A really interesting article in Massage Today by the Lymphedema Guru (Joachim Zuther, MT, PT) on Traditional Massage and the effect on Lymphoedema – click here
Note that the conclusion is missing, so I have extracted it here for you
If lymphedema is present, the application of massage therapy is contraindicated in the affected extremity as well as in the trunkal area bordering this extremity (ipsilateral trunkal quadrant).
The same areas represent a contraindication for massage therapy in patients who underwent surgery involving the lymphatic system but lymphedema is not yet present (latency stage of lymphedema). This is often the case in post mastectomy/lumpectomy patients who also underwent removal or radiation of the axillary lymph nodes. The absence of visible lymphedema in these patients indicates that, even though reduced by the surgical procedure, the transport capacity of the lymphatic system is still sufficient enough to remove water and protein from the tissues. The balance between the reduced transport capacity of the lymphatic system and the lymphatic loads may be very fragile. Any additional disturbance may trigger the onset of lymphedema.
As previously discussed, Massage therapy increases the lymphatic load of water (and often cells) and may further decrease the transport capacity of the lymphatic system by causing additional damage to those lymphatics being still intact following surgical procedures.
In patients with primary lymphedema affecting one leg, massage therapy should not be applied in the contralateral extremity since malformation of the lymphatic system may be also present in this leg. (5)
The application of massage (that also includes other massage techniques, which cause an increase in arterial blood flow) in lymphedemateous limbs and the bordering trunkal quadrants may trigger the onset of lymphedema or worsen lymphedema already present.
Massage therapy in the case of upper extremity lymphedema may be applied safely in the lumbar/gluteal area and on the lower extremities. Negative effects on lymphedema may be possible if massage strokes are applied on the neck/upper trapezius area.
Neck, thorax and upper extremities may be treated with massage therapy if lower extremity lymphedema is present. The lumbar and gluteal areas on the opposite side as well as the unaffected lower extremity present an area “at risk” and should be treated with caution.
*Courtesy of Massage Today by the Lymphedema Guru (Joachim Zuther, MT, PT)
Xpandasox shop is now open!
April 29, 2019
Our first order is in and the online shop is open. These are super fantastic to wear over your garments for the compression or velcro wraps or by themselves if you need a mild compression garment. Great for the lipoedema ladies as well as the lymphie ladies! For the gents, our next order is due […] More...
April 3, 2019
Exciting news! If you are looking for a cute sock to go over your garments, bandaging or just need a bit of support for your swelling, I have a good range of Xpandasox and XpandaSport in-house. These retail for $28 + shipping. We are just testing that the payment gateway works ok so you order […] More...
March 18, 2019
I have this on my Facebook page but thought I would share here as such interesting information about compression and compression gradients in garments. Article courtesy of MyLymph.com How Gradient Compression Works for Lymphatic & Venous Disorders More...
Breast Cancer Foundation NZ News
March 5, 2019
As the owner of MacLymph Lymphoedema Clinic, I am pretty excited to be support and be on the list as a preferred Lymphoedema Therapist with the Breast Cancer Foundation NZ and their new initiative of the pre-funded Pink Ribbon Card for Lymphoedema prevention and management Pink Ribbon Card More...
Can I Have A Traditional Massage If I Have Lymphoedema?
February 28, 2019
A really interesting article in Massage Today by the Lymphedema Guru (Joachim Zuther, MT, PT) on Traditional Massage and the effect on Lymphoedema – click here Note that the conclusion is missing, so I have extracted it here for you CONCLUSION If lymphedema is present, the application of massage therapy is contraindicated in the affected […] More...
Men and Lymphoedema
February 18, 2019
We often talk about women and Lymphoedema, but what about the men? Men are affected as well, so we can’t forget that they need support and treatments too. Here’s an article about how life with lymphoedema (or lymphedema as the US call it) also affects men. Click here for an insightful article care of The […] More...
Lipoedema / Lipedema News
February 13, 2019
Not only do I treat for lymphoedema in the Clinic but also Lipoedema. Unfortunately Lipoedema (or Lipedema) is not a very well known condition and many women suffer from it not being diagnosed. It is often referred to as the disease called fat. Click here for an interesting article on two women and their journey […] More...
Sports MLD For Stand Up Paddle Boarding Package Launched
February 7, 2019
I have just launched a Sports MLD Stand Up Paddle Boarding package that aims to mobilise the lymphatics and provide targeted treatment that doesn’t hurt on those pain points such as the shoulder, lats, ribs, lower back and glutes. Tested on two active SUPers this has proved a winner with both back on the water […] More...
The Difference Between Primary and Secondary Lymphoedema
January 17, 2019
From our friends at the UK based Oxford Lymphoedema Practice (OLP), another great graphic on the difference between Primary and Secondary Lymphoedema Let's take a look at the differences between Primary and Secondary #lymphoedema. Posted by Oxford Lymphoedema Practice on Wednesday, January 16, 2019 More...
Kathy Bates talks Lymphoedema on Dr Phil
January 4, 2019
Amazing interview from Kathy Bates on Youtube and how she is now an advocate for Lymphoedema. The information about lymphoedema is in the second part of the interview. If you want to know more about the Lymphatic Education & Research Network, you can find them on Facebook and LE&RN on the web More...
My First Post!
November 15, 2018
Just a quick note about what's treated at the clinic. Following the Dr Vodder School manual lymphatic drainage (MLD) protocols, I treat lymphoedema and lipoedema, sports injuries, chronic pain, and general wellbeing of the lymphatics, and of course pre and post surgical treatments. More...