […]

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Oncology and Lymphedema Treatment – How MLD can Help

Posted on by Giovanni La Rocca
Ai generated Leg Lymphedema image
30
Sep

Lymphedema treatment is a crucial aspect of care for those diagnosed with cancer. At Melbourne Massage and Treatment in Fitzroy North, Giovanni is committed to providing effective support for his patients facing these challenges. Giovanni is a Clinical Myotherapist who trained for Lymphatic Drainage for Lymphedema Treatment with the Vodder Academy, the world leader institute for Manual Lymphatic Drainage services. What is Lymphedema? Lymphedema is the swelling that occurs when lymph fluid builds up in the tissues, often due to damaged or removed lymph nodes during cancer treatment. This can lead to discomfort, restricted movement, and an increased risk of infections. While lymphedema can develop at any stage of cancer treatment or even years later, early intervention is crucial for effective lymphedema treatment. The Role of MLD in Lymphedema Treatment Manual Lymphatic Drainage (MLD) is a gentle, therapeutic technique designed to stimulate the lymphatic system. This process helps to promote the movement of lymph fluid, reducing swelling and discomfort associated with lymphedema. Benefits of MLD for Oncology Patients in Lymphedema Treatment: Reduction of Swelling: MLD encourages the natural drainage of lymph, helping to alleviate swelling in areas affected by lymphedema. Pain Relief: Many patients report reduced discomfort and pain following MLD sessions, which is especially beneficial for those experiencing lymphedema. Improved Mobility: By decreasing swelling and discomfort, MLD can enhance mobility and functionality for individuals dealing with lymphedema. Enhanced Immune Function: A well-functioning lymphatic system supports the body’s immune response, which is particularly important for cancer patients prone to lymphedema. Psychological Benefits: The soothing nature of MLD can provide relaxation and stress relief, addressing the emotional toll of cancer treatment and lymphedema. Our Approach at Melbourne Massage and Treatment At Melbourne Massage and Treatment, we understand that each patient’s experience with cancer and lymphedema is unique. Giovanni tailors each MLD session to address individual needs, ensuring a safe and effective lymphedema treatment plan. Our serene environment in Fitzroy is designed to provide comfort and relaxation, allowing clients to focus on their healing journey. What to Expect During an MLD Session for Lymphedema Treatment Initial Assessment: Giovanni will conduct a thorough assessment of your condition, including the extent of your lymphedema, and discuss your medical history. Personalized Treatment: Each MLD session is customized to target specific areas of swelling and discomfort related to lymphedema. Gentle Techniques: MLD utilizes light, rhythmic strokes to encourage lymphatic flow without causing pain or discomfort. Ongoing Support: We emphasize the importance of a multi-faceted approach, offering guidance on compression garments, skin care, and self-care techniques to manage lymphedema effectively. The Importance of Traditional Cancer Treatments While therapies like MLD play a valuable role in lymphedema treatment, traditional cancer treatments remain crucial for effectively combating cancer itself. Reasons to Continue Traditional Cancer Treatments: Targeting Cancer Cells Directly: Chemotherapy is designed to target and kill rapidly dividing cancer cells, essential for shrinking tumors and preventing metastasis. Reducing Tumor Size: Administering chemotherapy before surgery can shrink tumors, making them easier to remove and leading to better surgical outcomes. Preventing Recurrence: Chemotherapy helps eradicate any remaining cancer cells after surgery, reducing the risk of lymphedema and recurrence. Combination Therapies: Modern oncology combines chemotherapy with other treatments for a comprehensive approach, tailored to the specific type and stage of cancer. Evidence-Based Support: Chemotherapy is backed by extensive clinical research, providing reassurance about its effectiveness in treating various cancers. Managing Symptoms: Chemotherapy can alleviate symptoms caused by tumors, significantly enhancing a patient’s quality of life during treatment. Monitoring Progress: Ongoing assessment during chemotherapy allows for treatment adjustments based on individual responses. Conclusion Managing lymphedema, particularly in the context of oncology, requires a comprehensive and compassionate approach. At Melbourne Massage and Treatment in Fitzroy, we are dedicated to supporting our clients through their treatment journey with specialized care. Giovanni’s expertise in Manual Lymphatic Drainage offers a valuable resource for those looking to alleviate the symptoms of lymphedema while also emphasizing the importance of traditional cancer treatments. If you or a loved one is seeking effective lymphedema treatment related to cancer, we invite you to reach out to our clinic. Together, we can create a tailored plan that prioritizes your health and comfort. FAQ Q: What is lymphedema, and how does it relate to cancer? A: Lymphedema is swelling caused by the buildup of lymph fluid in tissues, often occurring after the removal or damage of lymph nodes during cancer treatment. It can develop during or even years after treatment, leading to discomfort and mobility issues. Q: How does Manual Lymphatic Drainage (MLD) help with lymphedema? A: MLD is a gentle technique that stimulates the lymphatic system, promoting lymph fluid movement. This can reduce swelling, alleviate pain, improve mobility, and enhance immune function for patients with lymphedema. Q: What should I expect during an MLD session for lymphedema treatment? A: During an MLD session, Giovanni will conduct an initial assessment of your condition, customize the treatment to target specific areas of swelling, and use gentle techniques to encourage lymphatic flow while ensuring your comfort. Q: Is MLD a substitute for traditional cancer treatments? A: No, while MLD is beneficial for managing lymphedema symptoms, traditional cancer treatments like chemotherapy are essential for targeting cancer cells directly and preventing recurrence. Q: Can lymphedema develop at any time during or after cancer treatment? A: Yes, lymphedema can develop at any stage of cancer treatment or even years later, making early intervention and management crucial for effective treatment. Q: How can I manage lymphedema in addition to MLD? A: In addition to MLD, managing lymphedema may include wearing compression garments, practising good skincare, and incorporating self-care techniques as advised by your healthcare provider. Q: What is Lymphatic Drainage Massage for lymphedema, and how can I get started? A: Lymphatic Drainage Massage is a specialized technique that helps reduce swelling and discomfort associated with lymphedema by promoting lymph fluid movement. At Melbourne Massage and Treatment, Giovanni offers personalized sessions tailored to your needs. We invite you to book your initial consultation to discuss your condition and create a […]

