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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#TalkingLymph
Interpreting Lymphatic Research to Inform Clinical Practice
Jan Douglass
Dec 13, 20238 min read
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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Jan Douglass
Nov 10, 20225 min read
Why MLD should be started as early as possible.
There's nothing quite so satisfying as reading a well written paper which summarises everything interesting that we know about the lymph...
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Jan Douglass
Jun 25, 20223 min read
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...
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Jan Douglass
Jun 24, 20225 min read
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...
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Jan Douglass
May 9, 20225 min read
Lymphoedema and the Roadmap to 2030
We are living in the global age, politically, economically and socially. The call to Think globally and act locally has never been so...
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Jan Douglass
Apr 7, 20222 min read
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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Jan Douglass
Jan 1, 20225 min read
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 Douglass
Dec 2, 20213 min read
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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Jan Douglass
Nov 11, 20213 min read
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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Jan Douglass
Aug 19, 20213 min read
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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Jan Douglass
Jul 21, 20214 min read
Lymphatic endothelial cells, so much more to know!
I love finding out new things about the lymph system, such a fascinating area of new discovery! This is partly because even basic...
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Jan Douglass
Mar 6, 20216 min read
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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Jan Douglass
Oct 4, 20205 min read
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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Jan Douglass
Mar 3, 20202 min read
March is the month for raising #LymphoedemaAwareness
What will you do to raise #LymphoedemaAwareness this March?
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Jan Douglass
Jan 19, 20205 min read
Lymph flow, valves and why lymph loading is so important
Lymph flow is required for the valves to form and function, and now we know that endothelial cells can ‘sense’ the flow and respond.
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Jan Douglass
Nov 16, 20194 min read
Another ICG update, do we need to change anything?
My issue is that therapists and clients pick up on studies like this and start thinking that it means we should do something different
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Jan Douglass
Sep 25, 20194 min read
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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Jan Douglass
Sep 8, 20193 min read
Taking best practice lymphoedema self-care to Asia and Africa
More than 20 years ago during my first training in lymphoedema management, I learned about lymphatic filariasis (LF), and I knew straight...
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Jul 2, 20191 min read
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...
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