Note – all transcripts are automatically generated by Zoom, please allow for some spelling/grammar issues, as well as some words being improperly transcribed by the software
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Finally died an important compression would struggle bye from a conservative management and that surgical point of view.
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So we appreciate your activity, Sarah, in New Zealand, New Zealand.
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Patience with us, and then notice a big difference, quite controversial at the moment that patience.
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Being branded with the demon, not to have light. The is that good from Europe, lost Surgeon.
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Overweight the press. And there’s no such thing as swelling.
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Well, thing about a thousand patients a year myself and my team couldn’t think that was further from the truth.
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So!
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Great session today. This is pre recorded. Normally, I’m on the however, I’m in a very patchy area Internet connection.
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I’ll try and chime in. If it doesn’t work.
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A lovely session.
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Thanks, Dr. Lekich! Alright, so I’ll hand over to Sarah now.
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Alright!
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Thanks so much, Sarah. I’ll stop my share. Do you have your screen ready?
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There! Oh!
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Yup, hopefully. Can you see it?
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I’ll stop mine. There we go! Alright wonderful, and just apologize if that the audio was not very clear on those a couple of people that couldn’t hear alright over to you.
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Now, Sarah, thank you.
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Alright. Thank you, Emily, and thank you, Dr. Lekich, and I think this is a great way, for I suppose, starting as you said, Lyeda, awareness month, and learning a little bit about how you can look after yourself and support yourself, and I think that’s great and
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I’m and I feel on it to be part of that.
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So Hi, let’s get going. She says. Technical hitch already.
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That’s boating well. And so, as I drank it said, my name is Sarah Shellard.
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I am. I live in New Zealand, in Wellington, and I am a lymphedema practitioner, and I am seeing more and more women with lymphedema and looking at conservative treatment as well as preparing for surgery and postal so
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today I am gonna talk a little bit about self emphatic drainage. I talk about Sl.
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Amd, and it’s like manual lymphatic drainage.
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But it’s about how you guys can support yourselves, and by doing self drainage and help manage your your symptoms of your.
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So today, really, I wanted to do a brief overview of the lymphatic system and as well as what goes wrong.
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When you guys have lymphedema and those been inflammation, fibrosis, and pain, and how what is?
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Yes, and self lymphatic drainage. Why is it important for you guys and tips and tricks?
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And Sarah’s next. And my kids thought that was absolutely hilarious.
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And I don’t nag at all. And a brief video at the end.
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About how to do some self drainage. So the first off I wanted to talk to you a little bit about the lymphatic system.
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I always feel at the beginning. If we get a little bit of an understanding of our body, and how it works, can really help things click into place about why we do something.
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And also it comes make it a little bit easier to be proactive around maintaining or supporting ourselves.
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So the lymphatic system. It’s huge, and it has a closed system.
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So it’s not like acceleratory system, you know, our heart system that goes round and round.
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It’s a Wallway system, and it’s one way system that goes up. And you will hear me talking throughout the session about one.
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Way systems and directing traffic and roadblocks, and even squeezing the toothpaste.
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And I think sometimes it’s just ways that I explain of how our system works and how we can move us.
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Our fluid, so 3 and a half. That’s a lot of vessels that run through our whole body, and their various sizes, and we have 6 to 700 lymph nodes, and that’s huge.
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And they play a vital role in our body, and they vary in shape and size and mainly they’re in our abdomen, neck and growing.
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So often when we go back to our self drainage, or our Mld, and those are the areas we will often focus on.
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It has. The lymphatic system, has bells.
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It’s not like us circuitry system which uses the heart to help pump.
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And we often have to use outside things to help us move the fluid, or we rely on other things like our muscles and deep breathing and our compression that will all help and aid our lymphatic system.
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It’s a really slow system. So you think about your heart.
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Your heart might be 50, 60 minds, about 80, maybe 90.
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At the minute, but then your lymphatic system is only 6 to 10 beats a minute.
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It’s a really slow system. When you think about it, you don’t want it to rush, because it’s going through your limymph nodes where it is cleaning and filtering, and the fluid as it carries on up the body.
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So our propeller is naturally leak, and it’s approximately 20 litres a day, and that’s perfectly normal.
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That’s what our body does, and a lot of that fluid goes back into the system and about 2 to 4 liters of it becomes lymph fluid.
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So it’s pretty much the same fluid, but as it become enters the limb system it becomes lymph fluid, and then that is the clear. It’s cleaned, and then it comes back into the body.
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So this is normal, fat, and like a dame of fat, and I imagine that a lot of you ladies you’ve gone online.
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And this is what you’ve seen. I just wanted to show you really.
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So again, when we talk, when I carry on with my talk, I think things might fall into place a little bit over, be an understanding, and it’s not the most attractive picture.
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And but you guys live it, you feel it. They you can see how much bigger the fat cells are are and all that fibrosis and those connected gummies in the middle there, that all create the symptoms and that you have and the effect that gets to you.
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So, lipoedema, what does it cause? And of course, again, you know, you ladies are living.
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It. You know this. It causes pain, it causes inflammation, and it causes fibrosis.
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So these kind of things, and what your manual lymphatic drainage, or yourself drainage, can help with.
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But let’s start a little bit with why, if we understand why, then, when we do our self drainage, or you go to your therapist for manual drainage, you can understand what the process is, and why you’re doing it.
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So pain, so really. And as you probably are all painfully aware, at no pun intended, that there there isn’t a lot of research.
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And around Lymphedema, and it is starting to come, and very more mainstream and more spoke about.
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So more and more research is coming. So really. And you know, over a short period of time, we’re learning more and more about with regards to pine, it’s still not fully understood.
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We do think that hypoxia, so that oxygen around those facts cells contribute to pain and inflammation.
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We know that her hormones can impact it so your estrogen can make you tender and painful.
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And also we have this exaggerated, sympathetic, nervous system.
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You know that you heard about that fight or flight so that can.
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Contribute to your pain as well, but also you have to think about pain of that itching.
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You know I don’t know if a lot of you ladies get that itching feeling, and it’s that swelling and that tightness and that stretch of the skin, and that causes like an etching feeling.
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And obviously you think about your tenderness with your you, Bruce, very easily. Your capillary is a very fragile, and then, of course, they leak, and they cause those bruises which are also very painful, and let’s not forget other issues that I’ll that like
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Lipoedema come, cause you look at often the way your fat settles and various predominantly on your saddle bags, your bottom, your thighs, and in between you know your knees that has issues with you musculoskeletally so how you move so the path paths on your knees can cause your needs to fall in
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a little bit, so that impacts your gate, which can make you walk differently, which can cause pains in your knees, and then, because you’re walking differently, it can lead up to pains in your hips because of the fat distribution and lipoedema on your bottom and your
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saddle bikes that can cause lower back pain. So these are all impacts of your lipoedema.
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And let’s not forget, you know the awful with the you know, the issues that you get with your 5 chasing or your body chasing.
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So then we go on to inflammation. So you know I am.
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I just put up a few words there that really triggered me around.
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Inflammation. So we talk about your capillaries leaking, which causes bruising and because they’re fragile, and they’re bruising, you lead to this chronic inflammation.
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We know, and that people with lipoedema have high levels of sodium and and tracked in that in that spare space.
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And because of this, it causes this ongoing inflammation.
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It also causes or triggers our body to produce that gel like substance, that gags that you probably heard about, and that binds your fluid, which causes irretitation.
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Then you have oxygen, not getting enough oxygen and to your cells or your fat cells.
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So your body has this cleanup crew, these macrophages that they swoop in, and they go right.
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I’m gonna sort you out you’re upsetting your body.
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However, they often encapsulate, or and they cover up the fat cells, and and as you develop a chronic inflammation, your macrophages, your cleanup crew, start, and producing more inflammation or getting a more inflammatory reaction and all this over a period of time can actually cause damage
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to your lymphatic system.
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So next slide browsers. And I mean you’re living this.
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You don’t need to see pictures of this. But again, it was just that visual around what that fibrosis does to you.
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It causes those hardened lumps, and it’s that and fluid that talk I talked about.
