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 " ​A new indocyanine green fluorescence lymphography protocol for identification of the lymphatic drainage pathway for patients with breast cancer-related lymphoedema "  
Summary:Patients: 103 patients with breast cancer related lymphoedema were investigated with indocyanine green lymphography (ICG) to understand their lymphatic drainage post breast cancer. Most patients had received an axillary lymph node dissection as part of their cancer treatment.Results: In the majority of patients the ipsilateral axilla was the most common drainage pathway (67%).
Implications: The affected axilla is the most frequent lymphatic drainage route even if a patient has a history of an axillary lymph node dissection.
 ​Questions:
How does this affect our current teaching and therapy? Do we change treatment protocols based upon this or is more evidence needed?

 Watch this space for updates for  Level 2 from the workshop run in Bunbury in August. 

Great article : Understanding Breast Cancer Related Fibrosis: Post-surgical, Radiation-induced, and Cording       click here to read it 

What a fantastic Breast and Shoulder workshop presented by Denise Stewart from Brisbane on the weekend of the 3/4 August 19.  Attended by 21 people (massage and lymphoedema therapists, occupational therapists & physiotherapists), with 6 volunteers can over the 2 days. Skills were learnt in assessment and treatment of scarring, pain, function in the chest and shoulder area for women and men affected after breast cancer surgery , chemotherapy and radiotherapy.  Thankyou to all whom attended and supported this event.  It was great having such a motivated, passionate multidisciplinary team working together cohesively.  Check out this post.

For the Breast and shoulder rehab workshop on the 3rd and 4th august. Please email your expression of interest and i will get back to you after the 14th of July with more information. Thankyou- having a short break

The breast and shoulder rehab workshop now has catering, thanks to Jobst they are providing lunch, morning and afternoon teas. Thysol will be providing Cure tape samples.  

Please email Riverside Massage for flyer & registration form
Content includes:
1.Assessments of physical impairments and dysfunction: understanding severity of  common side effects of mastectomy and lumpectomy, radiotherapy and chemotherapy.
2.Treatment of common physical impairments: mastectomy  scar and adhesions, cording, seroma and lumpectomy scar tissue and Chemo-Induced Peripheral Neuropathy.
3.Practical sessions with  breast cancer survivors.
4.Timeframes, recovery goals and need for multidisciplinary care/ referrals

​This workshop will suit  health professionals from many backgrounds.
Health professionals who assist in the rehabilitation / recovery of breast cancer survivors  will benefit from  understanding  more about upper body impairments and dysfunction. A range of  hands on and non hands on assessments will be presented.  Viewing and practicing treatment skills  at the workshop will assist you to evaluate  how you apply impairment practices within your scope of practice 

 It's on check out these videos of Denise Stewart presenting her topic. 
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