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Elsebeth Perry-Petersen specialises in treating the symptoms of problems, that arise from an overwhelmed or dysfunctional lymphatic system. For the most part, this has been with cancer survivors who have developed lymphoedema.

Initially attending classes in manual lymphatic drainage (MLD) in 1993, Elsebeth went to the Lymphoedema Association of Australia to study the Casley-Smith method of Complex Lymphatic Therapy (CLT) and is currently the only accredited instructor in Australia, for the full 3 week course of CLT in the Casley-Smith method. After 12 years in the field, she completed studies with the LAA to become a certified instructor of this method. Other teachers of the Casley-Smith method can be found in the UK, USA, Israel and Holland. They are listed on the Lymphoedema Association of Australia's website.

Elsebeth also trained in the Földi Klinik, in Hinterzarten, Germany. That Professors Michael and Ethelda Földi continue to give of their time to lecture students was deeply appreciated. Their hospital in the Black Forest, is an exceptional and enviable achievement.

Most other clinics around the world are pushed to meet the needs of lymphoedema. There are few therapists in private practice.
Lymphoedema may make its presence felt for a short time only, or for a lifetime. Regardless of which, the timing of an episode of swelling can be inconvenient, and a hospital clinic may not always be in a position to offer immediate treatment. Southern Highlands Lymphatic Drainage aims to complement this gap.

Complex Lymphatic Therapy: (CLT)
CLT includes skin care, manual lymphatic drainage, multi-layered bandaging, and the measuring and ordering of compression garments. Exercises that stimulate the lymphatic system are of paramount significance and together with self-care are also taught. Where other health professionals are required, the client will be referred on, eg wound care, podiatry needs, prescription medicine.

Manual Lymphatic Drainage: (MLD)
This component of CLT, is time consuming. It is the most oft requested treatment at this clinic. (In Germany, patients receive 2 sessions per day!!) Careful palpation of the affected tissues reveals the extent of congestion. The techniques required to manually move fluid are very light and repetitive strokes. The aim of MLD is to stimulate the movement of lymph inside the lymphatic vessels and to decongest the swollen tissues by diverting the excess fluid to existing lymph nodes. Most experiences of MLD, are of a lighter and freer feeling in the affected area. This can occur over time or in each session.

Compression Bandaging & Garments
Compression bandaging is applied to reduce a limb. The number of days involved depends on the size of the limb and stage of lymphoedema. It is preferable that bandaging is done in the morning and worn for the day. When this is done day after day, re-accumulation of fluid is prevented, and tissue fluid in the limb is driven towards the trunk. The purpose of a garment (sleeve or stockings) is to prevent further accumulation of fluid. They are not generally regarded as a means to reducing lymphoedema. They can be ordered at various times - eg in an initial visit to a therapist, when the limb changes size, or at the end of a bandaging programme.

Exercises
Exercise in conjunction with the other aspects of treatment enhances the result. Muscles movements encourage fluid to move. When exercises are done with a garment or compression bandaging being worn, the result is enhanced. Exercises that cause overheating of the affected limb are modified and/or in some cases discouraged.

Skin Care
Skin in good condition helps to keep germs and bacteria out. When these enter an area affected with lymphoedema they can cause more trouble than usual. Antibiotics may be needed to prevent or combat infections. Simple preventative measures and swift action will help minimise problems.

Education
Understanding how to manage and avoid the triggers of lymphoedema will lead to greater independence. A little self-help may not be too noticeable in the short term, but over time contributes to the maintenance of an at-risk lymphoedema area.