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And before your grags got posted. I’m not gonna even pronounce that I pronounced it beautifully earlier and like, so I mean, no guys go for gags because that fluid is bound.
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And you get that fibrosis around your fat cells.
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That’s why you can’t lose your fat, and this is what causes the lumps that you can see in that picture on the top.
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And of course it can cause your fat cells to get larger, and you can get larger lumps.
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And also they bind together. And obviously these are painful.
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You can’t lose the these facts that are have this fibrosis around it, and it is a vicious cycle.
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So I don’t know if that’s as clear as mud.
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I kind of tried to do a bit of a a picture diagram to see if that would help a little bit.
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Like posting Glycans. There you go, gags!
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I can sleep easy now that I’ve pronounced it correctly at least once.
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But when you look here, I’m sorry. Back to the cycle, the excess fluid and stagnation of fluid.
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So this really is caused by your capiller is leaking, and the leaking your getting poor blood supply to your fat cells.
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And so your body says, Eat, I’m not getting enough oxygen.
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I’m gonna make more blood cells or more capillary.
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Sorry, I’m going to make more blood cells or more capillary. Sorry to help with the lack of oxygen that they fat cells are getting, which, of course, leak more, and you end up with this fluid or the segment. This fluid that’s hanging around.
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You can’t get rid of, and in the meantime your oxygen and you’re not getting enough oxygen to your fat cells, and often they can start to die.
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That’s when you get more inflammation. So then your microphone just come by your cleanup group.
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But they clean up by causing fibrosis around your fat cells.
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Then you get increased, capillary leaking. So then it comes up to more blood, sell more capillaries, being made, more excess fluid fat cells getting bigger.
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So it’s it’s this vicious cycle that goes around and around and around.
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So really, what can we do to reduce the impact of this?
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And maximize benefit. So so we know that helping yourselves, it’s a difficult process, and I think for a lot of you, you’ve been banging your head against a brick wall for many many moons with regards to getting the correct support.
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And we also know that it takes a combination of things.
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It’s not just one thing that will help you. So we know that it takes a holistic approach.
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So looking at everything and every aspect of your body and your health, and your well-being to maximize the benefit benefit for you, for your and your quality of life.
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However, today I’m just focusing on one little aspect which is self drainage or manual lymphatic drainage, and and how it can help with your daily daily life and bearing in mind, I’m talking about manual lymphatic drainage
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self lymphatic drainage today. But there are other things that help your lymphatic system every day.
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Compression, exercise, and diet. You know. There’s lots of things that we can do without even thinking about it.
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That helps. So what does what does MLD, Sld do?
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It helps move fluid and debris, and it helps move it back into the circuitry system.
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So again, like I said earlier, you are directing that traffic.
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You are moving fluid from an area, and that’s where it’s stuck, perhaps to an area where it can be drained.
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And it goes through, and it’s filtered through your lymph nodes.
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And eventually, as I said, goes back to your secretary system. So not, I need.
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Does your self Drainage help move any Fluid that you may have through your Inflammation, bearing in mind that a lot of you, you’ll lymphatic system is working well.
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You don’t have a lymphedema component, perhaps bearing in mind.
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There are some people that do so by moving this extra fluid, or by doing yourself massage or drainage.
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It will also help with your mobility, and it can also help with pain and inflammation.
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So there are a lot of things that go on underneath the skin or inside the body, and to have an overall benefit for you guys.
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So? Why is it good for you you know. Why do you go and see therapist so manual, lymphatic drainage and you know, why do you look at doing self drainage every day for yourself?
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So initially, or the biggest thing is about supporting your symptoms or improving your symptoms and considerative treatment, and before surgery is really important, and and that can help with pain, relief, inflammation, and reduce fibrosis so again, it depends on the stage of lipoedema that
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you’re into. Whether or not your lymphatic system is working perfectly.
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Now it may be working harder, and may be overwhelmed with this extra fluid.
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From those darn capillaries that are leaking, and but it will still be working fine for you if you have more of a lymphedema involvement.
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That means that pretty much. A lymphatic system is thrown its toys out. The prime.
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And it’s like, I just, I’m working really hard, and I just can’t do this anymore.
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And that’s when you get that lipoedema and that lymphedema.
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However, it will still help with pain, relief, inflammation, and reduce fibrosis.
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So by maximizing flow of length, and we improve, we reduce pain.
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We can reduce breed and bruising and help with those fragile capillaries that you get, and we can reduce heaviness, and we can help a little bit with that ingrained fight or flight that your body has with chronic inflammation.
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So and, boss, excuse me, and by reducing and by improving oxygen, flow and capillary leakage, we are helping with our inflammation, and also with our self brain, age, or manual drainage, we can target areas of
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vibrosis and work a little bit more firmly in those areas to soften, to help movement of fluid.
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So after surgery it does similar things, and when you think about it, you’ve had surgery.
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You’ve had liposuction. Your body is like what has happened.
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It goes into this healing and protecting phase. And this is where you get lipoedema.
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So lipoedema is not lymphedema lipoedema is something that will and leave once your body is recovered from what’s happened with your surgery, and by doing mld or self drainage, using pumps, you are promoting the fluid to leave the area and
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by removing or reducing the lipoedema you’re improving your healing, you’re reducing pain, and which means, obviously you heal quicker.
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But also you get up and localize a lot quicker, which is also house with with your healing process and they are reducing the 5 braces.
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And again, that’s something where we know, and that women that have lipoedema, are you guys that have lipoedema?
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You were at risk of developing fibrosis.
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So we’re very conscious of that after surgery.
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And so finding, and my clients fallen, the grossly bits.
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And we can work on those areas and soften those areas with different techniques.
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And different techniques, and to help soften the area, remove fluid and reduce the risk of fibrosis.
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So really, it does a lot for your body and it’s not harmful.
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So I am asked sometimes, when is the best time to do it?
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When there are to do yourself drainage really the best to me is whatever works for you.
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I’ll often and make suggestions for folks, but it’s about getting it into your routine.
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If it works for you and gets into your your routine, you’re more likely to do it.
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And to stick at it. We do know that exercise, vibration plates, compression pumps, even, you know, mad dancing, dancing around living room.
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All that kind of stuff can help move, fluid. So we talk about earlier.
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I was talking about this the gel like, and your gangs that are stuck to your fat.
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That’s called bound. So by doing this kind of thing, we’re trying to shake it loose.
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Really. And trying to get. And if we can unbound it, we can then move it.
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So by doing your exercise or your vibration plate, and then doing your massage your honor, you start your drainage.
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You then could maximize your benefit when I take my necks, which is really my cheat sheet for people to get going with, and self drainage, I’ll often suggest doing it first thing in the morning, because I’ll often talk about dry brushing which I will mention a little bit later
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on in a few slides time, and so that could be a good time.
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Get up, start your day, and but also before beds.
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Another good way to, because often by the end of the day you’re feeling very fatigued.
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Your legs may be really achy, or your arms, and so that may be another good time for you to focus on doing it.
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But, as I say, please, whenever that fits into your team is a good time to do it.
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So took some tricks. As I said before, I talk about directing traffic, and one way system squeezing the toothpaste tube, and these are all just ways for me to describe how to how to move fluid and with your system, but also and there are other ways that
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we can do it, and I know it’s changing absolute habits of a lifetime.
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But we talk about a well, my system, we talk about moving up. So why not when you’re in the shower, and you’re watching.
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Try and move upwards, and the same with moisturizing.
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It’s about moving a fluid and clearing the way.
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And so, if you can do it in other ways, you’re not going to harm yourself.
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And you’re actually just giving your system a little bit of help.
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So. And I talk about like squeezing the toothpaste tube.
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That’s more around our muscles. Our muscles will, are really important when it comes to helping with lymphatic drainage, and I will talk again a little bit about that a bit later on, and dry browser so dry brush is I think a great way to do your
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lymphatic system. I love the idea of the dry brush because it has a handle, so you can get those hard to reach places.
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And they come, and as you can see, in many shapes and forms, and they come in general and firmness and softness.
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We don’t want to be too hard you’ve got to think of your skin.
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At your tender, your fragile, and also, as we get older, our skin gets a bit more fragile I’m not wanting you to scrub the life out of your skin, and I’m wanting you to do gentle strokes with your with your brush so.
