• Lymphoedema


    Lymphoedema is a condition where there is a pathological accumulation of fluid in the tissue spaces.

    This causes swelling and changes to the skin and tissues. It does not resolve by itself.

    It can be reversible at first (eg, the swelling may reduce overnight) but if left

    untreated it will progress, causing permanent damage to the skin and tissues.

    Lymphoedema can be present from birth or can arise at times of

    hormonal fluctuation such as puberty, pregnancy or menopause.

    This is known as primary lymphoedema.


    Lymphoedema cannot be cured entirely but lymph therapy can help to manage the condition.


    The recommended treatment for lymphoedema is Combined Decongestive Therapy (CDT).


    Lymphoedema information from the HSE can be found here



    Secondary lymphoedema 

    occurs when there is damage or

    trauma to the lymphatic system.


    This can include:

    Damage to the lymph nodes from

    radiotherapy during cancer treatment

    Chronic venous disease (CVI) resulting in

    lymphovenous disease (phlebolymphoedema).

    Traumatic injuries causing post-traumatic swelling.


    Other causes such as systemic infections,

    iatrogenic damage, etc



    Treatment Abroad Scheme (with HSE)

    There are two clinics in Europe which specialise in lymphoedema treatment. You can attend these as a private patient (paying for it yourself) or you can apply for the Treatment Abroad Scheme.


    The Foeldi clinic, Germany         The Wittlinger clinic, Austria 

    As a public patient, you can apply to the HSE for the Treatment Abroad Scheme (TAS) to cover the cost of treatment in another country in the European Union, European Economic Area or Switzerland.

    The amount the HSE covers varies depending on the country where you get treatment and the treatment that you need. You can ask the clinic abroad how much you will need to pay.
    Only a public hospital consultant based in Ireland

    can refer you for treatment abroad.

    A GP cannot refer you for this scheme.

    You cannot refer yourself either.

    The HSE will need to assess and approve your application

    before you travel for treatment.

    How to apply for Treatment Abroad Scheme




    Combined Decongestive Therapy


    Combined Decongestive Therapy (CDT) involves Manual Lymph Drainage combined

    with skincare, exercise and multi-layer compression bandaging.

    It begins with an intensive phase of therapy, which may involve

    daily treatments (MLD and bandaging) for a minimum of 2 weeks.

    This is followed by the maintenance phase – MLD treatments are reduced to once or twice

    per week and the patient is advised on the use of compression garments as well

    as other strategies to maintain the fluid reduction achieved during the intensive stage.

    Managing lymphoedema usually involves an intensive CDT treatment once or twice a year,

    combined with the use of compression garments and skin care in between treatments.

    Please note that due to time constraints, I am unable to offer intensive CDT treatment at this time.


    Patients are advised to apply for the Treatment Abroad Scheme.


    Further information and helpful vidoes can be found on the

    National Lymphoedema Framework Ireland website 


    Other MLD therapists can be found on the MLD Ireland website