Lymphoedema

Lymphoedema is an abnormal build up of fluid causing swelling within a body part, usually a limb, although it can occur anywhere. The condition developes when the lymphatic system (vessels and nodes) are damaged or removed (secondary lymphodema), or missing or impaired (primary lymphoedema). Primary lymphoedema, caused by congenital abnormalities of the lymphatic system is rare. It typically affects the lower limbs and can occur from birth or have a later stage onset in life. Secondary lyphoedema occurs when the function of the lymphatic system is impeded by disease, infection, surgery, trauma or radiation treatment. The most common occurance is following treatment for cancer when swelling may occur after lymph node removal (dissection). It is a permanent condition and if left untreated lymphoedema can be extremely debilitating, affecting everyday function and activities as well as impacting on psychosocial wellbeing.

The management of lymphoedema involves a lifelong strategy which is based on the 4 principles of care:

What is Manual Lymphatic Drainage?

MLD is a specialised 'hands on' gentle technique used in the management of lymphoedema. MLD consists of very light, rhythmic movements of the therapists hands on the skin, stretching the skin and stimulating the lymphatic system to redirect the fluid away from the swollen area towards a healthy area where the fluid can be naturally absorbed into the circulatory system. MLD can be used all over the body wherever swelling occurs. It can help to reduce hardness and thickening of the tissues and improve skin condition. It is a gentle, painless technique and has a calming effect on both the mind and body.

In addition to its use in the management of lymphoedema, MLD:

MLD and lymphoedema management

MLD for the management of lymphoedema is a specialised form of massage available from therapists who have undergone intensive training with one of the following schools of MLD: Asdonk, Casley Smith, Foldi, LeDuc, Vodder. It is important that you check your therapists qualifications before commencing treatment. Some other therapists, e,g. beauty therapists are trained in cosmetic lymphatic drainage techniques which do not suit those with lymphoedema.

All people who have lymphoedema or who are at risk of developing lymphoedema (e.g after breast surgery) can benefit from MLD. MLD is effective for most people, however it does take time to re-educate the lymphatic system. An intensive course of around 10 to 15 treatments over the course of 2 to 3 weeks is usually required. MLD is often done in combination with Multilayer Lymphoedema Bandaging (MLLB) during this intensive phase of treatment. Following the intensive phase you will begin a reducing regimen with treatments becoming less frequent over time. The effects of MLD can be maintained in the long term through the use of containment garments and a self management programme.

MLD is a 'skin on skin' technique so you will need to be partially undressed. You will be covered with towels or a blanket and your dignity will be maintained at all times. You will be asked to lie on a couch or bed and relax. Treatment sessions can last from 30 to 60 mins depending on the area(s) being treated and the extent of the swelling. If you are having bandaging, this will be applied after the MLD. The total treatment (MLD & MLLB) time for an arm can be in the region of 90 mins, and for a leg might be up to 2 hours.

If you need to undergo an intensive treatment course for lymphodema, discounts are available. To discuss your individual needs I can be contacted on 087 9537808.