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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
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Mar 147 min read
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A Pressing Matter: What is the Right Pressure in Lymphatic Massage?
Misconceptions about the appropriate direction and pressure for lymphatic massage in lymphoedema abound, and a search of the world wide web
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Nov 9, 20246 min read
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Why Elastic Tape Is a Game Changer for Phase 2 Lymphoedema Management
The populatory of elastic taping among athletes and health professionals is visible across our sporting screens, and the use of elastic tape
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Dec 13, 20239 min read
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MLD & the mechanics of skin-health
Lymphoedema is a skin disease. Untreated high protein oedema induces connective tissue changes, leading to significant skin pathology such
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Sep 12, 20233 min read
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Lymphoscintigraphy guided MLD
The intervention group then had a second treatment where the MLD was modified according to the individual imaging, while the control group h
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Jul 11, 20234 min read
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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
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Apr 1, 20233 min read
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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.
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Jan 8, 20235 min read
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Measuring clinically relevant outcomes
An easy - and free - way for therapists to assess clinical progress is to use an analogue scale. Image by Volodymyr Hryshchenko on...
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Jun 25, 20224 min read
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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
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Jun 24, 20226 min read
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How to write a case study and why we need them
Randomised controlled trials are not suited to assessing the effectiveness of treatments for lymphoedema and other choric diseases.
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Apr 7, 20223 min read
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LKN Foundation launches during #LymphoedemaAwarenessMonth
By now I knew that I was never going to be in a financial position to volunteer large chunks of my time to work in LF-endemic countries, so
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Mar 12, 20227 min read
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Viewing fad diets through a lymphatic lens, & 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
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Jan 1, 20225 min read
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Applied MLD, it's more than just lymphoedema
Releasing a frozen shoulder makes it much easier to apply effective CDT in arm lymphoedema, and reducing piriformis pain will certainly help
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Dec 2, 20213 min read
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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 ...
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Nov 11, 20214 min read
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How do new discoveries in lymphology influence our clinical practice?
Across two decades of teaching therapists how to interact with lymphatics through MLD and Lymph Taping, I have witnessed an explosion in...
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Aug 19, 20213 min read
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Lymphatic endothelial cells, so much more to know!
The study looked at how the lymphatic endothelia cells behave when there is tissue hypoxia, so there are three interesting things here. How
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Jul 21, 20214 min read
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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
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Mar 6, 20216 min read
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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
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Oct 4, 20205 min read
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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?
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Sep 25, 20194 min read
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Keeping up to date in the fast moving world of lymphatics
Understanding that lymph nodes and vessels are so active in lymph flow and immune management, reinforces the need to treat holistically...
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Jun 5, 20196 min read
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