Lymphoedema, Breast Cancer Rehab and Breast Cancer related arm lymphoedema management.
What is
Lymphoedema?
Physiotherapy plays a significant role in managing lymphoedema. Lymphoedema is a chronic condition characterised by the accumulation of lymphatic fluid in tissues, leading to swelling.
Causes of lymphoedema: Primary lymphoedema (congenital abnormalities in the lymphatic system present at birth) or more commonly from damage to the lymphatic system due to cancer related treatment including surgery, removal of lymph nodes, radiation therapy or infection, trauma/injury and chronic venous insufficiency.
Physiotherapy for breast cancer-related lymphoedema is crucial for managing, which often arises after breast cancer treatment due to lymph node removal or radiation therapy.
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Physiotherapy treatment and
Management of Lymphoedema
1. Complete Decongestive therapy (CDT)
- Manual lymphatic drainage (MLD)
- Compression therapy: use of bandages or compression garments to prevent fluid accumulation.
- Exercises: Tailored exercise program to promote lymphatic drainage and mobility
- Skin Care: Proper skin hygiene to prevent infections.
2. Compression therapy
- Compression bandaging: Multilayer bandages to reduce swelling.
- Compression garments: Custom fitted sleeves or stockings to maintain reduced limb size after the decongestive phase.
- Pneumatic compression devices – Intermittent pneumatic compression pumps to aid lymph fluid treatment.
3. Exercises therapy
- De-congestive exercises to promote lymph fluid movement.
- Aerobic exercises: Low impact activities like walking, swimming, or cycling to improve cardiovascular health and promote lymph drainage.
- Strength training: Low resistance exercises to enhance muscle tone and support lymphatic function.
4. Skin Care
- Hydration: Regular skin moisturizer.
- Skin hygiene: Keep skin clean and well moisturised.
- Skin protection: Avoid cuts, insect bites and burns.
- Avoid infections: Proper skin care routine, avoiding cuts and insect bites.
5. Patient education
- Self-massage techniques – how to perform simple lymphatic drainage techniques at home.
- Lifestyle modifications: Health weight management and diet, avoid tight clothing.
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Treatment
Breast Cancer Rehab
Post breast cancer shoulder care through physiotherapy is essential for addressing issues such as reduced mobility, pain and muscle weakness that arise after surgery or radiation treatment.
Goals of physiotherapy:
- Restore range of motion: Improve shoulder flexibility and movement.
- Strengthening exercises: Build muscle strength to support shoulder function by completing shoulder and scapular strengthening exercises.
- Enhance posture: Correct posture to prevent and manage shoulder issues.
- Prevent lymphoedema: Reduce the risk of developing lymphoedema in shoulder, breast, and arm.
- Scar tissue management post mastectomy and lumpectomy: Aim to reduce the restricted movement, pain, and functional limitations.
- Cording management: Aim to decrease pain and improve full range by utilising manual therapy, Laser and exercises. (Yes! we provide laser therapy with good results!)
Physiotherapy is integral in managing lymphoedema, enhancing breast cancer rehabilitation with shoulder care and prevention of breast cancer related lymphoedema. By utilising a combination of manual techniques, compression therapy, exercises and patient education, our physiotherapist can help you optimise your recovery and health goals. Regular follow-up with health care professionals ensures that treatment strategies are effective and adapted to changing needs with both short term and long-term goal setting.
At Oedema Clinics (Lexington Health), our therapists are trained and skilled to provide you with evidence-based treatment to offer the best individualised treatment with your condition to enhance your recovery and assist you in improving life.
Some of the common conditions seen at our clinic.
- Lymphoedema -secondary to cancer, injury, or surgery.
- Breast cancer related arm lymphoedema.
- Shoulder care/rehab post breast cancer treatment.
- Cording/ Axillary web syndrome.
- Scar tissue management.
Oedema Clinics take pride in offering lymphoedema treatment with the inclusion of the PhysioTouch in our technique toolbox. PhysioTouch is a device that uses negative pressure (suction), pulsation and mechanical vibration; three extremely beneficial techniques to enhance the body’s lymphatic system to remove fluid from the lymphoedematous limb, or area, and breakdown fibrosis.
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Luka Carroll Harris
04:27 07 Aug 26
Brendan does a great job giving me a tailored plan and takes care in adjusting it week by week. His attentive approach makes every session effective, comfortable and easy to stick with.
Michael Jones
03:34 06 Aug 26
My experience at Lexington Health was excellent. I came in for treatment for Tennis Elbow in both arms. Carlo was fantastic to work with. He clearly communicated the situation to me and created a treatment plan, which saw me improve much faster than I ever expected. I would happily recommend Carlo and Lexington Health to anyone.
Harley Tacey
01:08 05 Aug 26
My wife and I have been clients of Lexington Health for some time focusing on physiotherapy aimed at improving out mobility and stability and also assisting in recovery from major spinal surgery and hip replacement. We have been very pleased with the results and have enjoyed the journey with dedicated and professional staff operating in an extremely well appointed and equipped facility where you can actually park nearby! All staff are pleasant, approachable and helpful and during our appointments the focus is totally on us, our performance and improvement, and what we can do at home in between appointments. I have no hesitation in recommending Lexington Health for allied health support.
Cherryl Mihaleff
07:12 10 Jul 26
Nav was my Physio & he was great. Nav helped me recover from my injury.
Sunil Guntuku
06:46 09 Jul 26
I highly recommend Carlos from Lexington Health. He is extremely knowledgeable, professional, and meticulous in his approach. His guidance and attention to detail played a significant role in my recovery from a rotator cuff tear.Carlos took the time to explain each stage of my rehabilitation, ensured I was performing the exercises correctly, and tailored the program to my progress. Thanks to his expertise and support, I regained my strength and mobility with confidence. I'm very grateful for his care and would happily recommend him to anyone seeking physiotherapy or rehabilitation.
Sebastian
08:11 08 Jul 26
Great experience with Lexington Health. The team is friendly and professional. Special mention to Ben Black, who has been amazing and always goes above and beyond to help. Huge help throughout my recent back injury. Highly recommend!
Diane Wasson
05:56 08 Jul 26
I have found Ben Black and Lexington Health to be an excellent practitioner and business. I especially like the fact that the treatment regime is provided electronically so you have a full description of the exercises specifically tailored for you.and how to do them as well as a means of recording what you have completed and if you experienced any pain or discomfort while doing them. Ben has an excellent friendly and professional manner, is extremely knowledgeable and very practical and hands on. I find the treatment very effective and would highly recommend Ben and his practice.
Jack Tramonte
08:22 29 Jun 26
All the staff at Lexington Physio is amazing. I have had Nav for a previous quad injury and he was able to get me back to playing within a couple weeks. I am currently in rehab for a ACL reconstruction with Ben. A few weeks post operation Ben already had me walking and feeling comfortable with the strength of my knee. I highly recommend Ben and the team
jordan rahman
08:00 29 Jun 26
Upmost best rehab facility in Sydney, Ben has the most exquisite knowledge and is always continuing to learn more about yourself to get the best treatment out there,Highly reccomend, came in for rehab with shoulder surgery and went out stronger then before,