00:28:00.000 –> 00:28:09.000
I think if it is, if you feel it’s a little bit firmer, what you can do is just be more gentle.
00:28:09.000 –> 00:28:20.000
But I think that it’s a lovely way, and to do your self drainage, and also it’s really good for your cardiovascular system.
00:28:20.000 –> 00:28:25.000
So if your heart system is stimulating your vessels, and it’s oxygenating.
00:28:25.000 –> 00:28:32.000
So it’s a lovely way to kind of do all of the above really.
00:28:32.000 –> 00:28:43.000
So another tip is your hands. So when you’re looking at doing self drainage, and you use the pads of your fingers all right.
00:28:43.000 –> 00:28:55.000
You don’t. It’s a soft way to move, and you do half circles, and it’s about a stretch and release.
00:28:55.000 –> 00:28:56.000
If you’ve struggling with that concept I talk about strokes, and that’s just as good.
00:28:56.000 –> 00:29:10.000
But a stretch in relief, a half circle, and pads of your fingers, poking and want be effective.
00:29:10.000 –> 00:29:20.000
You get a much better range, using the paths of your fingers, and it’s softer, and it’s gentler.
00:29:20.000 –> 00:29:25.000
So the cheat sheet next Sarah Nags.
00:29:25.000 –> 00:29:45.000
So when we look at doing anything with our lymphatic system, and what we do is the first thing is that we open up our lymph nodes so, as I told you before, in an earlier slide, our lymph nodes clean it and all sort of vessels lead to
00:29:45.000 –> 00:30:06.000
lymph nodes. So if we wake them up in readiness and clear any fluid that’s already there, it’s ready to receive fluid when we get to the stroke part so it’s really important to open up our notes first before we start clearing and obviously breathing
00:30:06.000 –> 00:30:17.000
really important. So like I mentioned again in an earlier slide neck, and Brian, we know there’s lots of lymph nodes in those areas, and also in our tummy.
00:30:17.000 –> 00:30:21.000
So deep breathing is really important. I’m deep breathing.
00:30:21.000 –> 00:30:27.000
Really impacts on our and deeper lymph nodes.
00:30:27.000 –> 00:30:41.000
Excuse me, so deep breathing. It’s about I call it tummy breathing, or it’s full diaphragmatic breathing. So it’s all about tummy action and not about chest action.
00:30:41.000 –> 00:30:49.000
So what we’re wanting to do is we’re wanting to take a deep breath in through our nose, and we want to feel our tummy rise.
00:30:49.000 –> 00:31:05.000
So I often put the middle of my finger, so I often put the middle of my finger and wear my belly button is and I take a deep breath in, and I watch my tummy rise so like in that I can’t really see it’ll see it on my video and my
00:31:05.000 –> 00:31:07.000
team will rise. If you’re having trouble. Oh, I often practice laying down first.
00:31:07.000 –> 00:31:17.000
It just seems easier. You can feel, and you can see your tummy rise or stick out.
00:31:17.000 –> 00:31:21.000
- Also there is another wee trick as well.
00:31:21.000 –> 00:31:44.000
If you take when you take your deep breath and through your nose, push your tongue against the back of your 2 front teeth, you’ll feel your tummy in flight. Okay, so once you’ve done that, you then do a big huff out so it’s a deep breath in and out it’s
00:31:44.000 –> 00:31:45.000
about changing the pressure in your tummy. It’s not about holding.
00:31:45.000 –> 00:31:47.000
And then for 5 or 6, and then releasing slowly.
00:31:47.000 –> 00:31:57.000
It’s a deep breath in and a half out. You can also.
00:31:57.000 –> 00:31:58.000
I can’t quite see in that picture. But my brother blown my breath out.
00:31:58.000 –> 00:32:05.000
I kind of giggled my tummy a little bit.
00:32:05.000 –> 00:32:09.000
I’m really trying to maximize that change in pressure in your tummy, and so I can.
00:32:09.000 –> 00:32:28.000
And stimulate those lymph nodes. But also you’ve got big vessels or your trunks and your tummy. So we want to stimulate them because we want them to move fluid successfully.
00:32:28.000 –> 00:32:29.000
So the next bit is. So it’s next. Excuse me.
00:32:29.000 –> 00:32:37.000
Nags is neck. So first is your next. So it’s next.
00:32:37.000 –> 00:32:49.000
So if you go along, and just below your neck, so if you go along and just below your neck, and you can tap, you will be able to feel your collarbone, and so you’ll feel a little bit different. So if you go along and just below your neck, and you can tap you will be able to feel your
00:32:49.000 –> 00:32:50.000
collarbone, and so you’ll feel your little bones. And just above those is a soft squishy, like a triangle piece.
00:32:50.000 –> 00:32:56.000
So this is where we start with a drainage, or we’ll start with our next.
00:32:56.000 –> 00:33:00.000
And for that you do. You do half circles, and you do like a J.
00:33:00.000 –> 00:33:13.000
So I do both hands. So when you can see there, you use the opposite hands.
00:33:13.000 –> 00:33:26.000
When you do your opening your neck notes. If you use the hands on the same side, you’ll find that you stick to your hands on the same side. You’ll find that you stick into your neck a little bit, you poke your neck a little bit you poke your neck so if you go the opposite side
00:33:26.000 –> 00:33:33.000
you’ll find that you stick into your neck a little bit, you poke your neck, so if you go the opposite side you get to use those parts of your fingers, and you’d be able to gently do your massage.
00:33:33.000 –> 00:33:53.000
Or your drainage. So we’re doing that stretch and release that I spoke about and what we’re doing is that we’re moving from the top and sort of sort of around higher up the neck from where your soft and just above your follow bonus and you’re doing a shape of a
00:33:53.000 –> 00:34:05.000
jay, or a half circle that stretch in release, and when I spoke before about directing traffic, what you have to remember is where do you want your fluid to go?
00:34:05.000 –> 00:34:11.000
And I think if you think right, my fluid is going to be coming into the middle of my body.
00:34:11.000 –> 00:34:16.000
So I shall be moving the fluid from my neck to the middle, half circles.
00:34:16.000 –> 00:34:28.000
All right. If if you always think where you’re directing your fluid to go, you’ll be on the right track.
00:34:28.000 –> 00:34:36.000
So, and then in between that don’t forget you’d have to do your breathing breathing really important.
00:34:36.000 –> 00:34:40.000
And then you do your arms so again. That’s the a of your nags.
00:34:40.000 –> 00:34:51.000
We’ve done our neck. We now do our arms, and again it’s the flat of your fingers and your directing traffic half circle, stretch and release, stretch and release.
00:34:51.000 –> 00:34:54.000
Okay? 5 to 8 times. You can do more if you want.
00:34:54.000 –> 00:34:58.000
That’s okay.
00:34:58.000 –> 00:35:01.000
Alright!
00:35:01.000 –> 00:35:07.000
Okay. And there you go. That’s stretch and release.
00:35:07.000 –> 00:35:11.000
So again, parts of your fingers. So this is you’ve done your neck.
00:35:11.000 –> 00:35:15.000
You’ve done your arm, and now we’re going to do your groin, so I always use the middle of my finger and you slide it in between.
00:35:15.000 –> 00:35:39.000
Excuse me, your body and and your leg or the leg of your nicer will be so by doing that you’re in position and you’re going to be stimulating and waking up your notes that are in your groin half circles and gently moving your half circle is
00:35:39.000 –> 00:35:41.000
going to be coming up towards your body. And stretch and release, stretch and release.
00:35:41.000 –> 00:35:51.000
Okay? And bearing in mind what I said in an earlier slide.
00:35:51.000 –> 00:35:59.000
How do our lymphatic system is? So it’s not a case of structurally stretch lease.
00:35:59.000 –> 00:36:07.000
It’s about the process, the slowness your body and working with your body.
00:36:07.000 –> 00:36:16.000
And so this is sort of what I talked about directing your traffic and about flow, and how you work it up alright.
00:36:16.000 –> 00:36:19.000
So II do have a video at the end of this.