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MLD and Surgery

Posted on by Giovanni La Rocca
Wound of a knee post surgery
11
Jun

A surgery, even the most minor cut, is a big deal for the body. And a robust Lymphatic System can help you recover faster from this type of intervention. The lymphatic system is a body system that collects, moves and cleans the excess water and substances, like bacteria, viruses, dirt, tattoos, ink and more, from below the skin and then passes it to the bloodstream. Lymphatic System and Surgery. 80% of the Lymphatic System seats below the skin, and 20% sits with the deep fascia. When going for surgery and the skin gets cut, the superficial layer of the lymphatic system gets interrupted and so damaged. Unless we intervene, the lymphatic system will have a hard time regenerating. Indeed the lymphatic system can regenerate if stimulated. The stimulation of the lymphatic system happens through the touch, like with MLD or through the movement of the body, like exercises, even as simple as muscle contraction. How MLD can help the pre and post-surgery. Indeed, before or after surgery, it is recommended to stay active. This would allow the Lymphatic System to stay active and robust and regenerate quickly. On the other hand, being active post-surgery is not always an option. In fact, during the post-surgery, being active in the area that got stitches can be a contraindication, as the stitches could brake. A cast may be present in other cases, and the muscle near the surgery can’t be moved. That’s where MLD can help the lymphatic system to be stimulated. By doing so, we can guarantee the circulation of liquids in the body. But not only that. Reducing the swell around the cutting area or below the area affected by the operation would guarantee a fast recovery. This is because the oxygen released from the blood capillary, which would initially be too far from the swollen skin, can now reach the wound and help recover the skin cut. But if the area is puffed or swollen, that oxygen can’t travel as far, and the healing will not be as fast. So MLD, by boosting the lymphatic system, reduces the swelling and allows the body’s natural healing process. What to do if I have to go for surgery then? If you are up for surgery soon and you have no contraindication to MLD, what you can do to guarantee a faster recovery is, keep moving as much as you can, stay active, and book yourself in for a few MLD treatments just for the days before your surgery is due. That would help with the Lymphatic System recovery, as a more robust and healthier Lymphatic System would recover faster. And as the risk of infection and post-surgery are under control, and your blood pressure is within the acceptable range (this depends on what type of surgery you did), get moving as possible and come back for a few more sessions of MLD. Whit, what type of intervention can MLD help with? C-section (preeclampsia) bone fracture liposuction carpal tunnel knee reconstruction hip replacement day hospital intervention I went for surgery, and I got Lymph Nodes removed. As often can happen for cancer surgery, lymph nodes get removed if they are contaminated by the cancerogenic cells. Lymph node removal prevents the cancer cell from spreading along the rest of the body. If that’s the case, I may not be the practitioner that does this for you, as my qualification for MLD are up to a level where I can work with a patient who has an entire lymphatic system. Said so, I can still refer you to a practitioner who would be able to look after yourself. Do you have any questions about this topic? Or would you like to book in now your next session? Get in touch now through the contact page or place a booking by clicking here.

