But its not always easy to translate new findings into clinical practice. When social media passes on selective results it gets even more difficult to know what it all means. My main motivation in posting to Talking Lymph is to elucidate complex concepts of interest in lymphology. Whether they change anything we do in practice, or not, we still need (want!) to know.
Have you heard of some interesting research?
Not sure how to incorporate it into your practice?
This month Talking Lymph reviews a paper on an ICG imaging protocol which also reports on the images of over 100 arms affected by BCRL using that protocol. We need widely accepted and tested protocols for these imaging procedures and this will no doubt become a seminal paper in this field.
The full article is available online here.
What it won't do is tell you what open drainage pathways are present in the client on your table, it does however confirm many of the working hypotheses we already make when we assess our clients, including listening to their pattern of symptoms.
One day ICG may be TGA approved for clinical management of lymphoedema which will be a real asset in problem solving for clients who do not respond to best practice therapies. In the meantime, and for future clients who respond well to treatment, this paper supports our current approach to MLD for unilateral BCRL of the arm.
The intention of this scholarship is to increase access to lymphoedema services in an under-serviced outer regional or remote area within Australia and preference will be given to applicants who can demonstrate a strong local need.