00:36:19.000 –> 00:36:28.000
But I have focused just on the lower leg, and but I have focused just on the lower leg, and but I always feel I have a video at the end of this. But I have focused just on the lower leg, and but I always feel especially first thing in the morning. If we’re going to be waking up.
00:36:28.000 –> 00:36:29.000
Everything, why not do the whole body? I think, and it’s a great way to jump.
00:36:29.000 –> 00:36:42.000
Start the day, so either with your hands. So the pads of your fingers, or with your dry brush.
00:36:42.000 –> 00:36:50.000
Now, when you think about the body and how it works, or the fact that your lymphatic system is one way.
00:36:50.000 –> 00:36:57.000
What we do is we clear an area first, and then we move down.
00:36:57.000 –> 00:36:59.000
So it’s always closest to the body moving away from the body.
00:36:59.000 –> 00:37:16.000
So in this picture you would do your shoulder, your your elbow up, your hand up, you’ve cleared away, and then you’re moving to the next bit, so we know when it were moving the fluid up.
00:37:16.000 –> 00:37:23.000
That area is already clear and ready to take any excess fluid that’s there.
00:37:23.000 –> 00:37:26.000
I hope that makes thanks for you guys. I’m hoping I’m not talking too fast.
00:37:26.000 –> 00:37:40.000
So little things to help your system, and I think really, and the thing about that is the deep breathing I spoke to you about.
00:37:40.000 –> 00:37:54.000
You can do that anytime anywhere, I said. Folks, you know, when you’re putting the cattle on when you’re driving your car, and I perfected it during lockdown, and I live rural, and I am I perfect.
00:37:54.000 –> 00:38:10.000
It sometimes. Honestly, when I’m driving, and but it’s one of those things that of deep breathing helps with relaxation, and it can help with stress, help you at night before you go to sleep.
00:38:10.000 –> 00:38:17.000
And it helps you. Lymphatic system. So anywhere, anytime at calf raises are another thing.
00:38:17.000 –> 00:38:27.000
So a lot of the time, or a lot of the ladies that I work with have saidentry jobs.
00:38:27.000 –> 00:38:42.000
So I often say to them when they sat down, you can do your path raises so a half raise is with your feet flat on the ground, and you go onto toes, and you squeeze your calf muscle so to me again, I mentioned earlier.
00:38:42.000 –> 00:38:43.000
That’s what I say about squeezing the toothpaste.
00:38:43.000 –> 00:39:07.000
Your and muscle is squeezing the vessel, your lymph vessels that are near that muscle, and they are pushing up so it’s a great way to just introduce another way to help you pump your fluid a stressful is another good thing.
00:39:07.000 –> 00:39:12.000
So I’m for you, ladies that have lipoedema in your arms.
00:39:12.000 –> 00:39:31.000
The stress. That is another way of squeezing and releasing, and that is using your form to get your muscles and to squeeze the toothpaste and squeeze the fluid up the arm and getting moving I think you know that’s the big thing to
00:39:31.000 –> 00:39:35.000
help with the lymphatic system, and a lot of I do recommend swimming for a lot of my ladies and the pool acts like great big compression.
00:39:35.000 –> 00:39:48.000
Sock. You’ve got lots of resistance. It’s gentle on your joints, and you get moving.
00:39:48.000 –> 00:40:00.000
And the movement with the pressure of the pool, will help with shift fluid, and engage your lymphatic system.
00:40:00.000 –> 00:40:01.000
So as you can see, I face that is made for radio.
00:40:01.000 –> 00:40:15.000
And this is the We video that I put together about how to do sort of putting together what I just spoke about.
00:40:15.000 –> 00:40:18.000
Really. So let’s fingers crossed. It works yay!
00:40:18.000 –> 00:40:35.000
There we go. So this is again, as I mentioned, it’s focusing on the lower half of the body today. But you can see in this picture about how my tummy really inflates how I’m doing that diaphragmatic breathing.
00:40:35.000 –> 00:40:39.000
And then you’re pads of your fingers.
00:40:39.000 –> 00:40:45.000
So it’s that directing your traffic, your stretch, and your release.
00:40:45.000 –> 00:40:53.000
Okay, so bearing in mind, this is next, which is a shorter version of self drainage.
00:40:53.000 –> 00:40:54.000
So you can always take longer, and you can also focus more on areas that are bothering you.
00:40:54.000 –> 00:41:06.000
The most, as you see there. I did one side and then the other side.
00:41:06.000 –> 00:41:16.000
If you’re finding that doing both sides together is too difficult, there’s no reason why you’re finding that doing both sides together. It’s too difficult. There’s no reason why you can’t do so. There.
00:41:16.000 –> 00:41:24.000
We are doing now. We are opening up our lymph nodes that stretch and release those half circles. All right.
00:41:24.000 –> 00:41:25.000
That’s what’s really important. Because, remembering your directing traffic, you’re not going round the roundabout.
00:41:25.000 –> 00:41:37.000
Your half circles, stretch and release.
00:41:37.000 –> 00:41:42.000
And I’m gonna do some other breathing. In a second.
00:41:42.000 –> 00:41:51.000
That was well relaxed. By the end of this.
00:41:51.000 –> 00:41:53.000
Obviously, if you’re doing this when you make your cup of tea and stuff, you don’t have to put your hands there.
00:41:53.000 –> 00:42:08.000
You can just do your deep breathing. So again, middle of your fingers and the groin, and you’re doing your half circle.
00:42:08.000 –> 00:42:25.000
Stretch and release.
00:42:25.000 –> 00:42:41.000
And more breathing. So that’s really all that is doing is preparing you for the next bit, which is your strokes or your dry brushing, or your heart circles, and, like I explained before you’re clearing the area first.
00:42:41.000 –> 00:42:53.000
So I’m just doing the daft if I’d done the whole body but I really just wanted to show you.
00:42:53.000 –> 00:42:58.000
It’s about clearing the way. And so you are clearing a section, and you’re bringing it up.
00:42:58.000 –> 00:43:21.000
So for, yeah, I’ve done a small section around the bottom and the fire region, and I’m bringing the fluid up to my, because we have opened up the nodes in the ampit, and it can either drain into their or it can drain and up through any.
00:43:21.000 –> 00:43:41.000
And obviously with this 3.5,000 kays of fluid of lymph vessels, and it can fine as we’re directing our traffic up, some may leak into other vessels and find its own merry way all right so again.
00:43:41.000 –> 00:43:47.000
I’m obviously really focusing on the lymph nodes.
00:43:47.000 –> 00:43:50.000
And again, it’s just clearing another section. So it’s a stroke, or it’s a half circle.
00:43:50.000 –> 00:43:57.000
I think, during this demonstration I do a little bit of both.
00:43:57.000 –> 00:44:08.000
But again, it’s what’s easy for you. And admittedly, I am going a little bit fast.
00:44:08.000 –> 00:44:23.000
And this is the beauty. But if you use your dry brush because you can really get round to your bottom and obviously down to your ankles, which you know can be problematic.
00:44:23.000 –> 00:44:26.000
So I’m just. I’m clear I’ve played a section.
00:44:26.000 –> 00:44:27.000
I’ve now gone to the knee, and now I’m moving the fluid up.
00:44:27.000 –> 00:44:35.000
A massaging up, drain up!
00:44:35.000 –> 00:45:05.000
And I may continue to drain that part of my leg, and then I will drain up the and follow the pattern up the rest of the body, just making sure it’s going to go all the way up.
00:45:05.000 –> 00:45:17.000
No again. So there I am doing the stroke, and again a wee bit fast.
00:45:17.000 –> 00:45:26.000
I should do a little, shout out to my son, who did this recording for me !
00:45:26.000 –> 00:45:32.000
It’s not every day watching.
00:45:32.000 –> 00:45:36.000
Sarah, we just have a quick question. That’s probably relevant to the video.
00:45:36.000 –> 00:45:37.000
Yes.
00:45:37.000 –> 00:45:40.000
Ideally. Would this be done? Skin on skin?
00:45:40.000 –> 00:45:51.000
Absolutely. Yes, and thank you for that question. It was in my notes, and I completely went over it and definitely, you get a much better results.
