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Decongestive physiotherapy comprising 45 min of manual lymph drainage plus another 45 min of intermittent pneumatic compression (30 Hgmm pressure) using Lympha Press PlusTM and multilayered compression bandaging was performed once daily for 5 days in an in-patient setting by a specialised physiotherapist (Szolnoky et al 2008).
Another useful physiotherapy technique for established secondary lymphoedema following surgery for cancer is lymphatic massage, such as Manual Lymph Drainage (MLD).
Carrie Ann Wiedeman is a National Certified Massage Therapist and a 20 year alternative health and beauty therapy veteran accredited as a Certified Manual Lymph Drainage Therapist who specializes in Decongestive Therapy with emphasis on therapy for Lymphedema sufferers.
Manual lymph drainage is a specialized large-surface massage technique made up of a combination of round or oval, small or large, large area circular motions that move the skin without sliding over it which is designed to stimulate smooth lymphatic flow.