CDT
Read expert articles, clinical research, and training insights on CDT from Moving Lymph.
Does MLD improve volume reduction in lymphoedema management? And does the technique really matter?
A recent SR and MA on standard therapy (compression with or without exercise and skin-care), compared to standard therapy with MLD, concl
Is it really fibrosis? Or is it thixotropic tissue change?
I had an email recently from a therapist who described her client as having deep pitting oedema and heavy fibrosis. Technically this is not possible. If the tissue is truly fibrotic then it really doesn't pit much any more. But in many ways they look and feel the same. So what is the difference and how can you tell ...
Critical appraisal skills - the missing link for Therapists
The demand for level 1 studies is largely driven by academic needs, rather than tangible, clinically relevant outcomes.
Applied MLD, more than just lymphoedema
Dr Vodder's Applied MLD can effectively treat many of the common co-morbidities that impact on lymphoedema treatment. Using safe, pain free methods to address musculoskeletal issues, autoimmune diseases, digestive and respiratory issues can reduce overall inflammation, increase mobility and contribute to better outcomes in Lymphoedema reduction and management.
Lymphoedema services in regional Australia
I just did a quick search on the National Lymphoedema Practitioner Register #NLPR to see where people affected by lymphoedema have access therapist services. As expected people with the necessary training and skills are clustered in the metro areas and Melbourne and Sydney have over 50 therapists within a 100km radius of each city centre. Brisbane is not far behind with 48 Perth has 31. Everywhere else you will struggle to find more than a handful of therapists and even major centres like Canber
Another disappointing SR that fails to tell us anything new 😖
Systematic reviews are an academic exercise to ‘systemically review’ the existing literature on a particular research question. They are ...
MLD and dementia, one OT's experience. by Delbar Mehta.
Understanding the role of the glymphatic system in neurodegenerative diseases opens up new avenues for therapeutic interventions and reinfor
Why Elastic Tape Is a Game Changer for Phase 2 Lymphoedema Management
Evidence for the effectiveness of elastic taping as an adjunct in Lymphatic Therapies is also growing, and the most recent Systematic Review (SR) on elastic taping in lymphoedema management supports our collective clinical observations, and confirms that lymph taping is a vital option for people who have trouble applying traditional compression therapies.
From Manila to Perth and Back
Adrian first became interested in lymphoedema management when his Grandmother suffered with swelling later in life. As a Physio, and appalle
Another ICG update, do we need to change anything?
ICG imaging provides interesting visual data on superficial lymph pathways, and I love the way imaging can help us to understand the lymph system better, but I challenge that what has been found changes anything about how we perform MLD for unilateral BCRL of the arm
Lymph Taping update - the debate on replacing #compression with #lymphtaping continues
Could the inclusion of waving equidistant tapes over a large area of unaffected skin account for the better results observed during taping?
Its never too early to start MLD
Thompson et al, found evidence for MLD to prevent onset in early breast cancer patients and to reduce arm volume in early stage lymphoedema
What is the best measure for lymphoedema?
There has been a lot of discussion lately around systematic reviews and RCTs on the effectiveness of MLD in our treatment mix. Measuring tre
Inflammation and fibrosis in lymphoedema. What's really going on and does MLD help?
While there are multiple studies showing that MLD & CDT reduce the symptoms of inflammation and can reverse some fibrotic changes, there is
A Pressing Matter: What is the Right Pressure in Lymphatic Massage?
The reality is that effective lymphoedema management demands an individualised approach. One that takes into consideration the progressive nature of lymphoedema, and delivers a nuanced application of MLD appropriate to the presentation, and a tailored self-care program designed to deliver optimal outcomes for the investment made in time, effort, and family resources that lymphoedema inevitably requires.
Doing Good or Doing Harm: The Pitfalls of Compression Therapy in Lymphoedema Management.
Lymphoedema is a daily challenge, even for those with access to the best specialty care. For most, poverty, ignorance and stigma with amply these challenges. #LymphoedemaTherapists are not well placed to address world poverty, but we can make a considerable contribution to raising awareness by spreading quality information wherever we can.
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