Unlocking the Power of Lymphology Therapy

... specialising in Lymphatic Care…

Lymphoedema Management

What is Lymphoedema?

Lymphoedema is a chronic and progressive condition where the accumulation of excessive amounts of protein-rich fluid in the tissue results in swelling of the body. Lymphoedema affects the limb(s) trunk, breast, head and neck or genital area. Lymphoedema is due to a failure of the lymphatic system and occurs when the demand for lymphatic drainage exceeds the capacity of the lymphatic circulation.

a person with a swollen leg is standing on a wooden floor

There are 2 types of Lymphoedema:

  • Primary Lymphoedema

    Primary Lymphoedema is usually caused by congenital or genetic factors that affect the development or function of the lymphatic system. 

  • Secondary Lymphoedema

    Secondary Lymphedema occurs due to damage to the lymphatic system from causes such as surgery, radiation therapy, infections, trauma, or other medical conditions.

What occurs with Lymphoedema?

Lymphoedema is a condition characterized by the accumulation of lymphatic fluid in the interstitial spaces between cells and tissues. This occurs due to an impaired lymphatic system, which is unable to adequately transport lymph fluid, leading to an imbalance between fluid production and drainage.

Discover the stages of lymphoedema:

Stage 0

At a subclinical state where swelling is not present,despite impaired lymph transport. This stage may exist for months or years before oedema becomes evident.

Stage 1

This represents early onset of the condition where there is accumulation of tissue fluid that subsides with limb elevation. The oedema may be pitting in this stage.

Stage 2-A

Limb elevation alone rarely reduces swelling and pitting is manifest.

Stage 2-B

There may or may not be pitting as tissue fibrosis is more evident.

Stage 3

The tissue is hard(fibrotic) and pitting is absent. Skin changes such as:

Thickening

Hyperpigmentation

Increase skin folds

Fat deposits developed

Treatment: Complex Physcial Therapy (CPT) Management

Lipeodema Management

Lipoedema is indeed a chronic disorder characterized by the abnormal accumulation of fat cells in certain areas of the body, particularly in the lower limbs (thighs, buttocks, and legs) and sometimes in the upper arms. Other symptoms include pain, swelling, loose skin, and easy bruising.

cartoon illustration of fat cells in different parts of the body
a woman is holding her thigh with her hands

Diagnosis

This condition typically occurs in females.


Lipoedema is often underdiagnosed or misdiagnosed due to its resemblance to obesity. Diagnosis usually involves a combination of clinical examination, medical history assessment, and sometimes imaging techniques. While there is no cure for lipoedema, various treatments aim to manage its symptoms and improve quality of life. 

Treatment

Complex Physical Therapy, can help alleviate pain, improve lymphatic function, and reduce swelling associated with lipoedema.

Chronic Venous Insufficiency (CVI) Management

a woman is holding her leg in pain

What is Chronic Venous Insufficiency (CVI)?

Chronic Venous Insufficiency (CVI) is a condition that occurs when the veins in the legs are unable to efficiently return blood back to the heart. This is often due to malfunctioning or damaged valves within the veins. 

a diagram of venous disease on the legs showing healthy veins and varicose veins

What occurs with chronic Venous Insufficiency?

  • Valve Dysfunction
  • Blood Pooling
  • Edema (Swelling)
  • Varicose Veins
  • Skin Changes
  • Ulcers

Management of chronic venous insufficiency typically involves lifestyle changes, such as elevating the legs and the treatment of Complex Physical Therapy (CPT) Management for Chronic Oedema

What does Early Detection of Lymphoedema mean?

At Exotherapy Australia, Women’s Holistic Clinic, plays a vital role in the early detection of Lymphoedema in women to help them avoid life-long swelling. The current evidence-based recommendations are to screen, educate and detect Lymphoedema before physical signs of swelling appear.


Early detection is crucial for effectively managing Lymphoedema, whether it's related to cancer or non-cancer causes. Recognising the signs and symptoms can lead to early intervention and improved outcomes.

  • Cancer-Related Lymphoedema:

    For patients at risk of developing lymphoedema due to cancer-related treatments or surgeries, early detection is vital to prevent or minimise its impact. As breast cancer patients are often at risk due to procedures like sentinel lymph node biopsy and treatments like neoadjuvant chemotherapy. 


    Here are some strategies for early detection:

    • Patient Education
    • Regular Check-up
    • Baseline Measurements

    Imaging Techniques:

    • Lymphoscintigraphy
    • ICG (Indocyanine Green Lymphography)

  • Non-Cancer-Related Lymphoedema:

    For individuals who develop lymphoedema unrelated to cancer, early detection remains essential to prevent the condition from worsening. 


    Recognising the symptoms is crucial:


    • Visible Tissue Swelling
    • Limited Range of Motion
    • Sensations of Tightness or Heaviness
    • Skin Changes

Management for Lymphology Therapy

Assessment

  • Body Measurements

    Specific and accurate patient measurements.

a close-up of a measuring tape on a white surface

  • What is the Bioimpedance Spectroscopy?

