NORTH SYDNEY LYMPHOEDEMA CLINIC

Preventative strategies for a limb at risk of lymphoedema

Fitting of compression garments for travel

Manual    Lymphatic    drainage

Complex  Physical  Therapy

Counselling



Halina Wakefield  Helena Wakefield

Advanced MLD & CPT Cert.,
Foldi Clinic, Germany.
Dip. Lymphatic Drainage
M.A. Cultural Psych.
Helena Wakefield is a fully trained lymphoedema therapist qualified in Complex Physical Therapy and compression garment fitting with an Advanced MLD & CPT Certificate at the Foldi Clinic of Lymphology, Germany and a Diploma in Lymphatic Drainage. Helena is a highly skilled practitioner who has a broad range of practical experience with breast cancer patients, primary and secondary lymphoedema patients. Early intervention work with ‘Preventive Strategies,’ utilizes Helena’s motivational skills with  patients, with a limb at risk of lymphoedema. Helena has presented on Manual Lymphatic Drainage at the 2007 National Massage Conference and lectured on preventive measures for a limb at risk of lymphoedema at cancer support groups.
Preventative Strategies for a limb at risk of lymphoedema

Preventive measures are attained by a program of self lymphatic drainage and gentle  exercises. Lymphatic decongestive  exercises  provide a risk minimisation strategy for an arm or leg. Self or simple lymphatic drainage assists in clearing the adjacent quadrant to the limb at risk and assists with lymphatic drainage of the affected limb.

Recommendations to reduce the risk include wearing a prophylactic compression garment when travelling. Avoid sunburn and apply a moisturising cream daily. Avoid carrying heavy shopping bags and luggage with your affected arm. Avoid prolonged standing for an affected leg. Swimming is highly recommended.

*  Decongestive exercises for a limb at risk of lymphoedema

* Sequence of exercises assists decongestion of limb
* Increases range of movement
* Tailored individual program

* Fitting of compression garments for travel

Preventative  Strategies for a limb at risk of lymphoedema

An important area of risk minimisation, is the wearing of a prophylactic compression garment when travelling. The measuring and fitting of a compression garment requires a trained therapist.


*  Manual lymphatic drainage

MLD assists in the decongestion of a limb at risk by increasing the lymphatic flow. Post surgery the technique assists the lymphatic fluid into alternative pathways.
As a remedial technique, MLD works by the use of a very light pressure, a stretching of the skin which has an effect on initial lymphatic vessels, the drainage is not a massage.

Self or simple lymphatic drainage is easily learnt as a preventative strategy alleviating post surgical oedema.


*  Complex Physical Therapy


CPT combines a number of therapeutic techniques which reduce oedema. These are:
* Manual Lymphatic Drainage
* Compression bandaging
* Decongestive exercises
* Skin care

CPT is phase I of lymphoedema management. Phase II is the fitting of a compression garment which is worn daily and is combined with a program of SLD and exercises.
CPT can improve lymph transport. The effects will reduce oedema and pain with an increase in mobility.

  NORTH SYDNEY  LYMPHOEDEMA  CLINIC
20 Cairo Street, Cammeray, Sydney N.S.W. 2062
PH:  (02)  99  555  760


© 2003 North Sydney Lymphedema Clinic