Frequently Asked Questions
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How can lymphoedema be recognised?

Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur:

• Swelling of an arm or leg, which may include fingers and toes.
• A full or heavy feeling in an arm or leg.
• A tight feeling in the skin.
• Trouble moving a joint in the arm or leg.
• Thickening of the skin, with or without skin changes such as blisters or warts.
• A feeling of tightness when wearing clothing, shoes, bracelets, watches, or rings.
• Itching of the legs or toes.
• A burning feeling in the legs.
• Trouble sleeping.
• Loss of hair.

Daily activities and the ability to work or enjoy hobbies may be affected by lymphedema. These symptoms may occur very slowly over time or more quickly if there is an infection
or injury to the arm or leg.

Can Lymphoedema be cured?

Lymphoedema is essentially incurable but it can be managed very successfully.

Do diuretics help lymphoedema?

What are the stages of Lymphoedema?

Stage I: The limb (arm or leg) is swollen and feels heavy. Pressing on the swollen area leaves a pit (dent). This stage of lymphedema may go away without treatment.

Stage II: The limb is swollen and feels spongy. A condition called tissue fibrosis may develop and cause the limb to feel hard. Pressing on the swollen area does not leave a pit.

Stage III: This is the most advanced stage. The swollen limb may be very large. Stage III lymphedema rarely occurs in breast cancer patients. Stage III is also called lymphostatic elephantiasis.

What treatments are available for lymphoedema?

• Combined decongestive therapy (CDT).

What happens when initial intensive treatment begins?

An individual assessment is essential to ascertain suitability for the treatment. The complete treatment plan will include:

• written request for medical consensus prior to treatment
• photographs and measurements before and after the treatment
• an intensive period of treatment based on individual needs
• progress report post treatment for referring GP and/or Consultant
• referral for compression garments, following initial intensive treatment.

Why is daily bandaging of the limbs used during intensive treatment phase?

Bandages are applied after each MLD treatment to help maintain the reductions achieved with Manual Lympd Drainage and may even cause further reduction. They are short-stretch bandages that resist muscle contraction and are applied with comfortable padding underneath. Bandages are removed when the limb(s) volume is reduced. Thereafter it is replaced with appropriate compression garment.

Why is skin-care so important with lymphoedema?

Skin care is of vital importance and should be stressed to each patient, even those with Stage 1 lymphoedema. The aim of a good skincare routine is to improve and maintain skin integrity by concentrating on:
1) Protecting the skin
2) Preventing infection

How can I be sure the therapist is properly qualified!

MLD Ireland currently recognises therapists fully qualified in the Vodder, Földi LeDuc Casley-Smith and Asdonk methods of manual lymph drainage.
Be aware of alternatives. Some beauty therapists, for example, are trained in lymphatic techniques that do not suit all conditions.

How much does treatment cost?

Treatment may vary in cost. It is wise to check:
(a) the full cost before you start
(b) if there is any cover on your medical insurance
(c) whether the cost is recoupable on your tax ( Med 1 form)

Which Health Insurance covers this treatment?

Quinn Healthcare approved (for oncology related conditions). VIVAS HEALTHCARE approved.

Are there any Contraindications to treatment?

Oedemas caused by Cardiac failure or Renal diseases are not suitable for MLD treatment. If there is any doubt, discuss with your therapist, doctor or consultant.