Once you have been diagnosed with lymphoedema (also known as lymphedema), you will soon learn that compression therapy plays a vital role in long-term management of this chronic condition, and one of the most common questions I hear in my clinic is: “What’s the difference between circular knit and flat knit lymphoedema compression garments?” In this blog, I will explain the difference between these two types of lymphoedema compression knit, so that it may help you understand better how your lymphoedema can be managed in the long term. Why Is Lymphoedema Compression Essential? As discussed in many more blogs, lymphoedema is a chronic condition caused by an impaired lymphatic system, which leads to the accumulation of lymph fluid and persistent swelling in one or more body parts. If not correctly managed, lymphoedema can progress and cause: Increased limb size – elephant leg Tissue fibrosis (hardening) Skin changes – including numbness Higher risk of infections – cellulitis is a common one Compression therapy is a cornerstone of CDT (Complete Decongestive Therapy), alongside: Manual Lymphatic Drainage (MLD) – ideal to boost your lymphatic system drainage capacity Skin care is essential to avoid skin cracks and infections Exercise and movement – especially if wearing circular knit compression Long-term compression – So in short, lymphedema compression supports lymphatic flow, helps maintain limb volume reduction, and prevents the worsening of lymphoedema. What Is Circular Knit Lymphoedema Compression? Circular knit compression refers to the method by which garments or bandages are made. In this case, the knit is made using a continuous circular weaving method, creating a seamless and highly elastic fabric. Benefits of circular knit compression: Lightweight and smooth texture Greater elasticity and stretch Often available off-the-shelf More discreet under clothing Circular knits are ideal for those lymphoedema patients who can and should move with the limb affected by lymphoedema. Indeed, the circular knits are designed to allow the lymphedema patient to move; therefore, while the limb is compressed, the lymphatic system is simultaneously boosted by compression and movement. When circular knitting may be suitable: Mild lymphoedema Early-stage lymphedema Limbs with minimal shape distortion Well-controlled swelling However, due to their elasticity, circular knit garments often lack the containment needed for more advanced lymphoedema, especially when fibrosis or limb shape changes are present. What Is Flat Knit Lymphoedema Compression? So, even in the case of Flat-knit compression, the name refers to the way the fabric is produced, like flat fabric and stitched together with a seam. This allows for higher stiffness and customised shaping. Benefits of flat knit compression: Firmer, more supportive structure Superior containment of swelling Custom-made to individual limb measurements Better control of irregular limb shapes Flat knit is usually recommended for: Moderate to severe lymphoedema Long-standing or progressive lymphedema Skin folds or lobes Fibrotic tissue Swelling that rebounds quickly A lymphoedema patient is unable to move much Therefore, based on the severity and lymphoedema stage, we would suggest using flat knit compression for more severe presentations or for someone who is unable to move the limb(s) affected. Compression Garments and Complete Decongestive Therapy (CDT) At Melbourne Massage and Treatment, in Fitzroy North, I offer Complete Decongestive Therapy (CDT) as part of lymphoedema management, which is internationally recognised as the most effective approach to lymphoedema treatment. Here is a list of things that I would offer during a lymphoedema management appointment: Comprehensive lymphedema assessment Manual Lymphatic Drainage Swelling reduction during the intensive phase of CDT Preparing limbs for compression garments Education on long-term self-management To simplify the process of lymphoedema management, at Melbourne Massage and Treatment, I do offer a free 15-minute online consultation, where I can answer your questions and go through an initial assessment about your clinical history. Compression After CDT After we manage to reduce the swelling in the limb(s) affected by lymphoedema, via MLD and CDT, which can take 3 to 5 appointments, or more, depending on your presentation, we can then look into getting garment wear that can fit your limb(s), so that the swelling can be managed for a longer time. While I do not supply compression garments directly, I refer patients to Sigvaris in West Melbourne, specialists in medical compression for lymphoedema, ensuring accurate fitting and high-quality garments. Circular Knit vs Flat Knit: Which Is Right for You? The correct compression garment depends on several factors, including: Stage and severity of lymphoedema Limb shape and tissue texture Presence of fibrosis Skin health Lifestyle and daily activity This is why coming for an appointment and getting your lymphoedema assessed and treated, where needed, is essential before selecting compression. Lymphoedema Treatment in Fitzroy North Living with lymphoedema can be challenging, but with the proper care, education, and treatment plan, it can be effectively managed. At Melbourne Massage and Treatment in Fitzroy North, I focus on: Evidence-based CDT Individualised lymphedema management Clear guidance around compression therapy Collaborative care with trusted garment providers Therefore, if you are in need of professional lymphoedema treatment in Melbourne or need clarity around compression options, I’m here to support you. About myself: a Myotherapist specialised in Lymphoedema Management My name is Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), the gold standard for lymphedema treatment. My approach is tailored to each individual patient, to achieve objective results, and to help you enjoy more your life while dealing with Lymphoedema management.
Tag Archives: Understanding Lymphoedema
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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, […]