00:45:51.000 –> 00:45:58.000
Skin on skin. You can understand why I’m in my gym gear.
00:45:58.000 –> 00:46:05.000
But yeah, definitely, you get to feel more to. And you’ll notice that when you, when you go to your therapist, the Ml.
00:46:05.000 –> 00:46:10.000
Date that you’re invariably in your underlying.
00:46:10.000 –> 00:46:11.000
I’m just then you may have seen me working behind the back of the knee.
00:46:11.000 –> 00:46:30.000
You do have some lymph nodes in the back of your knee. So sometimes I just do a little bit of a tweak in there as well. And just as we’re working up.
00:46:30.000 –> 00:46:47.000
That’s why I’m in the shower really good, or when you’re moisturizing that skin on skin absolutely.
00:46:47.000 –> 00:46:50.000
So then, once you reach the bottom, you then just we’ve already cleared away the other all the rest of your leg.
00:46:50.000 –> 00:46:58.000
So you’re just making sure that all the fluid if this fluid to move, will be moving through the body and back.
00:46:58.000 –> 00:47:21.000
And into your circuitry system. So when you do self drainage or when your therapist does manual lymphatic drainage, and it will continue to continue to work I surprises that maybe not the best description for the several hours afterwards, and it’s about moving the getting the body
00:47:21.000 –> 00:47:25.000
kick-starting the body, and you’ve kind of lit it into action.
00:47:25.000 –> 00:47:30.000
Really so here, this one. I just wanted to pop in.
00:47:30.000 –> 00:47:31.000
These are a few other tips. So this is another good way to stimulate your neck muscles.
00:47:31.000 –> 00:47:39.000
Sorry your neck knows it’s just if you’re having real difficulty.
00:47:39.000 –> 00:47:46.000
I’m doing your message. You’re waking up.
00:47:46.000 –> 00:47:51.000
You’re not in your neck. This is another nice way that you can do it.
00:47:51.000 –> 00:47:53.000
And again, that’s something you can do anywhere, anytime.
00:47:53.000 –> 00:48:02.000
You can do this, you can do some deep breaths, and then those are your calf raises.
00:48:02.000 –> 00:48:11.000
And you can do that while you put the kettle on some deep breaths, some you can do it when you’re set up the computer.
00:48:11.000 –> 00:48:14.000
It’s just ways that you can engage your muscle to help.
00:48:14.000 –> 00:48:15.000
And again, that’s the stress, all which is actually a catchy performance. Stressful.
00:48:15.000 –> 00:48:41.000
It’s that squeeze and release, squeeze and release.
00:48:41.000 –> 00:48:42.000
Oops!
00:48:42.000 –> 00:48:43.000
Okay. And then and that’s the end. I’m not saying very abruptly, so you guys have got any questions.
00:48:43.000 –> 00:48:48.000
Please let me know. I’m really happy to help where I can.
00:48:48.000 –> 00:48:56.000
I love you, and she’s there.
00:48:56.000 –> 00:49:00.000
Oh, it was it was the where is it? And then I found it.
00:49:00.000 –> 00:49:03.000
I absolutely typical. Huh?
00:49:03.000 –> 00:49:08.000
Oh, okay. So we’ve had a couple of questions come through.
00:49:08.000 –> 00:49:09.000
Yup!
00:49:09.000 –> 00:49:12.000
So we’ll get to them if you want Sarah feel free to.
00:49:12.000 –> 00:49:19.000
Maybe pop your details up if you can find that slide. If not, I’ll put it in the chat box.
00:49:19.000 –> 00:49:20.000
Yeah.
00:49:20.000 –> 00:49:26.000
Just so people know where they can reach you.
00:49:26.000 –> 00:49:27.000
Don’t be sorry.
00:49:27.000 –> 00:49:30.000
I’m just gonna have to go. Sorry. That’s horrible, and I should have maybe gone from the beginning.
00:49:30.000 –> 00:49:34.000
There, that’s it all backwards. See how quick it is!
00:49:34.000 –> 00:49:35.000
Okay.
00:49:35.000 –> 00:49:38.000
There, that’s me again!
00:49:38.000 –> 00:49:41.000
Or you might have to click share again, because we can’t say it. Yeah.
00:49:41.000 –> 00:49:45.000
Okay.
00:49:45.000 –> 00:50:03.000
No, I don’t know. Hang on. Sorry, guys, you can see I was not made the computers technology.
00:50:03.000 –> 00:50:05.000
That’s not come up, has it? Do you get mine?
00:50:05.000 –> 00:50:07.000
No, it’s just your desktop. That’s okay.
00:50:07.000 –> 00:50:08.000
Hey! There!
00:50:08.000 –> 00:50:10.000
I could pop it in the the chat box. If you can’t.
00:50:10.000 –> 00:50:15.000
It might be worth it. So I just don’t embarrass myself even more on how I am with.
00:50:15.000 –> 00:50:35.000
Sorry, alright, so let’s get to a couple of the questions we do have a note here, but I’ll just add quickly, if someone said I wanted to add that laughing is particularly good for the lymphatic system.
00:50:35.000 –> 00:50:36.000
Absolutely it is. Yes!
00:50:36.000 –> 00:50:45.000
As well. Yeah, yeah, okay. And then, so one of the first questions, I am curious about the neck part of the massage.
00:50:45.000 –> 00:50:51.000
I was taught to do under the collar bone, where the terminus is that returns the limb into the blood.
00:50:51.000 –> 00:50:56.000
Can you explain why you recommend massaging above the collar bone? Please.
00:50:56.000 –> 00:51:15.000
So above the colorblone is your curvicular bow and curvicular region, and I was taught that it’s above the colorblown and the soft bit there are some love lymph nodes below, and but when you look at diagrams you can actually see that
00:51:15.000 –> 00:51:19.000
the limbs, faces go underneath the collar bone.
00:51:19.000 –> 00:51:22.000
So when I do, head and neck massage, and I will often do above the collar bone and below the polar bone.
00:51:22.000 –> 00:51:29.000
So, if you, if you’ve been taught that, and you’ve with your from your therapist, and you feel comfortable doing that.
00:51:29.000 –> 00:51:47.000
And you can go for that. And but how I was taught in my understanding is that but you’re still massaging nodes at that area.
00:51:47.000 –> 00:51:48.000
Alright!
00:51:48.000 –> 00:51:51.000
Okay, great. Thank you. Which direction are under arms.
00:51:51.000 –> 00:52:00.000
So under arms and thank you, moving towards the body. So whenever you think of whatever you’re doing, you’re directing traffic.
00:52:00.000 –> 00:52:06.000
So your half circle. So you’re coming into the center of the body.
00:52:06.000 –> 00:52:19.000
Alright. So you’re not going down so you’re not doing a half circle down towards the legs or a circle into the arm you’re doing a half circle that’s coming into the center of the body.
00:52:19.000 –> 00:52:20.000
Yeah.
00:52:20.000 –> 00:52:21.000
So, if you ever think where your where do you want the fluid to go?
00:52:21.000 –> 00:52:26.000
And so we don’t want the fluid to go down.
00:52:26.000 –> 00:52:31.000
We want the fluid to come up. We want the fluid to come up, and we want the fluid to come across.
00:52:31.000 –> 00:52:44.000
Okay? Does MLD. Or Sld help to remove the unbound link, or only the free fluid?
00:52:44.000 –> 00:52:45.000
Yeah.
00:52:45.000 –> 00:52:49.000
And then a second question. That’s quite similar. Do any of these ideas actually unmind the fluid?
00:52:49.000 –> 00:52:50.000
Right.
00:52:50.000 –> 00:52:53.000
And is there any research to support this that you know of so?
00:52:53.000 –> 00:53:04.000
No. Okay, so, so anything that’s bound is bound so it can’t be moved.
00:53:04.000 –> 00:53:05.000
So the idea is, if we can unbind fluid.
00:53:05.000 –> 00:53:14.000
So there will be some with inflammation, and you will get an unbind fluid, so there will be some with inflammation, and you will get a certain amount of fluid.
00:53:14.000 –> 00:53:24.000
It’s not fluid. What you would get with lymphedema, and but you’d an inflammatory response does involve some free fluid.
