New Lymphoedema Physio Practice on the Northern Beaches

I’m happy to announce that my lymphoedema physiotherapy practice in Normanhurst has now relocated to Elanora Heights on the Northern Beaches. Appointments are available for online bookings and in addition, I can also do home visits in the northern beaches in circumstances where clients find it difficult to travel.

As an AHPRA registered physiotherapist and ALA Accredited Lymphoedema Practitioner with 20+ years experience, I specialise in the management of lymphoedema and lipoedema using a variety of modalities including manual lymphatic drainage, negative pressure therapy, prescription of compression garments, skin care, exercise therapy and education for self management of lymphoedema and lipoedema.

Lymphoedema clinic in Elanora Heights

Lymphoedema is a common side effect of cancer treatment and surgery, but can also present as primary lymphoedema due to malformation of the lymphatic system. Therapy focusses on developing a treatment plan for you based on the amount of swelling and any other health conditions with outcomes that are achievable and fit in with your individual circumstances. I use my specialist skills to support and guide you through the various options available in the management of your condition.

Mish Kent - Lymphoedema Physiotherapist
Mish Kent – Lymphoedema Physiotherapist

Mild lymphoedema is usually managed by exercise, skin care and prescription of a compression garment or sleeve.

Moderate or severe lymphoedema requires manual lymphatic drainage (MLD) or Negative Pressure Therapy to move fluid out of the affected limb, reduce the swelling and soften the tissues in the initial treatment phase, followed by a maintenance phase where you are empowered to manage your condition through exercise, skin care and the compression therapy.

Manual lymphatic drainage (MLD) is a specialised type of massage that is performed by a trained lymphoedema practitioner. Mild pressure is applied to the skin around the affected area to move fluid towards functioning lymph nodes that are draining normally. The technique used during MLD will be different for each person depending on the location of the swelling and stage of lymphoedema.

Negative Pressure Therapy (LymphaTouch) provides pulsating negative pressure (suction) and mechanical vibrations to accelerate lymphatic drainage and relieve swelling. It expands and stretches the skin and tissue in safe, effective, and comfortable motions to relieve discomfort, improve lymphatic flow, break down any fibrosis and reduce swelling.

Compression therapy involves applying graduated pressure to the affected area to reduce swelling, then maintain the reduced volume of the affected limb, and soften any thickened tissue. This can be achieved by the prescription of compression garments or sleeves, wraps or intermittent pneumatic compression pumps.

Exercises are prescribed to use the muscles in the affected limb to stimulate the lymphatics and improve drainage.

Skin care to reduce the chances of infection, and prevent serious complications, is a vital part of the treatment.

In order to give you back control of the management of your condition, I can provide education, tools and emotional support to explore available options and create an individual care plan to manage your condition in a way that fits in with your lifestyle .

Lymphoedema clinic

Help paying for treatment
Treatment for lymphoedema can be expensive. Costs for seeing practitioners and buying compression garments often add up.

There are options to help with treatment costs:

If your GP refers you to a lymphoedema practitioner as part of a Chronic Disease Management Plan, you may be eligible for a Medicare rebate for up to five visits each year.
Compression garment subsidy schemes can cover some, or all, of the cost of compression garments. For more information, visit the Australasian Lymphology Association.
If you have private health insurance, check with your provider whether you are entitled to a rebate on compression garments.

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