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Clinical Services

Introduction.

Together, the LSS team are qualified to treat adults with all types of lymphoedema and all stages of lipoedema. We use the latest technology and our clinical expertise to diagnose, measure the extent of your oedema and monitor your condition. Treatments are provided in accordance with your clinical symptoms, general wellbeing and lifestyle, and as a single appointment or a programme of care. The staff are equipped with the clinical expertise and experience to identify situations that contraindicate treatment, and advise, or refer on for medical opinion accordingly.

Treatment aims to:

  • Improve / reduce the oedema
  • Reduce / remove the pain, ache and heaviness affecting the swollen part
  • Educate to enable self -management around individual lifestyle
  • Prevent infection (cellulitis)
  • Provide advice and support with psychological and practical issues
  • Improve mobility and function of the affected area

We offer half hour and hour appointment times, with longer appointments available on request. Home visits are also available and will include an additional cost to cover travel expenses.  

We understand that certain circumstances are unavoidable and may require a cancellation. Out of respect for our practitioners’ and other clients’ time , we require 48 hours notice for any cancellations or amendments to an appointment. Cancellations with less than 48 hours notice will incur a charge of 50% of the service cost.

Assessment

An assessment with LSS will confirm the diagnosis and measure the extent of your oedema using either a lymph scanner or circumferential measurement.   Verbal explanation and written literature will be provided to aid understanding.  In addition, instruction and the instigation of treatment and techniques to enable self-management.

The first appointment is therefore a comprehensive assessment to:  

  • Identify the cause, type, extent and amount of oedema
  • Determine the treatment needed in relation to your symptoms, general wellbeing and lifestyle
  • Organise treatment in partnership with you and with clear, realistic goals
  • Explain and answer questions to enable understanding
  • Provide written information to support self-management and prevent infection (cellulitis)
  • Identify any factors undermining the outcome of treatment
Compression Hosiery

Compression garments (often referred to as `hosiery`) are an important component of lymphoedema treatment.  Worn on swollen legs and arms, the aim of the compressive material is to:

  • Reduce and control the accumulation of lymph fluid in the tissues
  • Soften firm tissue
  • Support swollen tissue
  • Reduce heaviness, ache and pain
  • Protect skin from trauma

Compression hosiery is produced by manufacturers in two ways;  already made (off the shelf) and custom fit (made to measure).  LSS has the experience and an arrangement with the NHS to measure for both types of compression hosiery that is obtained on prescription via your GP (on the understanding that hosiery is not being accessed from another NHS source).

If requested, LSS will measure for the appropriate type of garment to meet your clinical needs.  The procedure, including explanation and advice will form part of your appointment.  A small, additional charge will be made for the printing and posting of your order to your GP and copied to yourself.

Kinesio Taping

Kinesio tape is a specialised form of cotton tape, with the ability to `lift` the skin to enhance lymph flow through the superficial lymphatic system. The unique properties of the backing adhesive enable its secure application to the skin. The tape is applied by a trained clinician to the affected part of the body and in such a way as to encourage drainage of the oedema to non-oedematous areas. The tape may stay in place for as long as 6 days, then removed for a period of 24 – 48 hours (to allow `skin rest`) prior to its re-application.

Kinesio Taping is effective in instances where compression hosiery or bandages are inappropriate or not desired by the client. Also, to support injured muscles and ligaments as a consequence of sport injuries. The product is not available on prescription and is purchased at approximately £9 per roll.

Low Level Laser Therapy

LSS uses the Riancorp LTU-904 model.  The Riancorp LTU-904 is fully CE marked and classified as a ‘Class One Laser’, meaning that no eye protection is needed by either the therapist or the patient.

The hand held device targets individual cells that are not working correctly and re-energises them to work more effectively. This helps to soften oedematous tissue and promote uptake into the lymphatic vessels. Clothing may need to be removed to enable direct contact with the skin.  Several areas, 2cm apart, will be treated for approximately 1 minute at each point, with total treatment time being 20 - 30 minutes (Haddenham Healthcare: https://hadhealth.com/riancorp-laser).

Medical Lymphatic Drainage (Massage)

LSS takes into consideration the medical status of the client.  This is essential in cases of cancer that have been cured or in instances of disease recurrence.  Treatment by a qualified clinician with a cancer healthcare background will enhance your safety and wellbeing.  LSS use their expertise in detecting damaged tissue and lymphatics and the subsequent direction of lymph flow to provide a safe and effective treatment.    

Medical Lymphatic Drainage, also referred to as Manual Lymphatic Drainage, is a specialised massage technique used to move lymphatic fluid to improve a medical condition.  MLD requires specialist training and clinical experience to optimise treatment and outcomes.  The LSS team are qualified in: Leduc, Casley-Smith and more recently, FG-MLD ’Fill and Flush’(Fluoroscopy Guided) techniques.

Lymphatic massage can be beneficial to your overall health and improve signs and symptoms such as:  

  • Pain
  • Swollen ankles
  • Swollen legs
  • Swollen hands/arms
  • Swollen abdomen
  • Swollen neck and face
  • Sinusitis
  • Pre-Menstrual Tension (PMT)
  • Post-operative cosmetic surgery swelling
  • Venous oedema
  • Chronic fatigue
  • Stress
  • Multiple sclerosis
  • Fibromyalgia

As with other forms of massage, you are likely to be asked to remove clothing to enable the affected area to be treated.  Please note, infection in any part of the body may prevent treatment and this will be assessed prior to treatment

Multi-Layer Lymphoedema Bandaging (MLLB)

The application of bandages is needed in instances of:

  • Moderate and severe oedema
  • Loss of limb shape (skin folds)
  • Lymphorrhoea (leaking lymph fluid)
  • Skin thickening (fibrosis)

One or more of the signs is likely to be present. MLLB aims to resolve lymphorrhoea, soften the skin, reduce the oedema and skin folds. The treatment involves the application of short stretch bandages that are worn for a period of time, in accordance with your symptoms and as specified by the clinician. The treatment is usually undertaken over a period of 2 to 4 weeks. At the end of treatment, compression hosiery is applied to maintain the improvement.  Multi-layer bandaging often commences with a short session of manual lymphatic drainage and gentle movement to clear the lymphatic pathways where lymph fluid is to drain to. The bandaging materials required are sought on prescription by the clinician from your GP prior to the commencement of treatment.

Complimentary Therapies

Aromatherapy Massage

Aromatherapy massage has long been recognised for its therapeutic and balancing properties.  Some of these health benefits include the ability to reduce stress and anxiety, ease depression, induce sleep, boost energy levels, reduce pain and increase circulation.

Using traditional massage techniques and high-quality essential oils (selected for safe practice), treatments aim to aid relaxation and enhance your wellbeing.

We offer half hour and 1 hour time slots, depending on your treatment requirements e.g. full body massage, back massage, neck and shoulder massage.  A longer time can be arranged on request, please contact us either by email or phone to organise and for additional prices.  

Treatment times include a health consultation.

Soft Tissue Dysfunction & Injury

Coming soon…