00:53:24.000 –> 00:53:25.000
And so your manual drainage will help remove the free fluid.
00:53:25.000 –> 00:53:44.000
The suggestions around unbinding fluids. First, before you do treatments, and there and there are webinars and some research done by Karen herbs and and well, the name escapes me at the moment.
00:53:44.000 –> 00:53:55.000
That do demonstrate that by trying to loosen a non-bind fluid may well be, and beneficial.
00:53:55.000 –> 00:54:04.000
I think I said earlier in the beginning, and there isn’t an awful lot of research out there, and there’s not a lot of long-term research around.
00:54:04.000 –> 00:54:08.000
It we’re developing more and more research at the moment.
00:54:08.000 –> 00:54:14.000
But if you’re ever in doubt about it, I try it and see how it impacts for you.
00:54:14.000 –> 00:54:25.000
Lots of reports from my clients have positive outcomes, but it’s definitely worth a try.
00:54:25.000 –> 00:54:32.000
Yes, definitely. How many times per day would you do this?
00:54:32.000 –> 00:54:38.000
Well, so the next, you know, that was really my cheat sheet.
00:54:38.000 –> 00:54:52.000
Often when you do self emphatic drainage, it should take up to 45 min, if you’re doing the body, or if even if you’re just focusing on certain areas, I would say, if you’re gonna do your cheat, sheet, we could do it twice a day, and
00:54:52.000 –> 00:55:03.000
then you can look at, maybe, or you could do it once a day and then focus more intently, and the account overdo it, which I think is really important.
00:55:03.000 –> 00:55:06.000
So if you wanna do it 5 times a day. That’s fine.
00:55:06.000 –> 00:55:12.000
It’s about fitting it in. So really, when I first introduced the nags, it’s about trying to get you into a routine and trying to do it.
00:55:12.000 –> 00:55:18.000
A lot of people. Look at me and go. You know, how am I gonna fit that into my day?
00:55:18.000 –> 00:55:21.000
How am I gonna fit? 45 min or an hour into my day?
00:55:21.000 –> 00:55:25.000
And I know for a lot of ladies, and that I treat.
00:55:25.000 –> 00:55:35.000
You know, managing lip edema, or dealing with postal pre-OP stuff the lipoedema almost like a full-time job.
00:55:35.000 –> 00:55:36.000
Yeah.
00:55:36.000 –> 00:55:40.000
So let’s start with small bites and then develop.
00:55:40.000 –> 00:55:41.000
That answer it somewhere in there?
00:55:41.000 –> 00:55:51.000
Yeah, definitely, so someone has said, Thank you so much for this.
00:55:51.000 –> 00:55:56.000
This might be a silly question, but does this Slg or Mld Massage?
00:55:56.000 –> 00:55:59.000
Is this a daily, forever thing to do?
00:55:59.000 –> 00:56:04.000
Yeah. Not silly question. There’s no such thing as silly questions to start with, and if I can help, that’s right.
00:56:04.000 –> 00:56:11.000
So that’s that’s cool. I think it should be a daily thing, and I think there’s no reason why it shouldn’t be a lifetime thing.
00:56:11.000 –> 00:56:14.000
You know what you’re doing is this year enhancing your lymphatic drainage.
00:56:14.000 –> 00:56:23.000
And so it’s a positive thing that helps your body.
00:56:23.000 –> 00:56:37.000
And you know we now know that it’s a connective tissue disorder with the lipoedema. We know we can’t cure it. We know that it causes inflammation, so definitely doing it regularly, and long term or forever.
00:56:37.000 –> 00:56:42.000
I think you will find beneficial, absolutely.
00:56:42.000 –> 00:56:56.000
Definitely. How does one do the movements on very fibrous areas? I am very nervous every time I touch the hard, lumpy area on my uncle it hurts, and I’m worried if it makes it worse.
00:56:56.000 –> 00:57:03.000
Yeah, okay. So I think the first thing is that often with fibrous areas, we work, we do work firmer.
00:57:03.000 –> 00:57:11.000
So that really, if it hurts I wouldn’t look at doing too much with it, because I’d like to try and make you more comfortable first for me.
00:57:11.000 –> 00:57:22.000
Personally, I want I’d want you to come back so often with the fibrotic areas it’s around trying to desensitize.
00:57:22.000 –> 00:57:23.000
So it’s trying to look at ways that you’re and you might find with regular drainage and your compression.
00:57:23.000 –> 00:57:34.000
Garments. Some people use compression pumps, and other devices, and you can.
00:57:34.000 –> 00:57:44.000
I have desensitize your air, your skin a little bit, or your areas and once it’s more comfortable, we can then look at ways of how we can soften it.
00:57:44.000 –> 00:57:49.000
Sometimes you can use if you’re feeling a bit more comfortable with it.
00:57:49.000 –> 00:58:07.000
There are little things called lymph pads, so little sort of soft, foamy and pads that you can pop in underneath your compression just to try and help soften it a little bit, and then, if you have you know if you are desensitized, and you feeling more
00:58:07.000 –> 00:58:14.000
confident, or it’s less painful, and we can then look at working on it to break it up a little bit.
00:58:14.000 –> 00:58:24.000
But yeah, if it hurts, yeah, try maybe a lumps pad, if you can, to pop under your garments.
00:58:24.000 –> 00:58:25.000
Hmm!
00:58:25.000 –> 00:58:31.000
Okay. Thanks, Sarah. A couple of questions. You mentioned a pump just before.
00:58:31.000 –> 00:58:45.000
So someone has said, I’m interested in the efficacy of Mlj with massage therapists as compared to Mlj using compression pump things on legs or arms with a physio.
00:58:45.000 –> 00:58:50.000
Another question is a pump just as good as Mld.
00:58:50.000 –> 00:58:51.000
Okay, so first things. First is a pump is a great tool, absolutely.
00:58:51.000 –> 00:58:55.000
And it does not replace your therapist hands and touch.
00:58:55.000 –> 00:59:04.000
Feel your pump can’t do that. Which I think is really important.
00:59:04.000 –> 00:59:15.000
And I think if you are so, that’s the first thing. However, your pumpkin be at home, you can’t take your therapist time.
00:59:15.000 –> 00:59:26.000
I know some would want to, and it means that you’re a bit more in charge it’s a bit more empowering for you guys to manage your symptoms yourself.
00:59:26.000 –> 00:59:31.000
I think it’s a great tool for your toolbox, and I also know that Pre.
00:59:31.000 –> 00:59:41.000
And post surgery it’s really beneficial, and pumps can help with helping desensitize your skin.
00:59:41.000 –> 00:59:57.000
I think, with regards to massage, therapist physiotherapist, I think if you are an accredited, if you’re a lymphatic practitioner and you’re comfortable with the person, and you feel that they’re treating you well, there’s you know
00:59:57.000 –> 00:59:58.000
you know you pick your therapist and you feel good about your therapist.
00:59:58.000 –> 01:00:12.000
Obviously, you know, you develop a relationship with your therapist, and you have to feel confident and comfortable with them.
01:00:12.000 –> 01:00:13.000
Yeah.
01:00:13.000 –> 01:00:17.000
I would say, use both as a if I don’t.
01:00:17.000 –> 01:00:23.000
I think using if you’re gonna use a pump, I still think you should use a therapist.
01:00:23.000 –> 01:00:34.000
That sounds terrible. But bring her back. Bring him back. You should still see a therapist, because they will be able to navigate and also prescribe for your call.
01:00:34.000 –> 01:00:37.000
Yes, okay. And then, so that sort of leads into the next question, which is, how long?
01:00:37.000 –> 01:00:41.000
After having lipoedema surgery. Can you use your pump?
01:00:41.000 –> 01:00:47.000
Well, it would depend on what your surgeon says.
01:00:47.000 –> 01:00:56.000
And your recommendations from your surgeon. That’d be no reason why you couldn’t use it after.
01:00:56.000 –> 01:01:05.000
So when she come, you know, this day after surgery, and but I would speak to your surgeon.
01:01:05.000 –> 01:01:06.000
Be guided by them.
