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"Regrets in Life? Just The One - Delaying The Purchase of a Deep Oscillation Personal Unit for Lymphoedema Management"

"I am 63 years old and recently retired. Just over 10 years ago, I was diagnosed with neck cancer when after a heavy cold I noticed a lump in my neck. I faced six months of treatment and in modern language, my journey began.... within weeks, my tonsils and wisdom teeth had both gone, in preparation for the chemotherapy and in late December I was admitted for surgery.

The cheerful nurse informed us that this procedure normally took a couple of hours, so heavens knows what my then partner (now wife) went through, when I still hadn’t reappeared some seven hours later.  But ultimately the surgery was a success and I emerged with lymph nodes removed and fifty odd staples holding my neck together and was released home on Christmas Day morning, as they tried to empty the hospital with an enthusiasm bordering on hysterical, to be honest, I’d had better Christmases!

 

The New Year brought on further procedures and treatments, I had a feeding tube fitted ready for the radiotherapy to begin and also started the chemotherapy, which while mind numbingly boring, gave me an opportunity to improve my Angry Bird skills!

Come April and I was given the all-clear and although there were regular check-ups with my surgeon, I was left to my own devices in terms of further treatment. The surgery had left me with limited neck movement, a swollen chin and nerve damage down one side of my neck and across the shoulder, I was referred to the Hospital Lymphedema clinic where they tried Manual Lymphatic Drainage (MLD), but bless them, they had no funding for the extra training required for my complex condition and their efforts, if anything, made things worse.

I was lucky, a colleague at work had introduced me to my now good friend Tony, who had gone through a similar cancer diagnosis and treatment some eighteen months ahead of me, he in turn put me in contact with Sue Oliver; a Lymphedema and MLD specialist close to me. I have been seeing Sue monthly, almost continuously since then, and some five years ago she acquired a PhysioPod machine and this became part of our regular treatments...

The Deep Oscillation Personal Basic

 

Name withheld on request

 

Swelling of the face or neck (Lymphoedema) 

Information with thanks to Macmillan Cancer Support

After surgery for head and neck cancer, it is common to have some swelling in your face or neck. This usually goes away within a few weeks. You are at greater risk of developing long-term swelling if: you had an operation to remove lymph nodes from your neck, you had radiotherapy after surgery. The swelling happens because the lymphatic system, which normally drains fluid away, is not working properly. This is called Lymphoedema. Lymphoedema can also affect tissues inside the neck, such as the throat or larynx (voice box). This can cause problems with speaking, swallowing of breathing. Lymphoedema may be worse in the morning and improve as the day goes on. We have more information about Lymphoedema, how to reduce your risk of developing it and how it is managed.

 

ABOUT DEEP OSCILLATION®

 

DEEP OSCILLATION is applied through vinyl gloves or applicator (which also enable self treatment). Clinically proven effects include lymphatic drainage, fibrosis break down and oedema reduction thus improving mobility. [1-25]

 

In contrast to externally applied, mechanical forms of therapy, (e.g. vibration), the therapy effect of DEEP OSCILLATION®  takes place in the tissue itself and works through the entire depth of the tissue layers (skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels)

DEEP OSCILLATION® helps in speeding up and improving wound healing processes. Through the oedema-reducing and anti inflammatory effect, the local metabolic elimination and alimentation is improved in all tissue layers, whereby tissue regeneration and wound closure are encouraged on many levels. This is documented by the significant improvement in planimetric and biochemical parameters of the wound healing. Because of the non-invasive, non-traumatic, gentle nature of this therapy, very early possibilities of application are possible following injury and from Day One post operatively. Chronic conditions can also be worked upon with effective results.

