Tag Archives: Lymphatic System

Lymphoedema Clinic in Fitzroy North

two hands giving a Facial lymphatic drainage massage

Welcome to Melbourne Massage and Treatment, a Lymphoedema Clinic located in the heart of Fitzroy North. If you’re seeking effective management for lymphoedema, our specialised Clinic, led by experienced therapist Giovanni, is here to help you reclaim your comfort and quality of life. Understanding Lymphoedema Lymphoedema is a chronic degenerative condition characterised by swelling, typically in the arms or legs, but it can also occur in the abdominal, thoracic, or genital areas. A buildup of lymph fluid causes lymphoedema and can arise from various factors, including cancer surgery (mastectomy), radiation treatment, or genetic predisposition. When it is a genetic predisposition, it is categorised as Primary Lymphoedema, and when it develops post-surgery or due to external factors, it is characterised as Secondary Lymphoedema. Managing lymphoedema is crucial to preventing further complications and enhancing overall well-being. Meet Giovanni, Your Lymphoedema Specialist Giovanni is a dedicated myotherapyst trained at the prestigious Vodder Academy, renowned for its comprehensive approach to lymphatic health. With extensive experience in Manual Lymphatic Drainage (MLD) and Combined Destive Therapy (CDT), Giovanni employs proven techniques to reduce swelling, alleviate discomfort, and promote lymphatic flow. Manual Lymphatic Drainage (MLD) MLD is a gentle, non-invasive massage technique designed to stimulate the lymphatic system. Giovanni’s expert hands help to encourage the movement of lymph fluid, reducing swelling and improving circulation. This technique allows the stimulation of your lymphatic system’s parallel channels (anastomosis), which would not be active unless stimulated. This is a crucial step in Lymphoedema management as the lymph fluid would not have anywhere to go due to its damaged structure. Combined Decongestive Therapy (CDT) As Melbourne Massage and Treatment is also a Lymphoedema Clinic, the treatment that you can receive from Giovanni is not going to be focused on MLD only, but once the anastomosis has been activated, Giovanni would apply Combined Decongestive Therapy. This holistic approach focuses on the application of compression bandaging, which maintains the skin’s lymphatic fluid under pressure. Other types of care approaches to be aware of along this presentation are skin care and exercise, providing a comprehensive management plan tailored to each patient’s needs through garment wear. Giovanni will work closely with you to develop a personalised strategy that addresses your specific concerns and lifestyle. Free Initial Consultation Understanding your condition and exploring your treatment options can be overwhelming. To support you, Giovanni offers a 15-minute free phone consultation for lymphoedema patients. This initial conversation provides an opportunity to discuss your symptoms, ask questions, and learn how our clinic can assist you on your journey to better health. Why Choose Us? Expertise: Giovanni’s training at the Vodder Academy ensures you receive care rooted in the latest techniques and knowledge. Personalised Care: We understand that each patient is unique. Giovanni tailors treatment plans to fit your individual needs and lifestyle. Convenient Location: My clinic in Fitzroy North is easily accessible, making it convenient for local patients to receive ongoing care. Supportive Environment: We prioritise creating a welcoming atmosphere where you can feel comfortable discussing your health concerns. Get Started Today! If you’re ready to take the next step in managing your lymphoedema, contact the Melbourne Massage and Treatment Clinic today. Schedule your free initial phone consultation with Giovanni and discover how MLD and CDT can help you achieve a healthier, more comfortable life. Visit our website or call us to learn more about our services and how we can assist you on your path to recovery. Your well-being is our priority, and we look forward to supporting you every step of the way! FAQS – Melbourne Massage and Treatment (Lymphoedema Clinic) 1. What is lymphoedema? Lymphoedema is a chronic condition caused by a buildup of lymph fluid, leading to swelling, usually in the arms or legs. It can also affect the abdomen, chest, or genital area. It may result from cancer treatments (like mastectomy or radiation), surgery, or genetic factors (primary lymphoedema). 2. What are the differences between primary and secondary lymphoedema? Primary Lymphoedema is genetic and occurs due to an inherited malfunction in the lymphatic system. Secondary Lymphoedema develops due to external factors like surgery (e.g., mastectomy), radiation therapy, trauma, or infection. 3. How can lymphoedema be managed? Lymphoedema is a degenerative condition, meaning it worsens over time if untreated. However, proper management through Manual Lymphatic Drainage (MLD), Combined Decongestive Therapy (CDT), compression garments, skin care, and exercise can significantly reduce symptoms and improve quality of life. 4. What is Manual Lymphatic Drainage (MLD)? MLD is a gentle, specialised massage technique that stimulates the lymphatic system to improve lymph flow, reduce swelling, and activate alternative lymphatic pathways (anastomosis) when the main vessels are damaged. 5. What is Combined Decongestive Therapy (CDT)? CDT stands for Combined Decongestive Therapy and is about applying compression to the limb affected by lymphoedema to get the fluid in exceed to keep moving post MLD therapy. 6. Do you offer a free consultation? Yes! I offer lymphoedema patients a free 15-minute phone consultation to discuss symptoms, treatment options, and how I can help. 7. Where is the clinic located? Melbourne Massage and Treatment Lymphoedema clinic is conveniently located in Fitzroy North, Melbourne, making it easily accessible for local patients. 8. Can lymphoedema be cured? While lymphoedema is a chronic condition, proper management can significantly reduce swelling, discomfort, and the risk of complications. Early intervention and consistent therapy are key. 9. Is compression therapy necessary for lymphoedema? Yes, compression garments or bandages are essential in CDT to maintain pressure on tissues, prevent fluid re-accumulation, and support long-term management. 10. Can exercise help with lymphoedema? Yes! Gentle, guided exercises can promote lymphatic drainage and improve mobility. Giovanni can recommend safe exercises tailored to your condition. 11. How often should I get MLD or CDT treatments? The frequency depends on the severity of your condition. Some patients benefit from weekly sessions, while others may need maintenance treatments less often. Giovanni will create a personalised plan for you. 12. Does private health insurance cover lymphoedema treatments? Some private health funds may cover part of the […]

