Servicing Brisbane to Gold Coast and Nth Burnett areas to Monto

TREATMENT FOR Lymphoedema (lymphedema)

 

Lymphoedema (lymphedema) MLDT treatment, Drugs and Support Garments

              

What is MLDT treatment?

Manual Lymphatic Drainage Therapy Treatment.

1. Regular skin care to improve the skin condition and to help prevent any infection which will add to the lymphatic load;

2. A special form of Lymphatic drainage each day, which encourages the removal of excess fluid and protein from the tissues, softens the tissues and opens alternative lymphatic pathways so that unaffected regions can help to drain the affected region.

3. Compression bandages which are applied to the limb after each drainage session (to minimize the re-accumulation of fluid) and the fitting of a compression garment after the whole treatment, to stop the reduced limb from rapidly resuming its former size;

4. Special limb exercises, which supplement the massage.

5. Diet and Nutrition, plays a very important role in maintaining good reduction in a Lymphoedema (lymphedema) limb.

 

When can it not be safe to have MLDT treatment?

 

  • When there is excess fluid around the lungs or heart.
  • Heart failure.
  • Kidney failure.
  • Chronic medical conditions.
  • Cellulitis or any infections.

Always consult your Doctor first before having treatment.

A referral from your Doctorr is preferred with a copy of your medical history before starting your treatment.

CAUTION HAVING LIPOSUCTION ON A LYMPHOEDEMATOUS LIMB.

Lymphoedema is a serious condition and it can often become worse by having liposuction in the area.

Liposuction, just like any other surgery, will lead to swelling and bruising. While it is temporary, the swelling relies on a healthy lymphatic system to help remove the swelling.

There is a high risk of infection and poor wound healing with most Lymphoedematous limbs because of increased tissue fluids and impaired oxygen diffusion through the tissues.

Liposuction would be a contraindication for treating any Lymphoedema.

Lymphedema can significantly increase complications from liposuction and doesn't typically produce long term improvements.

Removing FAT is totally different from removing lymph fluid from a swollen limb.

 

A MLDT treatment session would normally be as follows:

After checking your medical history, filling out the necessary paper work, checking the condition of your skin and as long as it is cleared medically to continue with the treatment, it will be as follows:

  • Measurements will be taken of the affected and non affected limb on a regular basis to check the progress of the reduction.
  • First, we stimulate the areas around the body where the lymphatics drain.
  • A Gentle lymphatic drainage massage is done from the affected limb and emptied into an adjacent area of lymphatics that can absorb and move the excess fluid.  This can take quite a long time to do when done properly. Sometimes with leg oedema this treatment can take at least 1&1/2 hrs.
  • Following the drainage, compression bandages or garments are required to keep the reduction stable.
  • Exercises will be shown to do at home on a daily basis. Exercising the affected limb is essential for the reduction of fluid retention. The movement of the muscles is what promotes lymph fluid to move within the limb.
  • When signs of Lymphoedema  are present it's essential to change your diet where possible to a low carbohydrate and low acidic diet. Nutrition plays a big part in maintaining a good reduction.
  • Good skin hygiene using an antibacterial skin cream is a must. This will prevent skin from drying out and cracking, as well as helping reduce the risk of infections especially in a Lymphoedema  limb.

Drugs for Lymphoedema.

Unfortunatley some GP's today still do not have the knowledge of treating Lymphoedema without drugs.

Medication often saves lives. But quite often taking Diuretics for just Lymphoedema of a limb with no underlying medical conditions can actually make the Lymphoedema (lymphedema) worse.

There are many people who need Diuretics for medical issues, but if you don't please discuss this with your Dr as to the alternatives you can do.

When the lymph nodes have been removed from under the arm or groin, Diuretics have very little effect in reducing the swelling in that limb.

Traditional Bandaging

Traditional Bandaging

 

Compression Garment

farrow wrap demo

  • Where possible the Compression bandages reduce the swelling at a faster rate.
  • These are required during your treatment to reduce swelling in Chronic Lymphoedema.
  • Once most of the swelling has been reduced, the wraps are often used at night and support stocking during the day for many Lymphoedema clients.

 

 

Support Stockings

Support StockingsSupport garments are a very important part of maintaining a good reduction in a swollen limb. However a badly fitted garment can cause major medical issues when a limb has chronic swelling.

If they are too tight under the knee, this will have a tourniquet affect, slow down the lymph flow and blood circulation. Buying garments over the counter without professional advice first is really not recommended.

We often receive phone calls to review support garments on a client. I always recommend before going into a larger or firmer stocking to reduce the swelling, a course of MLDT treatment first is the correct approach for the client where possible.

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