Lymphoedema Clinic

ConditionsConditions

There is no condition information for this clinic

Assessment and management of patients with confirmed or suspected diagnosis of lymphoedema. Staffed by Occupational Therapist and Physiotherapist.

Availability

North South North West Statewide

Scope

THS Southern Region:

Service provided:

  • Education and coaching with a focus on self-management strategies
  • Advice on modifying activities to minimise the impact of lymphoedema. Complex Decongestive Therapy (CDT) including combinations of education, skin care recommendations, exercise recommendations, manual lymphatic drainage, multi-layer lymphatic bandaging, garment prescription as prescribed by the treating therapist
  • Prescription and fitting of appropriate garments for the management of lymphoedema: Costs apply; Patients may be eligible for financial support through Tasmanian Lymphoedema Garment Scheme.

Inclusion and exclusion criteria: Please see Additional Information section below.


THS North / North West Region:

Does not offer a stand-alone clinic. Services are provided through their Physiotherapy Outpatient Clinics.

Referral process

Referrals need sufficient information to allow triage and act as a clinical handover and must confirm to the standard – see For Clinicians

THS Southern Region referrals should be faxed to RHH Occupational Therapy: (03) 6173 0313

Appointments are based on clinical priority.

Waiting lists apply.

Referral template

For use by health professionals only

Additional information

Inclusion Criteria:

Patients must have a confirmed, or reasonably suspected, diagnosis of lymphoedema.

In addition, patients must have at least one of the following criteria:

  • Surgery with lymph node dissection/removal (including sentinel node biopsy)
  • Radiation therapy to lymph nodes
  • Advanced cancer with metastases to lymph nodes
  • Onset of oedema immediately following Taxane chemotherapy
  • Congenital malformation of the lymphatic system. For example:
    • Diagnosed Noone-Milroy's disease
    • Diagnosed Meige's Disease
  • Diagnosed lipoedema
  • Lymphatic obstruction caused by trauma
  • Diagnosed lymphatic filariasis
  • Secondary or acquired lymphoedema resulting from damage to the lymphatic vessels and/or lymph nodes.

Exclusion Criteria:

For patients with the following conditions, lymphoedema treatment may be contraindicated and referral to another services may be more appropriate:

  • Arterial ulcers or oedema with arterial disease (abnormal Ankle Brachial Pressure Index)
  • Oedema caused by cardiac failure
  • Acute oedema caused by cellulitis (in absence of above mentioned eligibility criteria)
  • Management of DVT and/or post thrombotic syndrome (in absence of above mentioned eligibility criteria)

Compression Garments

Patients requiring compression garment for vascular conditions should be referred to local medical supply store with relevant off the shelf prescription (stocking type and pressure recommended).

For more information please see the Tasmanian Health Pathways website.