Lymphoedema Support and Treatment in Perth (Malaga & Noranda)

Assessment, swelling management strategies, exercise and practical self-care support

Lymphoedema is a long-term condition where lymph fluid accumulates in body tissues, leading to swelling (most commonly in an arm or leg). At Palms Physiotherapy & Allied Health, we provide individualised, evidence-informed support to help manage swelling, protect skin health, and improve comfort and function in everyday life.

What is lymphoedema?

Lymphoedema occurs when the lymphatic system (which helps drain fluid and support immune function) is damaged, underdeveloped, or obstructed, resulting in swelling. Lymphoedema may affect:

• One or both arms

• One or both legs

• Other areas depending on the cause and medical history

Lymphoedema is usually considered a chronic condition, but symptoms can often be improved and controlled with the right management plan.

Common symptoms of lymphoedema

Symptoms can vary, but may include:

• Visible swelling in a limb or affected area

• Feeling of heaviness, tightness or fullness

• Reduced range of motion due to swelling

• Skin changes (tight, shiny, thickened skin)

• Discomfort or aching

• Increased risk of skin infections such as cellulitis

If swelling is new, rapidly worsening, or associated with redness/heat/fever, seek urgent medical review (see “When to seek urgent help” below).

What causes lymphoedema?

There are two broad categories:

Primary lymphoedema

A congenital/genetic condition where the lymphatic system develops differently. It can appear at birth or later in life.

Secondary lymphoedema

More common; occurs when lymphatic drainage is affected by an external factor such as:

• Cancer treatment (surgery or radiation affecting lymph nodes/vessels)

• Infection (including cellulitis; filariasis in some settings)

• Obesity (increased load on lymphatic drainage)

• Injury, trauma or surgery

• Chronic venous insufficiency/long-term venous issues

How lymphoedema is assessed

At Palms, assessment may include:

• Review of your health history (including surgeries, cancer treatment, injuries, infections)

• Physical examination of the affected area (swelling pattern, skin changes, function)

• Functional assessment (mobility, strength, impact on daily tasks)

In some cases, imaging or diagnostic testing may be organised through your GP/specialist (e.g., to assess lymphatic/vascular factors).

Lymphoedema management at Palms

Practical strategies to reduce swelling, improve function, and protect skin health

Lymphoedema cannot always be “cured,” but a structured plan can often reduce symptoms and lower the risk of complications. Management is individualised and may include:

Compression therapy (when indicated)

Compression garments (e.g., sleeves, stockings) may help support fluid return and reduce swelling. We can provide guidance on:

• When compression may be helpful

• How to use compression safely (especially around exercise and heat)

• Referral pathways for garment fitting where needed

Manual lymphatic techniques (when clinically appropriate)

Some people benefit from hands-on lymphatic techniques as part of a broader plan. Where clinically appropriate and within clinician scope/training, this may include manual lymphatic drainage-style techniques to support lymphatic flow and comfort.

Exercise and movement programs (Physiotherapy / Exercise Physiology)

Gentle, graded exercise can support lymph flow, mobility and function. Programs are tailored to your capacity and goals and may include:

• Range of motion and mobility work

• Strength and conditioning (graded carefully)

• Walking and functional activity progressions

• Balance and mobility confidence strategies (when needed)

Exercise Physiology: https://www.palmsphysiotherapy.com.au/services/exercise-physiology

Skin care and infection prevention

Skin care is a key part of lymphoedema management because swelling can increase infection risk. We may provide education on:

• Daily skin inspection and hygiene

• Moisturising and protecting skin integrity

• Reducing injury risk (cuts, bites, burns)

• What to do if infection is suspected

Pneumatic compression devices (if part of your plan)

Some people use pneumatic compression devices as part of their broader management plan. If you are considering this, we can discuss suitability and coordinate with your medical team as appropriate.

Occupational therapy support (function and daily living)

If lymphoedema affects daily tasks, OT may assist with:

• Daily living strategies (self-care, household tasks, work routines)

• Energy conservation and pacing

• Equipment/environment modifications (when clinically indicated)

• Practical strategies for managing heaviness and fatigue impact

Occupational Therapy: https://www.palmsphysiotherapy.com.au/services/occupational-therapy

Living with lymphoedema: practical self-management

Many people benefit from:

• Monitoring swelling changes over time

• Staying active with graded, tolerable exercise

• Maintaining a healthy weight where possible and appropriate

• Wearing compression as advised

• Protecting the skin and acting early on signs of infection

We can help you build a realistic plan you can follow long-term.

When to seek urgent medical review

Seek urgent GP/ED care if you have:

• Sudden increase in swelling, redness, heat, or severe pain

• Fever, chills, or feeling unwell (possible cellulitis/infection)

• New shortness of breath or chest pain

• New swelling in one leg (especially with pain/warmth) — needs urgent medical assessment to rule out serious causes

Frequently asked questions

What are early signs of lymphoedema?

Early signs can include swelling, heaviness, tightness, or changes in how jewellery/clothing fits in the affected area.

Is lymphoedema curable?

Lymphoedema is usually long-term, but symptoms can often be managed effectively with an appropriate plan and ongoing care.

How does exercise help lymphoedema?

Exercise can support lymphatic flow, maintain mobility, and improve function. Programs should be tailored and progressed appropriately.

Can lymphoedema occur after cancer treatment?

Yes. Lymphoedema can occur after lymph node removal or radiation. Early assessment and management can help reduce impact and complications.

At Palms Physiotherapy & Allied Health, we provide expert care for individuals living with lymphoedema. Lymphoedema is a chronic condition that causes swelling, usually in the arms or legs, due to a compromised lymphatic system. 

Our experienced multidisciplinary team of physiotherapists, occupational therapists, exercise physiologists, and speech therapists work collaboratively to create personalised treatment plans aimed at reducing swelling, improving mobility, and enhancing quality of life. We offer a comprehensive approach that includes manual lymphatic drainage, compression therapy, and tailored exercise programs. 

Our team helps manage symptoms and prevent complications with a holistic and compassionate approach. Contact us at Palms Physiotherapy to learn more about our lymphoedema treatments and how we can support your journey to better health.

Our Mobile Therapy Services

Support and Resources

There are many valuable resources available to assist with the management of lymphoedema. At Palms Physiotherapy & Allied Health, we can direct you to helpful resources to further educate and support you:

• Lymphoedema Association of Australia (LAA): https://www.lymphoedema.org.au

• Cancer Council Australia – Lymphoedema Support: https://www.cancer.org.au

• Lymphoedema Support Program (NSW): https://www.health.nsw.gov.au

• Australian Lymphology Association: https://www.lymphology.org.au

• Australian College of Lymphoedema: https://www.lymphoedemacollege.com.au

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.