Lymphoedema is a chronic condition that arises when lymph fluid accumulates in the tissues and most often presents as swelling in an arm or leg; it can develop following surgical procedures, the removal of lymph nodes, or in connection with certain diseases.
Lipoedema, on the other hand, is a separate condition that most often shows itself as a symmetrical increase in fatty tissue and tenderness in the legs. The differential diagnosis and medical assessment of the two conditions are made by a physician.
Commonly seen symptoms:
With the Manual Lymphatic Drainage (MLD) and Complete Decongestive Therapy (CDT) approach, a programme is applied that aims to reduce the oedema, ease the tissue and support the function of the area. The process can be supported with bandaging, skin-care advice and appropriate exercises.
The programme is planned according to the person's condition and carried out in line with the relevant physician's diagnosis and guidance. The aim is to support the management of complaints and quality of life.
MLD is a gentle, rhythmic manual technique that aims to support the flow of lymph fluid. It is applied as part of complete decongestive therapy (CDT), together with bandaging, exercise and skin care. The number of sessions depends on the stage of the oedema and how it responds; sessions may be more frequent in the intensive phase.
Lymphoedema is swelling caused by a build-up of lymph fluid, usually on one side. Lipoedema is a separate condition, typically involving a symmetrical increase in fatty tissue in both legs, along with tenderness. A physician makes the differential diagnosis, and the two call for different physiotherapy programmes.
When to start is decided with the oncology team's approval. Education and preventive measures can begin early after surgery or radiotherapy; once oedema develops, a CDT programme is planned.
Most lymphoedema programmes use multilayer bandaging in the intensive phase and a made-to-measure compression garment in the maintenance phase. The physician and the physiotherapist assess together whether they are needed and which products are suitable.
In a free preliminary consultation (15 min) your questions are answered; if appropriate, a detailed assessment (60 min) is planned.
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