Neil Piller

Clinical innovations: lymphoedema management

With regards to recent advances in imaging and surgical approaches, what is new in the lymphoedema world? What has been proven through clinical trials and which of this evidence/information is translatable into clinical practice? What needs to be done and what seems to work in the clinic, but does...

Clinical innovations: lymphoedema management

With regards to recent advances in imaging and surgical approaches, what is new in the lymphoedema world? What has been proven through clinical trials and which of this evidence/information is translatable into clinical practice? What needs to be done and what seems to work in the clinic, but does...

What’s best for our lymphoedema patients?

In a recent issue of the Journal of Lymphoedema, Nickolaidis and Karlsson (2013) indicated that most of the standard treatments for lymphoedema patients were explored and developed early last century, and suggested that holistic assessment of the individual is critical for good outcomes, but that...

Medical education: a deficiency or a disgrace

Students and clinicians should be able to establish a diagnosis of lymphoedema along with differential diagnoses, and be aware of effective therapeutic interventions. However, it is commonly misdiagnosed. This paper summarises published knowledge on lymphoedema and lymphatic system teaching in...

Diet and BCRL: facts and fallacies on the web

Lymphoedema is a common sequela to breast cancer treatment. Until recently, patients were limited in how they obtained information, but now a range of medical-related websites provide numerous alternatives for managing the condition. With many patients consulting grey and popular literature,...

Outcome measures for lymphoedema

There are a range of significant issues that affect a person with lymphoedema which concern not only the patient, but also the clinician, healthcare professional, medical funds and the government. I acknowledge we must maintain a holistic view with these issues, such as the impact on quality...

Pilot study of a handheld massage unit

Background: Secondary arm lymphoedema is a chronic condition which affects a significant number of women and requires ongoing management. Aims: To pilot a new handheld massage unit which delivered vibration to the arm tissues and can be used in the home environment.

Lymphoedema Association of Australia

The Lymphoedema Association of Australia (LAA) was founded in 1982 by Drs John and Judith Casley-Smith. The society includes patients, practitioners, allied healthcare professionals, carers and partners. The stated philosophy has been that this association was ‘formed to help each and every one of...

Lymphoedema Association of Australia

The Lymphoedema Association of Australia (LAA) was founded in 1982 by Drs John and Judith Casley-Smith. The society includes patients, practitioners, allied healthcare professionals, carers and partners. The stated philosophy has been that this association was ‘formed to help each and every one of...

Pilot study of a handheld massage unit

Background: Secondary arm lymphoedema is a chronic condition which affects a significant number of women and requires ongoing management. Aims: To pilot a new handheld massage unit which delivered vibration to the arm tissues and can be used in the home environment. Methods: Women with...

ILF is spreading the global lymphoedema message

The International Lymphoedema Framework (ILF) was launched at the first International Lymphoedema Framework Conference at Royal Ascot in 2009 and has since grown into a fully-fledged global organisation. So far, it has given rise to national frameworks in Canada, the United States, Sweden, Japan and...

Using yoga in breast cancer-related lymphoedema

The aim of this article is to explore the research findings that can inform the use of yoga for women with breast cancer-related lymphoedema (BCRL). Women with this condition may need lifelong treatment and have to self-manage the affected area. A growing body of research has led to the development...

Getting the pressure right: how do we know?

The lymphatic system is a low-flow, low-pressure system, with the latter generally remaining in single figures, but occasionally rising to 40–50 mmHg when blocked. These low pressures – coupled with the delicate nature of even the collecting lymphatics, their location, and the relatively few...

Relationship between pain, tightness, heaviness, perceived limb size, and objective limb size measurements in patients with chronic upper-limb lymphoedema

Background: Lymphoedema has a significant effect on patient quality of life due to the daily experience of limb symptoms such as pain, tightness and heaviness. While treatment of lymphoedema often focuses on reduction in objective limb measures, there is minimal evidence to support that this reduces...

Understanding lymphoedema in the new millenium

We face three major issues in lymphoedema management: reducing the risk of secondary lymphoedema; early detection; and providing solid evidence for the management and treatment of patients. We have seen advancements in our understanding of lymphoedema at the genetic, molecular, cellular and tissue...

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