01:01:06.000 –> 01:01:13.000
Yeah, yeah, definitely. So someone says, Thank you so much for such a clear presentation for lipoedema.
01:01:13.000 –> 01:01:17.000
How often would you recommend MLD each week?
01:01:17.000 –> 01:01:26.000
That’s really hard, because I can talk about best practice and goal standards and all that.
01:01:26.000 –> 01:01:34.000
And we could say, you know, weekly for so many weeks, and then fortnightly, and then monthly.
01:01:34.000 –> 01:01:48.000
But to be honest, I think it really comes down to money and how how you can afford it, but also how it can fit into your life and how we how you can afford it, but also how it can fit, into your life, so having other tools in your toolbox like being able to do
01:01:48.000 –> 01:02:01.000
yourself drainage and doing your exercise. If you’ve got a pump using your pump, all that will help you, and then, seeing your therapist, adds another layer to your treatment regime, and I do see people weekly before, so if they’re having surgery.
01:02:01.000 –> 01:02:14.000
And then I see them twice, weekly, after they’ve had surgery for 6 to 8 weeks.
01:02:14.000 –> 01:02:18.000
Conservative treatment. I often see people weakly, initially, and then it goes to fortnightly or monthly.
01:02:18.000 –> 01:02:31.000
But again, it does vary from individual to individual.
01:02:31.000 –> 01:02:33.000
Yeah, definitely.
01:02:33.000 –> 01:02:40.000
Okay, how safe is it to do a massage with a therapist on the calf area?
01:02:40.000 –> 01:02:45.000
If that’s your problem area. I’ve been told not to.
01:02:45.000 –> 01:02:47.000
Sorry you’d have to give me a little little bit more information is, why were you told not to?
01:02:47.000 –> 01:02:54.000
Can you pop back on? And just I’m sorry because I can’t.
01:02:54.000 –> 01:02:58.000
Yeah, definitely.
01:02:58.000 –> 01:03:07.000
Yeah, I can’t understand why, unless the only thing I could think of is not doing a calf is, if you had a.
01:03:07.000 –> 01:03:11.000
So the same person has said, I’ve had 3 surgeries, and I’m in my post.
01:03:11.000 –> 01:03:22.000
Up, and I’m fine. Should I still wear compression garments to help with the but again, quite a specific question.
01:03:22.000 –> 01:03:25.000
So you’ve had 3 surgeries.
01:03:25.000 –> 01:03:31.000
Your post stop, and you’re still wearing gambles so much.
01:03:31.000 –> 01:03:32.000
Now, if you should still wear gams, is that right?
01:03:32.000 –> 01:03:33.000
Yes. Yeah.
01:03:33.000 –> 01:03:43.000
So again we, guided by what you know, the guidelines of your surgeon.
01:03:43.000 –> 01:03:47.000
I think that’s another difficult one it to pay. I think it depends on the severity of your lipoedema and your symptoms.
01:03:47.000 –> 01:03:56.000
Before surgery as well as after surgery, and also how long, if you, still having issues with lipoedema?
01:03:56.000 –> 01:04:08.000
And I certain areas you can still have swelling for 6 months afterwards, but for maintenance of lipoedema, I think there’s a mix camp around it with wearing garments.
01:04:08.000 –> 01:04:16.000
First thing, not.
01:04:16.000 –> 01:04:25.000
I probably got fifty-fifty with my lodgades that continue to wait their garments, even though they’ve completed their surgery.
01:04:25.000 –> 01:04:30.000
They’ve to clients that wear them periodically.
01:04:30.000 –> 01:04:38.000
My understanding and doctor can correct me as well it’s a connected tissue disorder.
01:04:38.000 –> 01:04:53.000
It’s a disease, so we cannot clear it. So, although we’re giving and having liposuction where kick starting you again, where you’re having as much disease, tissue, where kick starting you again, where you are having as much disease tissue removed as possible the
01:04:53.000 –> 01:04:56.000
chances are that it might might take 5, 1510 years.
01:04:56.000 –> 01:05:03.000
We don’t know this because we haven’t seen the long-term effects, and may well come back.
01:05:03.000 –> 01:05:10.000
So by using compression and doing, you could reduce the impact or the risk of that.
01:05:10.000 –> 01:05:17.000
But again, I think it depends on, and the severity of the lipoedema before the surgery, as well.
01:05:17.000 –> 01:05:23.000
Yeah, definitely, yeah, no. That makes sense. So the person that was from this person who had a question about why shouldn’t I do?
01:05:23.000 –> 01:05:31.000
Mld on the calf as yes, you are correct, Sarah, said.
01:05:31.000 –> 01:05:35.000
I was told not to, because I do have veins. Yes, sorry.
01:05:35.000 –> 01:05:36.000
Okay.
01:05:36.000 –> 01:05:38.000
Yeah, bank issues. I’m assuming.
01:05:38.000 –> 01:05:48.000
The thing is that though is, it’s quite gentle.
01:05:48.000 –> 01:05:55.000
So it’s not like your. And when you think you’re wearing compression, and we use compression to help with veins.
01:05:55.000 –> 01:06:14.000
And Venus insufficiency, and I do treatments on people that have advanced, treated, or have varicose vein issues and part of the symptom of having veins is excess fluid.
01:06:14.000 –> 01:06:31.000
So I would have thought gentle would be fine, but I’d be guided by why, a therapist is not keen to do that, and also, if you’ve seen somebody with regards to your veins what their thoughts are.
01:06:31.000 –> 01:06:39.000
Yes, definitely. Okay. So where do we get the lymph pads that you suggest popping under compression?
01:06:39.000 –> 01:06:44.000
So it depends. If you’re handy at all.
01:06:44.000 –> 01:06:52.000
So I actually so the and so your therapist should be able to get them from a lot of compression companies.
01:06:52.000 –> 01:07:00.000
And I actually, I don’t have them with me. So they’re at the clinic.
01:07:00.000 –> 01:07:01.000
I actually have these little lymph, Patty things which is just like, and cotton with foam in it.
01:07:01.000 –> 01:07:07.000
That’s stitched that I pop in.
01:07:07.000 –> 01:07:27.000
I get then from there are product you can get full sort of comfy waves, which are like a ribbed sock, which is more like a for the full leg, you know, half like full legs, so you wouldn’t want that under your compression.
01:07:27.000 –> 01:07:36.000
I haven’t been known in the past to make my own, and and it’s about using foam, and that’s not overly hard.
01:07:36.000 –> 01:07:41.000
And then I’m sticking it between all, putting it, making a little back of these phone chips or pieces of phone that you can slide underneath.
01:07:41.000 –> 01:07:54.000
And it’s the it’s the different textures, and that when it’s applied to the area and you move the texture sort of like dint bits.
01:07:54.000 –> 01:08:02.000
And you get this kind of movement, that sort of softens the area and promotes link flow.
01:08:02.000 –> 01:08:10.000
And so you can make your own and that doesn’t mean use bean bags, or rice or chickpeas, or anything like that.
01:08:10.000 –> 01:08:20.000
Something really soft, but talk to your therapist that so they should be able to steer in the direction of products.
01:08:20.000 –> 01:08:31.000
And what’s available. Mobile, I think, is another product that you can get. And that looks like, sort of yeah, big phone chips.
01:08:31.000 –> 01:08:32.000
Okay, definitely.
01:08:32.000 –> 01:08:33.000
Does that happen? It sounded good in my head, and of course I can see it all in my head.
01:08:33.000 –> 01:08:40.000
And you guys can’t. So.
01:08:40.000 –> 01:08:45.000
Yeah, we are sometimes we limited online.
01:08:45.000 –> 01:08:46.000
Yeah, yeah.
01:08:46.000 –> 01:08:49.000
But I think there’s definitely been very important, especially with the video. Okay.
01:08:49.000 –> 01:08:57.000
So last couple of questions is the seller massage for Lipo lymphedema. The same.
01:08:57.000 –> 01:08:59.000
Or is there anything else to be aware of?
01:08:59.000 –> 01:09:04.000
No, it’s the same way. Is what you will see with somebody that has.
01:09:04.000 –> 01:09:05.000
So with obviously with your limbs, lipoedema!
