Impact of Deep Oscillation Therapy on Head & Neck Lymphoedema

In entirety, the results of this intervention demonstrate that Deep Oscillation Therapy is a highly effective, non-invasive, and patient-centred adjunctive treatment for complex head and neck lymphoedema. It has delivered substantial and clinically meaningful improvements across all key domains—structural, functional, and psychosocial—supporting both immediate and sustained recovery.

By Siobhàn Casey, MLD DLT Practitioner, Registered Lymphoedema Therapist, Oncology Scar Specialist
Wellness Therapy Clinic

MLD Ireland Board Member www.mldireland.com

Patient ID: DK

Date of Assessment: August 2025

Lymphoedema Practitioner Name: S Casey

Deep Oscillation Treatment Duration/Frequency: 45 minutes, once weekly over six weeks

1. Swelling and Oedema Reduction

Substantial and clinically meaningful reduction

Marked, sustained decrease in visible and palpable oedema across the face, periorbital region, and anterior/lateral neck. Quantifiable reduction in circumferential measurements, with improved soft tissue contour and definition. Fluid accumulation is now minimal, with improved tissue drainage and a notable reduction in localised heaviness.

Mobility Improvement

Cervical and mandibular mobility/flexibility:

Substantial and clinically meaningful improvement

Restoration of cervical spine rotation, flexion, and extension to functional ranges without discomfort. Mandibular opening and lateral movement improved, facilitating chewing and speech.

Reduction in tissue stiffness/tissue restriction:

Substantial and clinically meaningful reduction

Palpable softening of previously fibrotic or tense tissues; fascia and musculature demonstrate improved compliance, reducing mechanical resistance during active and passive movement testing.

Pain and Discomfort Relief

Substantial and clinically meaningful relief

Patient reports complete or near-complete resolution of prior discomfort linked to lymphatic congestion, tissue tightness, and inflammatory irritation. Clinical palpation no longer causes tenderness, and postural holding patterns associated with pain have normalised.

Skin Health Enhancement

Appearance, turgor, and texture:

Substantial and clinically meaningful improvement

Skin presents with healthy colouration, improved hydration, and enhanced elasticity. Surface irregularities diminished, with increased dermal resilience under manual assessment.

Reduction in susceptibility to skin compromise:

Substantial and clinically meaningful reduction in risk/incidence

No new occurrences of skin breakdown; overall integumentary system demonstrates increased capacity to withstand mechanical and environmental stress.

Fibrosis and Scar Tissue Reduction

Softening/remodelling of fibrotic or cicatricial tissue:

Substantial and clinically meaningful softening

Dense, fibrotic regions have remodelled to a pliable, mobile consistency, with improved superficial and deep tissue glide.

Reduction of contractures:

Substantial and clinically meaningful reduction

Previously restricted tissue bands now permit full, pain-free range of motion; functional limitations secondary to scarring or fibrosis are no longer present in daily activities.

Functional Improvements (Breathing, Speech, Swallowing)

Substantial and clinically meaningful improvement

Patient demonstrates improved respiratory efficiency with reduced upper airway resistance. Speech articulation is clearer and less effortful, while swallowing is performed without prior sensations of obstruction or discomfort.

Lymph Relocation Efficiency (My Observation)

Marked and clinically valuable facilitation of drainage

beneficial sessions consistently achieved efficient redirection of lymph to alternative drainage territories. Deep Oscillation significantly enhanced fluid mobilisation compared to manual therapy alone, reducing overall treatment time and improving session outcomes.

Psychological Benefits

Substantial and clinically meaningful improvement

The patient exhibits increased confidence, improved mood stability, and a greater willingness to engage in social activities. Reports reduced self-consciousness regarding appearance and improved resilience in coping with daily life.

Overall Quality of Life

Substantial and clinically meaningful overall improvement

Improvements in physical function, appearance, comfort, and social engagement have translated into a demonstrably higher quality of life. Patient reports enhanced independence, greater participation in daily routines, and a renewed sense of normalcy.

Concluding Observations

The patient’s therapeutic response to Deep Oscillation Therapy has been exceptional, producing outcomes that are objectively measurable and functionally transformative. Oedema reduction has been sustained, with soft tissue remodelling resulting in restored anatomical contours and enhanced mobility. Fibrotic and scar tissue changes are palpably evident, with complete resolution of mechanical restrictions that once impeded functional movement and daily living tasks.

Pain and discomfort have been alleviated to a clinically negligible level, supporting improved postural alignment and movement efficiency. Skin health and resilience have improved to the extent that the patient now presents with a considerably reduced dermatological risk profile.

Functionally, the enhanced drainage efficiency facilitated by Deep Oscillation Therapy has accelerated lymph relocation and improved airway, speech, and swallowing performance. These gains have been complemented by profound psychosocial benefits, including increased confidence, social participation, and emotional well-being.