Expert Lymphoedema Physiotherapy in Melbourne

At Laneways, we provide compassionate, non-judgemental care for every body.
If you’re experiencing swelling, heaviness, pain, or reduced function, we’re here to help. We offer clear assessment, diagnosis, and evidence-based treatment tailored to you, with personalised plans to support better movement, comfort, and confidence in your body.

Physiotherapist Nadia provides online physio consultation for exercise habit formation and getting started with exercise via telehealth.

Accredited Lymphoedema Management

Nadia is an accredited lymphoedema therapist and a member of the Australasian Lymphology Association. 

She works across both Laneways and a large public health lymphoedema service in Melbourne, supporting people with a wide range of presentations and complexity. 

This dual experience means your care is informed by both specialised outpatient treatment and higher-level clinical management, so you can feel confident you’re receiving evidence-based, up-to-date care.

What is Lymphoedema

Lymphoedema is a chronic swelling condition caused by a problem with the lymphatic system. When the lymphatic system is damaged or not working effectively, lymph fluid can build up in the tissues under the skin, leading to persistent swelling, heaviness, and tissue changes.

Lymphoedema most commonly affects the arm or leg, particularly after cancer treatment, but it can also occur in other areas of the body such as the breast, chest wall, or abdomen. It may develop gradually and can range from mild to more significant swelling over time.

There are two main types of lymphoedema:

  • Primary lymphoedema – caused by developmental differences in the lymphatic system
  • Secondary lymphoedema – caused by damage, blockage, or disruption to the lymphatic system

Risk Factors for Lymphoedema

  • Surgery involving lymph node removal or disruption (higher risk with greater number of nodes removed)
  • Radiation therapy to lymph node regions
  • Cancer or tumours affecting lymph nodes or lymphatic vessels
  • Chemotherapy treatments, particularly taxane-based chemotherapy
  • Previous episodes of cellulitis or infection in a limb
  • Injury or trauma affecting lymphatic structures
  • Higher body weight, which increases lymphatic load
  • Reduced physical activity or prolonged immobility
  • Primary lymphoedema (congenital or hereditary lymphatic system differences)
  • Chronic inflammatory conditions such as arthritis
  • Ageing 
  • Venous disease or chronic venous insufficiency, which can contribute to or coexist with lymphoedema
  • Cardiac conditions such as heart failure, where fluid balance is affected and lower limb swelling may be present alongside lymphatic impairment 

Support and Treatment

Lymphoedema Physiotherapy

Treatment is tailored to your diagnosis and goals, and may include:

  • Diagnosis of lymphoedema
  • Education and self-management advice including risk reduction
  • Limb measurements and ongoing monitoring
  • Bandaging for volume reduction
  • Prescription of compression garments (standard and custom made sizing)
  • Prescription of Sequential Intermittent Pneumatic Compression (SIPC) systems
  • Manual lymphatic drainage (MLD)
  • Photobiomodulation (Low Level Laser Therapy)
  • Scar management including post interventions for breast cancer
  • Wound healing including compression for chronic wounds/ulcers
  • Soft tissue and myofascial release
  • Exercise prescription and rehabilitation
  • Referral support for diagnostic and surgical procedures as appropriate

 

We offer consultations in clinic, via telehealth and in your home including under the Medicare Chronic Disease Care Plans, Aged Care and NDIS funding.  We can support access to the SWEP government funded garment scheme.

Manual Lymphatic Drainage is a clinical lymphatic massage technique designed to physically facilitate the movement of fluid within the body. Rather than a standard remedial massage, MLD is a targeted manual therapy used to move lymphatic fluid away from overloaded or congested areas, assisting in the reduction of limb volume and the improvement of patient comfort.

As part of your lymphoedema management plan, MLD may be used for:

  • Volume Reduction: Actively moving fluid toward functioning lymphatic pathways to reduce swelling and limb heaviness.
  • Lymphoedema Management: Targeted massage to clear congested tissues and redirect fluid to healthy nodes.
  • Post-Surgical Recovery: Assisting the body in processing post-operative fluid and inflammatory by-products — particularly relevant where surgery (such as lymph node removal) has triggered or increased lymphoedema risk.


MLD is integrated into an accredited management plan, supported by evidence-based skin care, exercise, and compression therapy. 

Vascular Disease (insufficiency) & Mixed Picture Oedema

In collaboration with your medical provider, we provide conservative management for vascular disease and complex swelling. We offer evidence-based physiotherapy to support circulation, improve limb health, and reduce the risk of secondary complications.

 Management of chronic venous insufficiency (CVI), focusing on reducing limb heaviness, aching, and skin changes.

Targeted care for patients presenting with a combination of venous, lymphatic, and lipoedema-related swelling.

Collaborative management of vascular wounds and venous ulcers, focusing on optimal healing environments and skin integrity.

We work closely with wound care nurses, General Practitioners, and Vascular Specialists to ensure your dressing protocols and compression therapy are perfectly aligned.

Individualised movement programmes and medical-grade compression to enhance vascular return and manage persistent fluid retention.

We are happy to coordinate directly with your existing medical team to ensure a seamless and effective management plan for your condition.

Judgment-free, size-inclusive care

Evidence-based treatments that consider your whole story

Practical solutions that work for your life

We make it easy to get started

Contact us

Book an initial consultation online or simply pick up the phone. We’re here and ready to support you.

We listen & support

Share with us your experiences and the areas you’re looking for help and guidance.

Individualised solutions

We’ll tailor a plan to help you manage pain, experience greater mobility and develop consistent habits that work for you.

FAQ

Common signs include persistent swelling, feelings of heaviness, tightness, or fullness in a limb, breast, or body area. You might also notice shoes, clothing, or jewellery feeling tighter in the affected area. If you have a history of surgery, lymph node removal, radiation therapy, or recurrent skin infections, these can increase your risk. An accurate diagnosis involves a thorough clinical assessment by an accredited lymphoedema practitioner which we offer at Laneways.

While lymphoedema is a chronic (long-term) condition, it can be managed very effectively. With targeted treatments—such as compression therapy, manual lymphatic drainage, skin care, and movement—you can reduce swelling, ease discomfort, and protect your long-term mobility and tissue health.

This depends entirely on your specific body, goals, and needs. Initially, you may visit every week or two for assessment, garment fitting, or active symptom management. As your symptoms stabilise and you gain confidence with self-management techniques, appointments typically shift to routine check-ins every few months.

Medicare: Medicare does not directly cover the cost of purchasing compression garments, though a GP Chronic Disease Management Plan (CDMP) can help subsidise your allied health consultation fees.

State Schemes: In Victoria, eligible clients may access government subsidy schemes such as the State Wide Equipment Program (SWEP) to assist with garment costs. Laneways regularly applies to the SWEP scheme on behalf of eligible clients and is here to guide you through the process.

Private Health: Many private health insurers offer rebates for prescribed compression garments under ‘extras’ cover. We recommend checking your policy’s specific benefits for lymphoedema garments. Laneways regularly assists clients with health fund rebate requests and is here to support you through the paperwork.

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