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Lymph Nodes

Posted on by Giovanni La Rocca
lymph node
25
Jun

Lymph nodes (or lymph glands) are small lumps of tissue containing white blood cells that fight infection. They are part of the body’s immune system and filter lymph fluid, composed of water and waste products from body tissues. Introduction to Lymph Nodes Lymph nodes are located in different body areas. On average, we have approx 600 LN. In the neck area only, we find 160 LN itself. LN can vary in size and go from 2 to 30 mm. Lymph Nodes are connected by vessels, better known as afferent and efferent vessels. The afferent vessels carry the lymph to the lymph node, and the efferent vessels take the lymph away from the lymph nodes. So, the lymph nodes are also connected directly to the blood system, veins, and arteria. What is a lymph node made of? Despite the structures that enter and leave the lymph node, these cleaning stations are made of: Connective tissue capsule Supporting strands of connective tissue inside Below the marginal sinus, there are clusters of lymphocytes lymphoid follicles Artery, vein and nerve As for the filtering station, the lymph node is essential to ensure that no bacteria, viruses or dirt can access the blood system. Where we find no lymph nodes in the brain. Indeed, the lymph fluid around this area gets drained by the Optic and Olfactory nerve. Following then the position of the lymph nodes, we can define the watershed. MLD and Lymph Nodes. Lymph Nodes can occasionally be swollen, which happens when the body fights an infection. In my practitioner experience, I often have to refer to the lymph node concept to introduce the client to MLD treatment. Not many clients know about this technique; they are more familiar with Myotherapy or Thai Massage and Remedial Massage. Said so, the client who tried MLD are all well impressed with its benefit. During an MLD session, what happens is that with a gentle stretch and recoil of the skin, I help your lymphatic system to work faster. Consequently, that’s how swollen area gets reduced. In pushing your lymphatic system to work harder, the lymph node would receive more liquid to process. On the other hand, knowing where the lymph nodes are, is essential to ensure we push the lymph liquid in the right direction. If you haven’t booked your appointment yet and wish to set a goal for MLD, please follow this link.

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Scap-Off Load

Posted on by Giovanni La Rocca
Scap Off Load Remedial Massage SetUp
11
Apr

A Scap-Off Load is a special test or functional test that we use to evaluate the implication of Lev Scapular and Up. Trap in Cercival Rotation. As previously mentioned, in cervical rotation, we got a fair bit of muscle working towards this action. As many clients come in with cervical pain, it’s time to explain in more detail what’s going on there. Cervical Rotation. How does it happen? So, when we rotate our head, either right or left, the muscle on the same side of the rotation movement is contracting. If a muscle along those is weak, we may reproduce pain in rotation along the same side. To thin down which muscle is responsible for the limited ROM, we have to safely deactivate some of them to see if the left behind one can deliver the expected movement. Here is an example of how scap offload works. If a client comes in with 30° Cervical rotation on the R and pain on top of the scapula, that could be an indication that its levator scapulae is the muscle to target. To confirm this hypothesis, I would ask the client to shrug their shoulders and flex their elbow (the client is sitting on a stool). After that, I will make my way behind the client, and I will support their shoulder weight with my forearm and hands. As the client relieves the shoulder tension, that lev scapulae and up. Traps. are now deactivated. The next thing would be to ask the client to perform the cervical rotation. Ideally, I would like to see the client have a full range of motion (80° to 90°). If this post talks to you, book your next massage session by clicking here. That would tell me that the only muscles that are limiting the cervical rotation are the lev scap. and up trap. On the other hand, what could happen, is that the cervical rotation is, yes improved, but still limited, compared to the ROM expected. In this case, the muscles involved in the stiff range of motions are not only lev scap. and or upper trap. In fact, what is causing the limitation is the cervical occipital muscles. And yes, spending long hours at the computer or looking at the phone doesn’t help. After this test, to narrow down even more which other muscles are involved in the stiffness of the cervical area, I do run another series of tests. Those tests would look into joint areas like C0-C1, which would refer to Obliquus Capitis Superior muscle, and the C1-C2 test, which would look at tension for Obliquus Capitis Inferior. Furthermore, for the other facet joints that make up the lower cervical region (C3 to C8), I would analyze each facet joint individually. These series of tests are indeed part of my Myotherapy training. Last would be then the usage of the joint mobilisation technique. In this case, we would look into what joint has lost mobility or which one has an excess of it. Strengthening the cervical. In order to improve the presentation, massage on its own is not enough. As per any condition so far, the strengthening of the muscle, in this case, the cervical and upper thoracic one, would allow to prevent further pain and discomfort. The work that the cervical muscle has to do daily is considerably high, giving the natural weight of the skull. So exercising a chin tag in a supine position can help. Ideally, we would do these exercises in the supine position (lying down face up) so that we have gravity to fight back as we train our deep flexors. To further improve the strengthening, once the chin tag is not enough, we can start using a soft rubber band to create resistance. Said so, be mindful that the cervical area is a delicate area to work on too, and those exercises are best practice under the supervision of an expert trainer or massage therapist.

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Melbourne Massage and Treatment - - - Close for Holiday till the 25th/9/2023 - - -
To all the new and returning clients, thanks for being here . I am currently in holiday, and I will be back to give treatment on the week of the 25th/Sept/2023. If you are in severe pain, and feel unwell, please reach out for your GP. If you have any inquire, contact me by clicking here. Booking are open for the month of September and onward. Click here to book your next appointment.