Decongestive Lymphoedema Therapy (DLT)
Decongestive Lymphoedema Therapy (DLT) is a treatment for Primary/Secondary Lymphoedema, Oedema and Lipoedema.
(DLT) Decongestive Lymphoedema Therapy Upon receiving a positive diagnosis, DLT may be recommended and there are two phases to the Therapy:
Intensive – with your therapist
-
Manual Lymphatic Drainage (MLD)
-
Multi-layer bandaging
-
Exercises
-
Skin Care
-
Weight Management
Maintenance – Self Management
-
MLD is replaced by SLD (Simple Lymphatic Drainage)
-
Wearing compression garments
-
Self-bandaging/Velcro wraps
-
Daily Skin Care
-
Weight Management
Components of DLT Therapy
-
MLD - Using specific massage techniques to mobilise the skin the stimulate the lymphatic system. It facilitates lymph flow into the venous circulation utilising lymph vessels. MLD is found to be most effective when used in conjunction with compression bandaging.
-
MLLB - Multi-layer bandaging is the intensive phase of the treatment and is used to provide compression and support to the underlying tissues. Foam or soft padding under the bandages help increase fluid movement by adding pressure and reducing slippage. Different density and thickness are used dependent on the limb, whether arm or leg and on what the tissue is like, i.e.: fibrotic, soft or pitting. Bandaging is performed every day for a minimum of two weeks (excluding weekends).
-
Exercises - Are used to enhance the efficiency of the muscle pump working against the compression bandages increasing lymph circulation. You will be given individually tailored exercises suited to your particular requirement.
-
Weight Control/Maintenance - It is very important to maintain a healthy weight. These conditions can be exacerbated as fat cells compress the lymphatics further, reducing and impeding lymphatic flow. A good weight loss/nutritional plan will help before, during and after your intensive treatment.
-
Compression Garments - At the end of the intensive phase, you will be measured for custom or standard fit compression garments. During the maintenance, self-management phase you should aim to wear your garments daily. Any SLD exercises should be done whilst wearing your compression. It is recommended your garments be replaced every 4-6 months.
Contact us for a Consultation

Decongestive Lymphoedema Therapy (DLT)
Decongestive Lymphoedema Therapy (DLT) is a treatment for Primary/Secondary Lymphoedema, Oedema and Lipoedema.
(DLT) Decongestive Lymphoedema Therapy Upon receiving a positive diagnosis, DLT may be recommended and there are two phases to the Therapy:
Intensive – with your therapist
-
Manual Lymphatic Drainage (MLD)
-
Multi-layer bandaging
-
Exercises
-
Skin Care
-
Weight Management
Maintenance – Self Management
-
MLD is replaced by SLD (Simple Lymphatic Drainage)
-
Wearing compression garments
-
Self-bandaging/Velcro wraps
-
Daily Skin Care
-
Weight Management
Components of DLT Therapy
-
MLD - Using specific massage techniques to mobilise the skin the stimulate the lymphatic system. It facilitates lymph flow into the venous circulation utilising lymph vessels. MLD is found to be most effective when used in conjunction with compression bandaging.
-
MLLB - Multi-layer bandaging is the intensive phase of the treatment and is used to provide compression and support to the underlying tissues. Foam or soft padding under the bandages help increase fluid movement by adding pressure and reducing slippage. Different density and thickness are used dependent on the limb, whether arm or leg and on what the tissue is like, i.e.: fibrotic, soft or pitting. Bandaging is performed every day for a minimum of two weeks (excluding weekends).
-
Exercises - Are used to enhance the efficiency of the muscle pump working against the compression bandages increasing lymph circulation. You will be given individually tailored exercises suited to your particular requirement.
-
Weight Control/Maintenance - It is very important to maintain a healthy weight. These conditions can be exacerbated as fat cells compress the lymphatics further, reducing and impeding lymphatic flow. A good weight loss/nutritional plan will help before, during and after your intensive treatment.
-
Compression Garments - At the end of the intensive phase, you will be measured for custom or standard fit compression garments. During the maintenance, self-management phase you should aim to wear your garments daily. Any SLD exercises should be done whilst wearing your compression. It is recommended your garments be replaced every 4-6 months.
Contact us for a Consultation

Please call for an appointment
01243 785096/07812 605677
Hivamat 200 Deep Oscillation
Deep oscillation is a unique, internationally patented, non-invasive therapy used by hospitals throughout Europe and America and is now available in the UK. In contrast to other therapies, these pleasant oscillations have a gentle and deep-acting effect (8 cm) on all tissue components (skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels).
The therapy works by attracting and releasing tissue components (skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels). Selected frequencies trigger a lasting resonance (Deep Oscillation) of the tissues. This therapy penetrates much deeper into body tissue than traditional manual methods thus allowing previously ‘untreatable’ injuries to be manipulated with the minimum of physical pressure. Electrostatic waves create a kneading effect restoring flexibility and blood supply to the affected area.
Treatment success is generally noticeable after a short course of sessions.
Areas of Application
Pain/Inflammation
Complex regional pain syndrome
Tennis/Golfer's elbow
Fibromyalgia syndrome
Lumbago back pain/neck and shoulder pain
Trauma (strains, torn ligaments or muscle fibres, whiplash)
Arthritis / Sciatic pain
Swelling
Fibrosis (disease of connective tissue)
Haematoma (Intra-muscular or bruise)
Chronic oedema, lymphoedema, lipoedema and lipo-lymphoedema
Varicose veins
Post-op Treatment and Wound Healing after
Skin transplantation
Fractures, Ligament Rupture
Hip/Knee joint replacements (Endoprosthesis)
Breast cancer surgery/lymph node dissection
Osteosynthesis (Bone Surgery)
Scar Tissue, diabetic foot ulcers, decubitus ulcers, venous leg ulcers


