Covid 19 - this practice is adhering to the current and continually updated Health Dept WA guidelines. Please be patient with cancellations and rescheduling. If you have traveled overseas, being in known contact with a +ve person/at high risk of/ feeling unwell please don't hesitate to cancel and reschedule your appointment.  I thank you for your patience and understanding. 

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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.