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

Diagram of Lymphatic-System-primary-and-collateral-

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 […]

Remedial Massage for Sports Injuries

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 […]

Oncology and Lymphedema Treatment – How MLD can Help

Ai generated Leg Lymphedema image

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 […]

Frozen Shoulder

Normal and Frozen Shoulder

Frozen shoulder is also known as per the name “adhesive capsulitis”. A frozen shoulder as per the name is a shoulder that would barely move. Both signs and symptoms typically begin slowly and then get worse. Recovery time is subjective. Causes and Symptoms of frozen shoulder. Causes A common cause of a Frozen Shoulder is having to keep a shoulder still for an extended period, like after an accident. Even if it is not clear yet why there are also psychosomatic reasons why a shoulder can get frozen. Another reason why a shoulder could get to freeze is traumatic events, such as a high level of stress or a physical accident. On the physical level, what happen is that connective tissues that surround the shoulder joint, like a capsule, thickens and tightens around the shoulder joint, and by doing so, it does restrict the joint’s movement. Symptoms Frozen Shoulder symptoms developed in 3 different stages. The stage’s timing is subjective. Freezing stage Shoulder range of motion starts decreasing, and pain shows up/increases. Frozen stage The Shoulder would freeze up. The movement is minimal, even though it is less painful. Thawing stage In this stage, the range of motions are slowly coming back Pain can be worst at night. This may happen because of the sleeping position or because the sensory feeling is more acute at night than in the daytime when the body perceives more sensations. Suffering from Frozen Shoulder and need some help. Book now an MLD treatment at Melbourne Massage and Treatment. Risk factors for Frozen Shoulder Age and gender Women are more luckily to suffer from this condition. Also, age plays a crucial role in this type of pathology. People 40 and over are luckier indeed to develop F.S. Systemic diseases Here is a list of specific conditions that can increase the possibility of suffering from F.S.: Diabetes Overactive thyroid (hyperthyroidism) Underactive thyroid (hypothyroidism) Cardiovascular disease Parkinson’s disease Prevention There are not many preventive factors when it gets to F.S. This is because the main cause of F.S. is holding the shoulder back from doing movements, due to a previous injury, most of the time. What can help, and this is how Melbourne Massage and Treatment services come in handy is to do MLD sessions on the area surrounding the injury. How MLD can help by stimulating the lymphatic system work and boosting the recovery process. Also, MLD would help in reducing inflammation. Other massage technique such as Myotherapy or Remedial Massage and or Thai Massage, is not as effective for this type of condition. Another successful method that can help once Frozen Shoulder is already developed is by using Hydrodilatation. This methodology consists in injecting sterile water into the joint capsule to stretch the open space and bring the shoulder back to its ROM.