    Bioimpedance spectroscopy, also called BIS, is a newer noninvasive technique to measure the volume of fluid in various parts of the body. BIS involves passing an extremely low strength electrical current through the area and measuring how the flow of the current is slowed by the fluid in the body

a woman is standing on a scale while using a laptop computer

Compression Therapy

Compression therapy involves the application of pressure to a specific area of the body using compression garments or devices. The pressure exerted by these garments helps improve blood circulation, reduce swelling, and provide support to muscles and tissues.

The 3 phases to Compression Therapy

  • Decongestive Phase

    A treatment course of up to 4 weeks or more whereby fluid, fibrosis and fat aim to be

    addressed.


     

    USES:

    Compression Bandaging

    SIPC Pumps

  • Transitional Phase

    The transaction phase aims to consolidate the effects of the decongestive treatment phase, to maintain oedema reduction and ease the patient into the long term management phase.


    USES:

    Compression Bandaging

    Prescribed Medical Garment

    SIPC Pumps

  • Maintenance Phase

    Maintaining the reduction by continuing with prescribed garments.

     

     

     

    USES:

    Prescribed Medical Garment

    SIPC Pumps

Types of Compression Therapy

  • Compression Bandaging

    Bandaging to Support:

    Venous Insufficiency Management

    Lymphoedema Management

    Lipoedema Management

two rolls of bandages are sitting on top of each other on a table

  • Prescribed Medical Garments

    Prescribed Medical Garments:

    Leg Stockings

    Arm Sleeves

    Bras

    Abdominal Compression

    Head

    Genitalia

    Socks

    Leg Wraps

    Arm Wraps

Construction of the Medical Garments

a close up of two different types of knit fabric, circular knit and flat knit

  • SIPC Pumps (Sequential Intermittent Pneumatic Compression)

    SIPC Pumps for:

    Legs

    Arms

    Abdominal

a woman is laying on a bed getting treatment on her legs

Contraindications to Compression Therapy

Organ failure (heart, liver, renal): Compression may not be suitable for individuals with compromised organ function.

Untreated DVT or phlebitis: Applying compression directly to an untreated blood clot or inflamed vein can be harmful.

Severe arterial disease: In cases of severe arterial insufficiency, where blood flow to the extremities is compromised, compression may exacerbate the condition.

Acute infections and inflammation

Open skin areas and wounds

Manual Lymphatic Drainage (MLD)

A special form of massage known as Manual Lymphatic Drainage (MLD).

  • Benefits of MLD:

    • Assisting in managing chronic edemas
    • Improving lymphatic system function
    • Calming the autonomic nervous system, particularly the parasympathetic system
    • Reducing stress
    • Aiding recovery after surgical procedures, such as reducing post-operative fluid accumulation, pain, and inflammation
    • Supporting post-mastectomy recovery
a nurse is giving a leg massage to an older woman

  • Contraindications for MLD:

    • Acute cellulitis or erysipelas (skin infections)
    • Severe cardiac insufficiency (heart failure)
    • Hepatic cirrhosis with abdominal fluid accumulation (ascites)
    • Unstable hypertension (high blood pressure)
    • Renal failure (kidney dysfunction)
    • Untreated tuberculosis or malaria
    • Superior vena cava obstruction (blockage of a large vein in the chest)

Exercise

Decongestive exercises complement the MLD massage. Physical activity and muscle movement are essential for maintaining a healthy lymphatic system.

  • Benefits of Exercise for Lymphoedema:

    • Reduction of Swelling
    • Improved Muscle Pump
    • Enhanced Immune Function
    • Weight Management
    • Psychological Well-being

    Using compression garments while exercising provide external support to the tissues, aiding in fluid movement and preventing excessive swelling.

a man and a woman are stretching their legs on a yoga mat

  • Types of Exercises for Lymphoedema:

    Decongestive Exercises: These exercises are specific movements aimed at enhancing lymphatic flow. They usually involve gentle, repetitive motions that target the affected limb's muscles.


    Aerobic Exercises: Low-impact aerobic exercises such as walking, swimming, cycling, and water aerobics are excellent choices. These exercises promote overall circulation, which can positively impact lymphatic flow.


    Range of Motion Exercises: These exercises focus on maintaining or improving joint flexibility. They help ensure that joints move freely and facilitate lymphatic drainage.

Skin Care Regime

Lymphoedema patients, particularly those undergoing compression therapy, need to prioritize skin care due to the potential risks associated with

compromised skin integrity. An effective skin care routine helps mitigate these risks and supports the overall success of lymphoedema management.

Components of Good Skin Care with Lymphoedema:

Cleansing: Hypoallergenic cleansers to keep the skin clean.

Drying: After cleansing, gently pat the skin dry.

Nail Care: Proper nail care is essential to prevent accidental skin injuries and infections. Keep nails clean and well-trimmed to reduce the risk of scratches.

Sun Protection: Use sunscreen to protect the skin from harmful UV radiation. Sunburns and skin damage can further compromise the skin's health.