 

References

  1. Atashkhoei S., Fakhari S. (2016): Management of Breast Cancer Related Lymphoedema. Crescent Journal of Medical and Biological Sciences 3 (4), 111-112.
  2. Brenke R. - Therapie des Lymphödems EHK 2021; 70: 138-144 DOI - 10.1055/a-1477-817
  3. Brenke R., Freund R., Strößenreuther RHK (2010): Adjuvant physical therapy for lymphedema and selected comorbidities of the musculoskeletal system. In: Földi M., Földi E. (Ed.): Textbook Lymphology. 7th ed., Elsevier GmbH, 508.
  4. Brenke R., Siems W. (1996): Adjuvant Therapy for Lymphedema. Lymphol 20, 25-29.
  5. Flemming D. (2016): The technique of deep oscillation. Lymph self-help, 22-23.
  6. Gasbarro V., Bartoletti R., Tsolaki E., Sileno S., Agnati M., Coen M., Conti M., Bertaccini C. (2006): Ruolo dell'oscillazione profonda (Hivamat® 200) nel trattamento fisico del linfedema degli arti. La medicina estetica 30 (4), 473-478.  English title: The role of deep oscillation therapy (Hivamat® 200) in the physical treatment of the lymphoedema of the limbs.
  7. GDL (Society of German-speaking Lymphologists) u. DGL (German Society of Lymphology) (2017): AWMF-S2k Guideline "Diagnosis and Treatment of Lymphedema" (AWMF Reg. No. 058-001).
  8. Jahr S, Schoppe B, Reisshauer A. Effect of treatment with low-intensity and extremely low-frequency electrostatic fields (Deep Oscillation) on breast tissue and pain in patients with secondary breast lymphoedema. J Rehabil Med. 2008 Aug;40(8):645-50. doi: 10.2340/16501977-0225. PMID: 19020698.
  9. J of IMAB 2016 Jul-Sep;22(3):1248-1252 Improving the quality of life through effects of treatment with low intensity, extremely low frequency electrostatic field with DEEP OSCILLATION® in patients with breast cancer with secondary lymphedema to patients treated with standard lymph equipment. Atanas Petkov1 Corresponding Autor, Yana Kashilska2, Angel Uchikov1, Dean Batzelov3,
  10. Jui Chu Y. (2017): HIVAMAT 200. In: Jui Chu Y. (Ed.): What Can Physical Therapy Do After Breast Cancer Surgery. CARE, 187-188.  German translation: What can physical therapy do after breast cancer surgery.
  11. Kraus R. (2014): Intensive lymphatic drainage through deep oscillation. LYMPH & Health 2, 6-8.
  12. Lipiska A., Opuchlik A. (2014): Fizycoterapia w onkologii. In: ?liwi?ski Z., Siero? A. (Ed.): Wielka Fizjoterapia. Elsevier GmbH, 289-294. English title: Physical Therapy in Oncology. 
  13. Mortimer P., Levine G. (2019): Let's Talk Lymphoedema, The Essential Guide to Everything You Need To Know
  14. Reisshauer A., Pögel S. (2010): Treatment of Secondary Arm Lymphodema in Breast Cancer. Gynecol. prax. 34, 489-499.
  15. Reißhauer A., Auler S., Bieringer S., year S. (2009): physical decongestive therapy. In: Reißhauer A., Auler S., Bieringer S., year S. (Ed.): Compendium of the lymphological compression supply. Federal School of Orthopedic Technology, 42-57. 
  16. Seidl H. (2006): The HIVAMAT procedure in the context of decongestive therapy. In: Bringezu G., Schreiner O. (Ed.): Textbook of Entstauungstherapie. 2nd ed., Springer Medizinverlag, 245-250.
  17. Schingale F.-J. (2006): Head, breast and genital lymphedema - a special challenge for the lymphatic therapist. vasomed 1, 30-31.
  18. Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, Deep Oscillation for lymphoedema
  19. Teo I., Coulborn A., Munnock DA (2016): Use of the HIVAMAT® 200 with manual lymphatic drainage in the management of lower limb lymphoedema and lipoedema. Journal of Lymphoedema 11 (1), 49-53
  20. Theys S., Deltombe T., Legrand C., Hanson P. (2008): Manual Drainage with or without DEEP OSCILLATION® in Lower Extremity Oedema. J Rehabil Med Suppl 47, 62.
  21. Kraus R. (2014): Intensive lymphatic drainage through deep oscillation. LYMPH & Health 2, 6-8.
  22. Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, Deep Oscillation for lymphoedema