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
Sep 12, 20233 min read
MLD & the mechanics of skin-health
Skin, not just our largest organ- The external layer that can be seen by others, our protective layer keeping out invaders that can't be...
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Jan Douglass
Jul 11, 20234 min read
Lymphoscintigraphy guided MLD
It's exciting how much imaging is going on in the lymph system these days! And with this paper on lymphoscintigraphy guided MLD (1) I can...
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Jan Douglass
Apr 1, 20233 min read
From Manila to Perth and Back
When Adrian Lim saw a young Filipina discharged by a local hospital without proper treatment and management for filarisis-realted...
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Jan Douglass
Jan 8, 20235 min read
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 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
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
Mar 12, 20227 min read
LKN Foundation launches during #LymphoedemaAwarenessMonth
If you dream long enough, hold your dream against the doubters, disappointments and rejections, then miracles can happen, and on World...
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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
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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Jun 5, 20196 min read
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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May 18, 20193 min read
Almost all women treated for vulvar cancer will have symptoms of lymphoedema in the first 2 years
One of the most important things about this study is that it used self-reported-symptoms (SRS) to determine if lymphoedema was present,...
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