Hatzy Joyce
MAR, MLDUK, BFRPManual Lymph Drainage (MLD)
Hatzy Joyce,
MAR, MLDUK,
BFRP
Natural & Complementary Therapies, Cyprus
Photo Page
Application of multi-layered bandanging of the right arm due to secondary lymphoedemaOne part of the Combined Decongestive Therapy (CDT) Programme
Cause of this secondary lymphoedema: Right side mastectomy
Treatment: 1) Manual Lymph Drainage, 2) skin care, and 3) multi-layered bandaging and 4) specific exercises
| Opening
lymph route to re-route the flow of lymph from the affected side across
the midline (sternum) to flow to the healthy side 'Windscreen wiper' movement (Vodder Method) |
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| After the Manual Lymph Drainage
multi-bandaging of the whole arm and hand. Trial with self-adhesive Mollehaft rather than using Mollelast gauze bandages. |
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| A nice neat result. Verdict: Came off during the day! Mollelast gauze bandages still the best bet. |
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| Foam padding (light blue)
to protect the hand. Arm padded with Cellona soft 10cm & 12cm. Omitted foam padding on arm, due to high temperatures in Cyprus. |
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| Very firm bandaging of hand
to achieve a 'cone' effect.
Tight distally and slowly decreasing in pressure to proximal. Using short stretch bandages - 6cm on hand,
then a 8cm followed by three 10cm on arm. |
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| 3rd bandage (10cm short stretch)
This photo shows tension on bandage that needs
to be evenly applied. |
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| Finished, after 5th bandage
! Check for 'cone' effect, i.e. firmer pressure at hand and getting progressively lighter, but still firm, up the arm. This enhances the uptake of excess liquid. The
bandaging creates a resistance and allows the muscles to work on
the lymph and blood vessels. It also softens fibrosis. |
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Success Photos of Clients attending An Arm & A Leg Clinics,
UK http://www.anarmandaleg.co.uk/case_history_1.php