Chronic oedema
Read expert articles, clinical research, and training insights on Chronic oedema from Moving Lymph.
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 ...
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.
Measuring clinically relevant outcomes
An easy - and free - way for therapists to assess clinical progress is to use an analogue scale.This can be a numeric scale such as the one developed in 1932 by Rensis Likert (1) to measure attitudes. Typically a 5- or 7-point ordinal scale, respondents rate the degree to which they agree or disagree with a statement. It is essentially a rating scale, usually presented as a score between 1 - 5 or 1 - 10, where the person selects the number to reflect the perceived quality of a product or servic
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 ...
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.
Lymphoedema in Rural Bangladesh
My main role at the Centre for Neglected Tropical Diseases #CNTD - so far - has been to design and implement a study to see if we can improve on self-management for people affected by moderate to severe #LymphaticFilariasis and #Podoconiosis related #lymphoedema. And after almost a year of planning we started data-collection in Nilphamari District in north west Bangladesh at the beginning of October. Back at the beginning of my PhD research I conducted a systematic review on self-management fo
Lymphoedema and the Roadmap to 2030
Between COVID, climate change and the exponential growth of our connected world, it is obvious to me that we must now behave as as global co
Why I dislike 'keto'
... not surprising when you consider the strong links between lymphatic disease and fat disorders, they are reciprocal risk factors for each
Obesity Matters: How do You Know if You are Overweight and Why Jumping on the Scales May be a Bad Idea.
As many of us resolve to lose weight this year, it’s vital to consider how success is measured to avoid unrealistic goals and setbacks. BMI
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
Wound Healing, Tissue Repair and Scar Formation; How Early Application of MLD Improves Visual and Functional Outcomes for Almost Everything
Accelerated Wound Healing with Manual Lymph Drainage (MLD). Learn how MLD promotes lymphangiogenesis, reduces scarring, and enhances tissue repair. Discover its role in accelerating acute wound healing and preventing chronic wounds like venous ulcers.
How to write a case study and why we need them
Randomised controlled trials are not suited to assessing the effectiveness of treatment of lymphoedema and other chronic diseases.
Lymphoedema in Rural Ethiopia
The study I am involved with through #CNTD on enhanced #self_care for people affected by moderate to severe #LymphaticFilariasis and #Podoconiosis related #lymphoedema has started in Ethiopia. We recruited our participants in November and then did a four-week follow-up in early December. The study methods are the same as in Bangladesh (see the post Lymphoedema in Rural Bangladesh), but the two countries and the patients are worlds apart.Access issues in Bangladesh were mainly due to roads and wa
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.
Lavender Essential Oil, Inflammation and MLD: Synergistic opportunities in Lymphoedema Prevention.
Explore how Lavender essential oil can reduce inflammation and support lymphoedema prevention. Discover Lavender's potent synergy with MLD.
The Cost of NOT doing MLD in Phase 2 Lymphoedema Management.
Learn why skipping Manual Lymphatic Drainage (MLD) during lymphedema maintenance incurs a hidden cost on quality of life and symptom control. We analyze peer-reviewed evidence to show MLD's active role in promoting lymph flow, the need for continuous professional support, and tailored solutions for complex cases like leg lymphedema.