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Lymphoedema

An overview of manual lymphatic drainage

The lymphatic system is a network of vessels, tissues and organs that work together as part of the immune system to remove cellular waste and toxins. The lymphatic system helps to maintain body fluid...

Reducing the burden: managing lymphoedema and its complications

It is a complicated system that drains out fluid from the body's tissues and returns it back into the circulator system. It is a passive system, relying on the body's own movements to drive it and to...

Manual lymphatic drainage: the evidence behind the efficacy

Most studies on the efficacy of MLD have shown mixed results; although some report improvement in the metric in question, it is often not statistically significant, and results vary between studies....

Night-time compression: a valuable addition to the lymphoedema management toolkit

The recommended treatment of lymphoedema is based on a decongestive lymphoedema therapy (DLT), which is composed of two phases: an intensive phase, combining manual lymphatic drainage, multilayer...

Skin care protocol: suggesting a routine

When discussing the importance of skin care for patients with lymphoedema, it is essential to remind ourselves what the skin does and how it relates to the lymphatics. Many diagrams of the skin do not...

Use a wrap instead: using compression wraps in lymphoedema and venous disease

The lymphatics are a complex system that drain fluid out of the body's tissues and back into the circulatory system. Initial lymphatics are made up of a single layer of endothelial cells—the cells...

Body weight and the management of lymphoedema

There is widespread recognition that obesity is a risk factor in the development of lymphoedema (Clinical Resource Efficiency Support Team, 2008; Mehrara and Greene, 2014; Fu et al, 2015). However,...

Introducing the British Lymphology Society position paper on ankle brachial pressure index

ABPI assesses the arterial circulation to the lower leg by comparing the blood pressure in the arm with the blood pressure in the ankle (Keen, 2008; Gogalniceanu et al, 2018) (Tables 1 and 2)..

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