01:09:05.000 –> 01:09:17.000
You have more fluid. So what you’ll notice is that the different between that and somebody with just like lipoedema, as you will see, reduction?
01:09:17.000 –> 01:09:31.000
Maybe not so much with self massage as such, but you because you’ve got a lot of free fluid when you massage, you can help remove that fluid.
01:09:31.000 –> 01:09:45.000
So you may feel, and slightly different, might feel less swollen, or have a little bit more movement, and because you’ve actually we can actually move the fluid, you can move the fluid.
01:09:45.000 –> 01:09:47.000
Okay.
01:09:47.000 –> 01:09:59.000
With. We know that it’s the fact, and most of the fluid is bound so like when I treat someone with lipoedema I know that I’m and most of the fluid is bound so like when I treat someone with lipoedema.
01:09:59.000 –> 01:10:06.000
I know that I’m not going to get a big reduction where I know if I’m working with someone that just has limited that we can actually move that fluid and get.
01:10:06.000 –> 01:10:20.000
And the limbs smaller.
01:10:20.000 –> 01:10:31.000
No. And I say that because because I do, and do education support for medie ren.
01:10:31.000 –> 01:10:50.000
So to be unbiased. There are, as long as it’s a medical grade device, I think, it’s really important, and I think as long as it fits well, and you have someone that’s supporting around how they used I think it’s really important.
01:10:50.000 –> 01:10:57.000
Around the you can get ones that have. There’s an lf, 900 that has 4 chainbers.
01:10:57.000 –> 01:10:58.000
There are bio compression that has 8 chambers.
01:10:58.000 –> 01:11:02.000
There’s the lympha price. There is a lot out there, and I would do your due diligence I just have a look at what’s available.
01:11:02.000 –> 01:11:07.000
What I would say is, don’t go to, I think here’s Dick Smith’s, and you can get quite a what’s available. What I would say is, don’t go to, I think.
01:11:07.000 –> 01:11:12.000
Hear. It’s Dick Smith’s, and you can get quite a.
01:11:12.000 –> 01:11:20.000
We had a wonderful things online. That’s really cheap.
01:11:20.000 –> 01:11:25.000
You have to have. Make sure that you are covering the whole of the limb.
01:11:25.000 –> 01:11:29.000
Some devices might just cover a piece of the car and and a piece of the foot.
01:11:29.000 –> 01:11:36.000
That’s not enough, because you have to have the whole.
01:11:36.000 –> 01:11:37.000
The whole limb covered, otherwise you might find that you you get more pain and discomfort.
01:11:37.000 –> 01:11:48.000
Okay, definitely, do you recommend a particular brand of leg pumps, such as, okay.
01:11:48.000 –> 01:11:53.000
How effective is fascia blasting!
01:11:53.000 –> 01:11:54.000
I have never done that, so I can’t really comment.
01:11:54.000 –> 01:12:03.000
To be honest, I just do fascia release and cupping and stuff.
01:12:03.000 –> 01:12:06.000
Blasting sounds interesting I’m gonna have to Google that.
01:12:06.000 –> 01:12:10.000
So I’m really sorry I can’t help with that one.
01:12:10.000 –> 01:12:11.000
So blessing sounds great.
01:12:11.000 –> 01:12:28.000
What? So we do have another question just to getting to the last couple now, which I now can’t find.
01:12:28.000 –> 01:12:29.000
Yeah.
01:12:29.000 –> 01:12:30.000
But this is really common when we do these events, it’s like, Okay, well, this sounds great.
01:12:30.000 –> 01:12:36.000
But how do I find someone near me? This person has said she’s in Auckland, so is there anyone that you recommend?
01:12:36.000 –> 01:12:37.000
And.
01:12:37.000 –> 01:12:46.000
I so in Auckland, Diane Lacey is the only person I can think of .
01:12:46.000 –> 01:12:50.000
That’s terrible. So really, I would just I would look at lymphatic drain.
01:12:50.000 –> 01:12:51.000
It. Lymphatic massage, therapists and drugs.
01:12:51.000 –> 01:13:01.000
It’s really difficult in New Zealand, and I don’t know, and it might be in Australia as well.
01:13:01.000 –> 01:13:15.000
Is finding therapists, and a lot of them are private and I’m not sure in Auckland, if any of the Dhb’s can support you, or whether they can support you around garments, at least.
01:13:15.000 –> 01:13:35.000
But there are a lot of therapists in the Auckland area, so I would look up online and specifically for lymphatic therapists.
01:13:35.000 –> 01:13:36.000
Okay.
01:13:36.000 –> 01:13:39.000
And see who comes up and there’s also the lymphedema, New Zealand website.
01:13:39.000 –> 01:13:48.000
It is. I think it’s under construction, or about to be under construction, but it does have a list of therapists as well.
01:13:48.000 –> 01:13:50.000
That might be able to help.
01:13:50.000 –> 01:13:55.000
Yeah, I think that one. Yeah, the Australia, New Zealand lymph register.
01:13:55.000 –> 01:13:56.000
And then, yeah, I’ve popped.
01:13:56.000 –> 01:14:01.000
Yeah. Oh, it’s not. Yeah. Yeah. And the lymph Info trust is another organization.
01:14:01.000 –> 01:14:08.000
That’s just started. And they did a support and information day in Auckland, after the Ala.
01:14:08.000 –> 01:14:14.000
Conference, and at the end of May, and they may also be able to have information for you as well.
01:14:14.000 –> 01:14:22.000
Yeah, amazing. We. I’ve popped in the chat box that live with a surgical solution.
01:14:22.000 –> 01:14:23.000
Perfect.
01:14:23.000 –> 01:14:27.000
We have an online support register that’s for ladies in Australia and New Zealand.
01:14:27.000 –> 01:14:35.000
And we’ve got some therapists there. So everyone lists on there is knowledgeable and aware.
01:14:35.000 –> 01:14:36.000
Perfect.
01:14:36.000 –> 01:14:39.000
And that’s just on our website, free for everyone to access.
01:14:39.000 –> 01:14:40.000
Right.
01:14:40.000 –> 01:14:42.000
Yeah. Sarah is on there. Obviously.
01:14:42.000 –> 01:14:45.000
Well, that would be the awkward neck. It’s just not.
01:14:45.000 –> 01:14:46.000
Sarah is not on there she is!
01:14:46.000 –> 01:14:53.000
Who is this woman who’s just started?
01:14:53.000 –> 01:14:54.000
Yes.
01:14:54.000 –> 01:15:00.000
She definitely, oh, okay, great. Well, let’s wrap things up and enjoy our enjoy. Our weekend.
01:15:00.000 –> 01:15:07.000
This has been super informative. I’ve just got a couple of links up on the screen now.
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So this is you can find walk with freedom, lipoedema surgical solution.
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On Facebook, Instagram, and for lipoedema awareness month.
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We have a couple of more of these events coming up, that I just want to let you know you can find those on event Bright, if you haven’t already, when you registered for this one.
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So we’ve got a nutrition and lifestyle webinar.
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We’re doing it a. Q. And a session with some patients.
01:15:34.000 –> 01:15:37.000
And we’re also doing a with talk to luggage. And Dr.
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Nicholas Tier, and in the chat box there I’ve popped.
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Sarah Shellard’s website and Facebook. That’s how you can reach out to her and get in touch.
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If you wanna do that.
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Yeah. Welcome.
01:15:52.000 –> 01:15:56.000
Okay, so yeah, thank you so much, Sarah, thank you.
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This this information has been, yeah, wonderful. If you had to.
01:16:00.000 –> 01:16:03.000
I noticed a couple. People said they had to go. But don’t stress.
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You will get a link to the recording, and this will be on our website, or you to share.
01:16:09.000 –> 01:16:10.000
Oh!
01:16:10.000 –> 01:16:12.000
Great. Thank you so much, Sarah.
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Happy lymphedema and God. Listen to me.
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Happy lipoedema awareness. Month, ladies, let’s let’s get out there and help each other.
01:16:24.000 –> 01:16:25.000
Yeah.
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Yeah, absolutely. Happy, happy. Thank you. Sarah.
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Thank you so much.
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Bye, bye.