Manual lymphatic drainage
Gentle, rhythmic techniques are used according to the findings and available drainage pathways.
Lymphoedema
Assessing swelling professionally.
In lymphoedema, the transport capacity of the lymphatic system is persistently impaired: lymphatic load exceeds the available transport capacity, and fluid accumulates in the tissues. Causes and severity vary, including primary lymphoedema or lymphoedema following surgery, lymph node removal, radiotherapy or other conditions.
Treatment considers more than size or visibility. Skin, tissues, symptoms, progression, function, compression garments and daily life are also taken into account.
CDT
Complex decongestive therapy
Compression
During the intensive phase, individually adapted compression bandaging supports decongestion and may help soften hardened tissues. During maintenance, appropriate compression garments or adjustable systems help preserve the results.
Active self-management
Movement, skin care, breathing and practical everyday strategies support confidence in managing oedema.
Guidance
When is assessment useful?
For new or one-sided swelling?
New, unexplained or painful swelling should first be assessed by a doctor. Physiotherapy does not replace this diagnostic assessment.
After breast cancer or other surgery?
For persistent swelling, tension or tissue changes, a lymphological assessment can help plan the next steps.
If compression garments do not fit properly?
Fit, material, compression class and garment type should suit the findings and daily life. Coordination with specialist compression fitters is part of a good care plan.