Lymphoedema Management

Complex lymphoedema therapy (CLT) is a conservative non-invasive therapy that aims to prevent lymphoedema progression, reduce oedema and maintain improvements. CLT also aims to alleviate associated symptoms, prevent cellulitis, and improve function and quality of life. 

Best practice management is a holistic multidisciplinary approach provided by qualified lymphoedema therapists . Components of CLT for head and neck, upper limb, breast, trunk and lower limb include:

  • manual lymphatic drainage massage to enhance lymphatic flow and drainage

  • compression therapy to reduce limb size/volume and improve subcutaneous tissue consistency

  • exercise/movement to enhance lymphatic and venous flow

  • skin care to optimise the condition of the skin

  • adjunct therapies can be used to compliment CLT where appropriate

  • education occurs throughout all phases of CLT

  • Manual Lymphatic Drainage Massage.

    Manual lymphatic drainage (MLD) is a specialised massage technique performed by qualified lymphoedema therapists to stimulate lymphatic flow and drainage. MLD may be used during the intensive phase, the maintenance phase, or during palliative care. Where possible, MLD should always be combined with compression therapy to support and maintain the effects. However, in cases where compression is difficult, for example, the breast and trunk, MLD may be provided alone.

    arc Lymphoedema therapists are trained in all areas of CLT and will make a plan to suit your lifestyle and goals in the management of Lymphoedema. Self MLD education is given to enable you or your support person to maintain improvement in your Lymphoedema at home.

  • Compression therapy.

    The aim of compression bandaging is to:

    • reduce limb size and volume

    • optimise shape

    • optimise condition of subcutaneous tissue

    • improve skin condition

    • manage skin exudate

    • improve function by reducing the weight of the limb and improving dexterity

    arc Lymphoedema therapist offer both Multi-layer bandaging and 2 layer bandaging system depending on what best suits your life situation and symptoms.

    We also measure and order made to measure and ready to wear Compression garments for use in the maintenance phase of treatment.

  • Exercise/movement.

    Exercise and movement enhances lymphatic and venous flow and is an integral part of any Lymphoedema Management Program. arc Lymphoedema therapist will educate you on the best options for you in the management of your condition.

    arc Wellness studios also offers Lymphoedema safe Pilates and Yoga classes which will complement your MLD and Compression therapy.

Janna Hawkins.

Janna is a registered Physiotherapist with special interest in Cancer Rehabilitation, Lymphoedema and Pelvic Health. With a holistic approach she provides evidence based treatment including all components of CLT, exploring all areas of health lifestyle including, fatigue management, sleep hygiene, nutrition and Pilates based exercise. Janna runs the Cancer Rehabilitation Reformer classes and the PINC and Steel Targeted and Next Steps exercises programmes suitable for all experiencing Cancer related Lymphoedema.

Rebecca Simes.

Rebecca is a registered Nurse, Lymphoedema Therapist and Polestar Pilates Teacher. With a holistic approach she provides evidence based treatment including all components of CLT and Pilates based exercise. Rebecca teachers our the Cancer Rehabilitation Reformer classes suitable for all living with Lymphoedema.