Scar Tissue Management

Scar tissue management is a therapeutic approach aimed at improving the health, function, and appearance of scar tissue resulting from injuries, surgeries, or other traumas. Scar tissue therapy is particularly beneficial for individuals with dysfunctional or problematic scar formation.

a woman is lying in a bed getting a massage from a nurse

The Purpose of Scar Tissue Management

The primary goal of scar tissue management is to optimize the healing process of scars and address any issues that might arise from scar tissue formation. Scar tissue can sometimes lead to various complications, including pain, reduced flexibility, adhesions, sensitivity, and swelling. Scar

tissue therapy seeks to minimize these complications and promote healthier scar tissue development.

Who Can Benefit from Scar Tissue Treatment:

Scar tissue management offers benefits to various individuals, including:


  • Patients who have undergone surgeries or experienced trauma resulting in significant scarring.
  • Individuals who have received high doses of radiotherapy and chemotherapy, which can impact tissue health and healing.
  • Those experiencing symptoms related to dysfunctional scars, such as pain, limited flexibility, swelling, adhesions, and discomfort.

Methods Utilised in Scar Tissue Treatment

Scar tissue therapy employs multiple approaches, each focused on improving the condition of the scar tissue:

  • Manual Techniques

    The gentle hands-on manipulation techniques help break down adhesions,enhance tissue mobility and stimulate blood flow.

  • Laser Therapy

    Laser devices are employed to soften fibrous scar tissue, support tissue repair, and encourage collagen remodeling. Laser therapy is particularly effective in addressing scar-related discomfort and enhancing the appearance of scars.

Benefits of Scar Tissue Management

  • Improved Function
  • Reduced Pain and Discomfort
  • Enhanced Appearance
  • Emotional Healing

Education

Complex Physical Therapy Information Session

What is Complex Physical Therapy?

three images of a person getting a massage on a bed

This information session provides insights into the benefits of Complex Physical Therapy. Information sessions are held throughout the year.  Bookings are essential.

Contact Reception

Case Studies

Complex Physical Therapy Clinical Treatments and Outcomes

a person with lymphoedema
after manual lymphatic drainage massage on foot

  • Patient 1: Case History

    Patient: Aged 73

    Condition:

    Lymphoedema Stage II and Venous Insufficiency.

    Treatment Protocol

    Manual Lymphatic Drainage Massage

    Outcome:

    After 45 mins, the patient notice significant reduction of fluid from the lower extremities. The patient attended the bathroom 3 times within the session.

    Maintenance Home Care Protocol

    The patient was given decongestive exercises to perform at home.

before manual lymphatic drainage massage
after manual lymphatic drainage massage

  • Patient 2: Case History

    Patient: Aged 100

    Condition:

    Lymphoedema Stage II and Venous Insufficiency.

    Treatment Protocol

    Manual Lymphatic Drainage Massage

    Outcome:

    After 45 mins, the patient notice significant reduction of fluid from the lower extremities. The patient attended the bathroom 2 times within the session.

    Maintenance Home Care Protocol

    The patient was shown decongestive exercises to perform at home.

person with lymphoedema stage II before treatment
after decongestive phase (bandaging) treatme

  • Patient 3: Case History

    Patient: Ages 71

    Condition:

    Lymphoedema Stage II and Venous Insufficiency

    Treatment Protocol

    Decongestive Phase - Bandaging

    Outcome :

    After 11 days, within two bandaging sessions the patient’s leg circumference reduced significant in size. The patient also was assisted with a prescription to reduce her fibrotic tissue.

    Maintenance Home Care Protocol

    The patient was shown decongestive exercises to perform at home. 

    Other  

    After visiting the clinic on day 60, her oedema had significantly reduced. The patient drove herself to the clinic and drove herself home. She FINALLY received her independance back.

Testimonials

In Our Clients Words

"Jenny is such an amazing and caring person with myself and all her clients. She is very professional and makes you feel very comfortable and safe. She is very knowledgeable and uses techniques that really help her clients feel better instantly as she cares for them like people not statistics. Definitely go check out her services 10/10."

Helena Konstandaras

"Jenny is a true expert in her field, incredibly knowledgeable and professional. I walked in with chronic pain in my right hip and walked out pain free and totally blissed out. Hands down THE BEST' remedial massage I've ever had. The pain has not returned at all and I've been living with it for over 5 years. I've been to countless massage therapists and other alternative treatments with no success until meeting Jenny and it only took one visit. I highly recommend Jenny, she's magical.

Thanks Jenny."

Peggy Colonques

Google Verified Reviews

How it Works

Initial Consultation

Providing a comprehensive assessment and tailor-made treatment plan to address your unique health concerns.

Follow-up Appointments

Ensures consistent care and ongoing tracking of progress, whether you're managing health conditions or on the road to recovery.

Gift Vouchers Available 

A special treat for yourself or the perfect gift for someone special, we offer gift vouchers for all our services.

Ready for a Healing Touch?

Book a session now to unwind and experience the therapeutic benefits of expert hands.

Book An Appointment