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Why Systematic Reviews Can’t Guide Clinically Relevant MLD Practice for Post-Knee-Replacement Clients
When it comes to clinical practice, what matters most to real-world MLD therapists simply isn’t what’s being measured in “Level I evidence”.
To understand this disconnect we need to revisit what evidence based practice really means.
Evidence based therapy is a synthesis of research evidence, clinical experience and observation, in the context of the desired outcomes of the recipient.
Relying on Level 1 evidence alone is just not enough. Yet systematic reviews and meta-analy
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Oct 56 min read


From Lymphoedema to Dementia: The Expanding Role of MLD in Healthy Ageing.
Across the world, people are living longer than ever before. By 2030, one in six people will be over the age of 60, and by 2050 the number of adults over 80 will triple to 426 million. While longevity is something to celebrate, it also brings challenges. MLD is well know for its benefits in managing lymphoedema, but but mounting evidence suggests it may also help address broader issues of healthy ageing, from skeletal muscular aches and pains to brain health.
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Aug 316 min read


AromaticaLymphatica: A Synergistic Blending of Ancient Remedies and Modern Lymphology.
The therapeutic use of essential oils is deeply rooted in ancient medicine where aromatic plants were revered for their scent, healing properties, and used in spiritual and purification practices.
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Apr 174 min read


Wound Healing, Tissue Repair and Scar Formation; How Early Application of MLD Improves Visual and Functional Outcomes for Almost Everything
Explore how Manual Lymph Drainage (MLD) promotes wound healing through lymphangiogenesis, improves tissue repair, and reduces chronic wound
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Feb 77 min read


Obesity Matters: How do You Know if You are Overweight and Why Jumping on the Scales May be a Bad Idea.
As many of us resolve to lose weight this year, it’s vital to consider how success is measured to avoid unrealistic goals and setbacks.
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Jan 55 min read


'Tis the Season to Be Jolly: Why Laughing is Good for Your Lymphatic System
The benefits of talking, laughing, and crying extend far beyond mere emotional expression. These natural acts enhance lymph flow, support ve
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Dec 6, 20245 min read


A Pressing Matter: What is the Right Pressure in Lymphatic Massage?
Misconceptions about the appropriate direction and pressure for lymphatic massage in lymphoedema abound, and a search of the world wide web
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Nov 9, 20246 min read


The complex interactions that control lymph flow, and how Dr Vodder's MLD exploits them
Lymphatic muscle cells are unique in the body, functioning like both smooth muscle and cardiac cells simultaneously.
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Jul 12, 20246 min read


Why does MLD have such a profound effect on the Autonomic Nervous System?
Almost 50 years ago Prof. Dr. Paul Hutzschenreuter measured the effect of Dr Vodder's MLD on the sympathetic nervous system, noting a signif
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May 13, 20245 min read


Navigating the Medical Publishing Maze - How we Published our Long-COVID Case Report
Ask any Lymphatic Therapist where you can find research articles on any of the hundreds of conditions that benefit from MLD, and they will s
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Jan 16, 20245 min read


Why Elastic Tape Is a Game Changer for Phase 2 Lymphoedema Management
The populatory of elastic taping among athletes and health professionals is visible across our sporting screens, and the use of elastic tape
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Dec 13, 20239 min read


MLD & the mechanics of skin-health
Lymphoedema is a skin disease. Untreated high protein oedema induces connective tissue changes, leading to significant skin pathology such
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Sep 12, 20233 min read


Stretching, lymph-angiogenesis and MLD
New initial lymph vessels grow according to the interstitial fluid pressure and strain on the fibres in the ECM. Fluid movement is crucial t
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Aug 16, 20233 min read


Lymphoscintigraphy guided MLD
The intervention group then had a second treatment where the MLD was modified according to the individual imaging, while the control group h
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Jul 11, 20234 min read


Critical appraisal skills - the missing link for Therapists
The demand for level 1 studies is largely driven by academic needs, rather than tangible, clinically relevant outcomes.
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Jan 8, 20235 min read


Why MLD should be started as early as possible.
There's nothing quite so satisfying as reading a well written paper which summarises everything interesting that we know about the lymph...
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Nov 10, 20226 min read


Measuring clinically relevant outcomes
An easy - and free - way for therapists to assess clinical progress is to use an analogue scale. Image by Volodymyr Hryshchenko on...
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Jun 25, 20224 min read


What is the best measure for lymphoedema?
There has been a lot of discussion lately around systematic reviews and RCTs on the effectiveness of MLD in our treatment mix. Measuring tre
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Jun 24, 20226 min read


Stretching helps resolve acute inflammation and reduce pain.
Gentle stretching forces help resolve acute inflammation, and reduce pain and immune cell infiltrate. This has implications for those of us
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Jun 8, 20222 min read


Lymphoedema and the Roadmap to 2030
Between COVID, climate change and the exponential growth of our connected world, it is obvious to me that we must now behave as as global co
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May 9, 20225 min read
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