Lymphedema Melbourne

Leg with Lymphedema

Lymphedema is a health condition that develops when the lymphatic system gets dysfunctional. Compared with lipoedema, Lymphoedema presents disproportional swelling in 1 limb per side. As stated above, what’s behind the swelling is a malfunctioning lymphatic system that leads to an increased amount of protein below the skin (lymph liquid). As already discussed in a previous post about MLD, the lymphatic system has the function of taking away the lymph liquid and pass it on to the bloodstream. Indeed, from the bloodstream, it will all get filtered from the organs such as kidneys and liver to be disposed of. The lymph liquid is mainly made of water, protein and dirt. How MLD works? The Manual Lymphatic Drainage technique stimulates the lymphatic system that can also be boosted by muscular movement. Indeed a 30-minute to 1-hour walk can speed up the Lymphatic System to double speed. This happens due to the capillary (pre-collector) of the lymphatic system, which constantly opens and closes to suck away the lymph. The faster the opening and closing of the doors of the capillary, the quicker the suctions would be. How may lymphedema develop? Where things can go wrong is when the lymphatic system stops working or doesn’t work strong enough in one or more than one area of the body. The reason why the LS stop working and cause lymphodema is as follow: Missing lymph nodes can happen after surgery for cancer removal Genetics missing lymph nodes as per genetic Parasites Surgery damages the pre-collector/collector or lymph nodes with invasive surgery. Radiation due to cancer treatment Are there risk factors? Older age Excess weight or obesity Rheumatoid or psoriatic arthritis When Lymohodema starts developing, an intervention of a professional carer is essential. Here is a link to a Manual Lymphatic Drainage therapist worldwide that can help you with that. Seeing a GP is also recommended. For intervention, I refer to MLD as a manual technique to boost the lymphatic system, compression bandaging and garments wear. The consequence of letting go of Lymphodema is quite severe. As the skin keeps swelling, it will stop receiving oxygen from the bloodstream sooner or later. As per result, the skin would start drying out, cracking, and possibly getting infected. Said so, the consequence can be even more severe and lead to Cancer too. MLD at Melbourne Massage and Treatment Regarding my training as an MLD therapist, I can’t treat clients with Lymphodema yet. My skills within the MLD technique are limited to working with a patient with an intact and fully functioning Lymphatic System. But don’t hesitate to contact me if you need more information about Lymphodema, as I can put you in touch with a therapist who can help.    

Arm Lymphoedema Quiz

Based on the original document - Piller,NB (2006) Lymphoedema Research unit Department of surgery, Flinders Medical Centre, Bedford Park, South Australia,  5042 (Adapted and reprinted with permission). This guide is designed as an educational aid-based primary on experience, no evidence in literature.

(Optional)
1. More than 10 nodes removed from armpit
2. Radiotherapy to armpit area
3. More than 2 infections (redness) in the limb per year
4. Whole of Breast Removed (Mastectomy)
5. More than 2 but less than 10 nodes removed from armpit
6. Radiotherapy to chest/breast area
7. Fluids drained from wound more than 1 week
8. Infection at the wound site
9. One infection (redness) in the limb per year
10. Heaviness, tightness or tension in the limb at times
11. Frequent cuts/scratches to the limb
12. Dry skin
13. Part of Breast removed
14. 1 or 2 nodes removed from armpit
15. Limb feels different as the day progresses

OTHER PROBLEMS WHICH MAY ADD TO RISK

16. Body weight is very high (obese)
17. Surgery was on side of dominant hand
18. Generally experience high stress levels
19. Generally have high non-controlled blood pressure
20. Body weight is a little high (overweight)
21. Frequent long distance air traveler
22. Previous or current other injuries to limb/shoulder
23. Thyroid gland activity is not normal and not medicated
24. “At risk” limb is used for repetitive actions
25. Often carry heavy loads for long periods using “at risk” arm
26 Smoking is currently part of my life
27. Swelling was present in limb prior to surgery

What to do now?

    • If you are at LOW RISK, then you will benefit from a range of appropriate educational literature that may be able to even further reduce the risk of developing lymphoedema.

    • If you are at MODERATE or HIGH RISK, then the educational materials will also benefit you. Ideally, if you are in these categories, you should have a non-invasive assessment (Bio-impedance spectroscopy or Tissue Dielectric Constants) to determine if there are already some fluid accumulations in your "risk" limb.

Independently of your level of risk, Giovanni offers 15-minute Online Consultation to better guide you on how to manage this presentation, or prevent any degeneration.

Book your free 15-minutes online consultation now.

