What is Oedema Therapy or Edema Therapy ?

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Fluid accumulation

You are or will be treated by an oedema physiotherapist because you suffer from “lymphoedema” or fluid accumulation. A heavy or tired feeling in the arm or leg, a tight and tense feeling around the wrists, fingers, ankles, elbows or knees may be the result of fluid accumulation. Often, a patient is in pain. Treatment is necessary to prevent further increase in oedema. How this treatment takes place and why, the oedema physiotherapist i will always tell you.

Lymphedema

Lymphoedema is fluid accumulation caused by a malfunction in the lymphatic system. This malfunction may be congenital. However, lymphoedema usually occurs after severe damage to the lymph vessels or lymph nodes due to surgery or radiotherapy. Lymphedema starts with a feeling of tightness in the skin due to swelling of, for example, arm or leg. Lymphoedema is not only bothersome, but can also result in inflammation (“welts”) and joint pain.

Lymphatic system

The lymphatic system, which is a cleansing and immune system, is a network of lymph vessels and lymph nodes throughout the body. In total, humans have about 600m2 of lymphatic vessel tissue. Lymph vessels absorb tissue fluid containing dissolved, proteins, waste products and harmful particles that cannot be absorbed into the bloodstream. The harmful particles and waste products are destroyed in the lymph nodes. Especially in the groin, armpits and neck, there are many lymph nodes that act as filters.

Treatment

The treatment of lymphoedema consists of oedema therapy that includes the following components: manual lumbar drainage, oedema and fibrosis grips, compression therapy and movement and breathing exercises.  The best results are obtained after an intensive start of treatment. This means, you will visit the oedema physiotherapist 3-5 times a week in the beginning. The duration of overall treatment depends on a number of factors and varies from person to person. To determine the progress of treatment, the extent of the oedema is measured regularly. At the end of the treatment period, the oedema physiotherapist often recommends a therapeutic-elastic stocking to maintain the results obtained.

Manual lymph drainage

Manual lymph drainage is a technique in which the oedema physiotherapist attempts, through a gentle pumping motion, to stimulate fluid absorption by the lymphatic vessels and promote the functioning of good vessels. This increases the absorption and drainage of tissue fluid.

Oedema and fibrosis handles

Oedema and fibrosis handles are special handles that the oedema physiotherapist applies to certain lymphoedema grades. Oedema handles allow lymph fluid to be directed through the tissue to a place where it is more easily absorbed. Fibrosis grabs can be used to make hardened tissue (“fibrosis”) more flexible.

Ambulatory compression therapy

This therapy is a combination of bandaging and exercise. To maintain the effect of treatment, limbs are bandaged. In combination with compression therapy, it is very important to do movement exercises. If the oedema does not decrease further over time, the oedema physiotherapist will recommend a therapeutic-elastic stocking.

Movement and breathing exercises

The oedema physiotherapist will teach you specific movement and breathing exercises that promote the drainage of lymph fluid. You can further stimulate this process by doing the exercises yourself at home. This is because movement stimulates the lymph vessels, draining excess fluid. Sufficient exercise is therefore important, but be careful to avoid overexerting the body.

Reimbursement

Many health insurers reimburse oedema therapy from the “Supplementary Insurance.” We advise you to check with your health insurer whether this also applies to you and, if so, the amount of reimbursement.

Fascia Release Therapy

What is Fascia Release Therapy? Read more: 

Fascia ( Connective Tissue):

The fascial system is a well-innervated three-dimensional continuity that runs throughout the body and contains:
adipose tissue, aponeurosis, neurovascular sheets, deep and superficial fascia, epineurium, joint capsule, ligaments, membranes, meninges, myofascial plates, periost, retinaculae, septa, tendons, visceral fascia and
all intra- and inter-muscular tissues.

Tensegrity

Tensegrity is a contraction of tension and structural integrity. It refers to the integrity of structures based on a balance between tensile and pressure loads. The tensile and compressive forces are absorbed by the flexibility of the structures. With this all structures mentioned under the name “Fascia” in the body work together and from here the body is therefore 1 whole. This is structured from the embryo.

Examples of a Tensegrity model (from which our body is ultimately built)

Scar Tissue

In the case of a scar, flexibility is lost within a part of the fascia. This has an effect on the total system within the body, because subsequently a reduced flexibility and thus a reduced load-bearing capacity of the chain is created. This way an arthrokinematic problem (bones, tendons, muscles, ligaments) can arise, but also a lymph problem, since the lymphatic system is directly under the skin, this causes fluid accumulations.

Our Fascia Release Technics:

Manual scar treatment: we are trained in a specific treatment method in which the fascial layers, which no longer have flexibility and negatively influence other parts of the chain, can be released with our hands.

Cranio-Sacral Therapy IAO ( International Acadamy of Osteopathy ).

What is Cranio Sacral Therapy?

Cranio-Sacral therapy can be applied to relieve diverse complaints including:
Chronic pain, Eye disorders, Headaches, Whiplash, Chronic tiredness, Jaw problems, TMJ syndrome, Balance & Hearing problems, etc.

• What is Cranio-Sacral Therapy ?

Cranium – the skull. Sacrum – the part of the spinal column that is connected to the pelvis, consisting of five fused vertebrae.

The concept of Cranio-Sacral Therapy was developed by the American Osteopath, William Sutherland (1873-1954), and other Osteopaths have gone on to develop C-ST since Sutherland’s discovery.
Sutherland’s breakthrough came when he realised the Bones that form the Cranium are designed to move. They are not fused together, as conventional medicine teaches. Sutherland found that the Sacrum, which is the bone at the base of the spine, also moves in sequence with the cranial bones.

The Cranio Sacral System moves in a specific manner.
If this is not the case, pain and discomfort may arise.

The Brain has 4 ventricles, or internal spaces, which produce cerebro-spinal fluid. There is a subtle pulse that is felt as the cerebro spinal fluid moves around the brain and central nervous system. This pulse is around 10 cycles per minute. With practice, this subtle pulse can be felt.

This is the basis of Cranio Sacral Therapy.

Following the subtle, bony movements of the cranium and pelvis with regard to the slow, rhythmic pulse of cerebro-spinal fluid. Cranial treatments can be used to treat most areas of the body, as all tissue is influenced by the cranio sacral rhythm.

Cranio Sacral Therapy is very gentle, suitable for people of all ages. It helps with stress and tension related conditions, chronic neck and back pain, migraine and tension headaches, jaw & facial pain, whiplash and brain & spinal cord injuries.

Through Cranio-Sacral Therapy the blockages within the Cranio-Sacral system are detected and relieved by means of specific manual techniques, in which we are trained.
In this way the body is given the opportunity to recover and heal, physical symptoms being reduced and eventually remedied.

50 % of our patients is expat. We are an international health care centre for physiotherapy .We are an international health care center for physical therapy. Healthcare center for expats.

Fysiotherapie in Den Haag Centrum Buurtschap 2005

Physiotherapy The Hague Centre