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

Although most surgical wounds will heal well, almost half will result in persistent post-surgical pain, with as many as 40% of post-op patients reporting symptoms consistent with neuropathic pain. Physiologically different to usual post-surgical pain which resolves naturally as tissue healing progresses, neuropathic pain is a complex and often misunderstood condition that may persist long after wound healing has occurred, and can significantly reduce quality of life (1,2)