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Lipedema Questionnaire

This is not a diagnostic tool but only a guide.
To learn more about the Lipedema presentation, contact Giovanni by sending the result, or booking a free 15-minute online consultation. Be sure to include your full name and email address in the form below (At the end of the quiz).

If you prefer to contact Giovanni anonymously, call with a private number at 0449790781.

Texture of fatty tissue may feel granular and/orfibrotic
Symmetrical, disproportionate accumulation of fatty tissue (refer to picture on the Lipedema page)
The waist may be small in proportion to thighs, buttocks, and legs
Cuffs or bulges may develop around joints (e.g. ankles, knees, elbows, wrists). Feet remainunaffected unless lymphoedema is a comorbidity
Legs are often hypersensitive to touch and pressureand may feel cold
Affected areas may bruise easily with minimaltrauma
Patients describe affected areas as sore, painful, heavy, swollen and tired
Symptoms can worsen in hot weather, during orafter exercise, standing or sitting for long periods
Fat pads, which can be tender or painful, accumulate on the upper outer thighs, inner thighs, and around the knee area, can cause abnormal gait,and contribute to joint pain
Filling of the retromalleolar sulcus
Hypermobility
Soft, thin skin with loss of elasticity. Skin can havea lumpy appearance.
Non-pitting oedema and negative Stemmer’s sign on feet and hands in the absence of coexisting lymphoedemaPitting oedema is when by appling pressure to the area with a finger, for more than 60 seconds, you get left an indentation in the skin.
Difficulty losing weight from affected areas despite exercise, modified diet or bariatric surgery. If well-directed, these measures may help reduceinflammation and co-existing obesity if present
Abnormal nerve sensations
Pain on blood pressure check (larger cuff may berequired)
Relatives with similar body shape or fat distribution

Out of 17 questions, the number above, tells you how many symptoms applies to you. The more symptoms, the more luckily you are suffering from a Lipedema presentation. Get in touch with Giovanni now, via the form below, for further understanding on how to manage Lipedema presentation.

Reference list

This quiz is a reproduction of a flyer from the association Lipoedema Australia.
The reference list is Adapted from 1, 4, 5, 6, 7, 8, 9, 12, 13,14[1] , 16, 18 and available here (PDF).

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Leg Lymphoedema Quiz

Based on the original document - Piller,NB (2006) Lymphoedema Research unit Department of surgery, Flinders Medical Centre, Bedford Park, South Australia,  5042 (Adapted and reprinted with permission). This guide is designed as an educational aid-based primary on experience, no evidence in literature.

(optional)
1. More than 10 nodes removed from the groin
2. Radiotherapy to the groin/pelvic area
3. Average of more than 2 infections (cellulitis) in the limb per year
4. Dry or scaly skin on lower legs/feet
5. More than 2 but less than 10 nodes removed from groin
6. Fluids drained from wound more than 1 week
7. Infection at the wound site after surgery
8. Average of one infection (cellulitis) in the limb per year
9. Frequent cuts/scratches to the limb
10. 1 or 2 nodes removed from the groin
11. Heaviness, tightness or tension in the limb at times
12. Limb feels worse as the day progresses

OTHER PROBLEMS WHICH MAY ADD TO RISK

13. Family history of leg swelling
14. Frequent long distance air/bus/car traveler
15. Previous or current other injuries to legs, ankles or feet
16. Limb is most often in a dependant position (standing)
17. Generally experience high stress levels
18. Generally have high blood pressure
19. Thyroid gland activity is not normal and not medicated
20. Diabetic but controlled by diet or medication
21. Diabetic uncontrolled
22. Some varicose veins or spider veins
23. Many varicose veins or spider veins
24. Prior varicose vein stripping and scars
25. Smoking is currently part of my life
26. Body weight is a little high (overweight)
27. Body weight is very high (obese)
28. Diet is rich in animal (omega 6) fats
29. Swelling was present in limb prior to surgery/radiotherapy

What to do now?

    • If you are at LOW RISK, then you will benefit from a range of appropriate educational literature that may be able to even further reduce the risk of developing lymphoedema.

    • If you are at MODERATE or HIGH RISK, then the educational materials will also benefit you. Ideally, if you are in these categories, you should have a non-invasive assessment (Bio-impedance spectroscopy or Tissue Dielectric Constants) to determine if there are already some fluid accumulations in your "risk" limb.

Independently of your level of risk, Giovanni offers 15-minute Online Consultation to better guide you on how to manage this presentation, or prevent any degeneration.

Book your free 15-minutes online consultation now.

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