Specialist in Manual Lymphatic Drainage

Manual Lymphatic Drainage is a recognised and effective therapy for the management of lymphoedema, a condition characterised by chronic swelling caused by impaired lymphatic drainage.

MLD for lymphoedema helps to:

• Reduce swelling and fluid build-up
• Encourage lymph flow away from congested areas
• Reduce tissue tightness and discomfort
• Support skin health and reduce the risk of infection
• Improve mobility, comfort, and quality of life

Treatment follows established lymphatic pathways and is carried out with precision and care. Manual Lymphatic Drainage can form part of a comprehensive lymphoedema management plan alongside compression therapy, exercise, and self-management advice.

MLD for lymphoedema is provided only when clinically appropriate and may require medical consent depending on individual health circumstances.

Post-operative Manual Lymphatic Drainage is commonly recommended following cosmetic, orthopaedic, or general surgery to support recovery and optimise healing.

Benefits of post-surgical MLD include:

• Reduction of post-operative swelling and inflammation
• Improved lymphatic drainage and circulation
• Support for the body’s natural healing processes
• Reduction in tissue congestion and fibrosis
• Improved comfort, movement, and recovery outcomes

MLD is particularly beneficial after procedures such as liposuction, body contouring, cosmetic surgery, and joint surgery. Treatments are adapted to the stage of healing and performed gently, safely, and in line with post-operative guidelines.

Clients are also supported with aftercare advice, including the importance of compression garments, hydration, and appropriate movement.

I offer Class IV laser therapy as an adjunctive treatment for Lymphedema management and post-operative tissue recovery, where clinically appropriate.

This advanced, non-invasive therapy delivers specific wavelengths of light energy into deeper tissues to support cellular repair, improve local circulation, and assist in reducing inflammation and tissue congestion.

Laser therapy may help:

• Support lymphatic drainage and reduce tissue congestion 
• Improve microcirculation within affected tissues 
• Modulate inflammatory processes 
• Assist in softening fibrotic or hardened tissue 
• Reduce discomfort, heaviness, and tissue sensitivity 
• Support healing following surgery or tissue trauma 

In post-operative care, laser therapy may be particularly beneficial in areas affected by swelling, bruising, scar sensitivity, or delayed tissue recovery, helping to promote more comfortable healing and improved tissue quality.

Therapeutic ultrasound uses high-frequency sound waves to deliver gentle mechanical energy into soft tissues, helping improve tissue mobility and support scar remodelling. It can be particularly beneficial for scars that feel stiff, tight, sore, or create a pulling sensation during movement.

Therapeutic ultrasound may help by:

• Increasing local blood flow to support tissue nutrition and healing 
• Improving collagen extensibility within scar tissue 
• Softening dense or fibrotic scar adhesions 
• Reducing tissue stiffness and restriction 
• Helping decrease discomfort, tenderness, or pulling sensations 
• Supporting mobility in surrounding tissues affected by scar tension 

For older scars, ultrasound can assist in gradually remodelling collagen fibres, helping the tissue become more supple and less restrictive over time. This can be especially useful where scar tissue affects movement, posture, or comfort.

I provide professional measuring and fitting for a wide range of compression garments used in the management of Lymphedema, venous insufficiency, post-surgical swelling, and chronic oedema.

This service includes:

• Accurate limb measurement for appropriate garment selection 
• Fitting of ready-to-wear and custom compression garments 
• Guidance on suitable compression classes and garment types 
• Advice on correct application, removal, and daily wear 
• Support with garment comfort, function, and long-term compliance 

I also assist eligible clients in accessing compression garments through National Health Service prescription pathways, helping ensure the correct documentation and clinical information are in place where NHS provision is available.

• Compression sleeves 
• Stockings 
• Tights 
• Gloves 
• Wrap systems 

I provide a multi-layer compression bandaging as part of specialist treatment for moderate to severe Lymphedema, chronic oedema, and complex swelling conditions, particularly where reduction in limb volume is required before long-term compression garments are fitted.

This treatment involves the careful application of multiple layers of specialist padding and short-stretch compression bandages, designed to create graduated pressure that supports lymphatic drainage and encourages fluid movement out of congested tissues.

The intensive course may help:

• Reduce limb volume in more advanced swelling 
• Improve tissue softness in areas of fibrosis or hardening 
• Enhance lymphatic and venous return 
• Prepare the limb for compression garment fitting 
• Improve comfort, mobility, and skin condition 

Treatment is tailored individually and usually delivered over a course of appointments, with regular reassessment to monitor progress and adjust bandaging as swelling changes.