About Lymphoedema Physiotherapy

Pink Physiolates is a Physiotherapy-Pilates based Programme for post-breast cancer women, developed by our Clinical  Director Deborah Fernandes, MISCP. It is based on Lymphoedema Treatment and Mastectomy Physiotherapy.

This programme is for the treatment of:

  • Primary Lymphoedema
  • Secondary Lymphoedema
  • Mastectomy
  • Post-breast cancer Rehabilitation
  • Post-cancer surgery

Deborah is a Chartered Physiotherapist and Lymphedema Therapist with extensive experience in Lymphedema Rehabilitation. Throughout her 23 years of physiotherapy practice, Deborah’s role as a Women’s Health Physiotherapist is to maximise patient’s function, independence and well-being, rehabilitate the patient after breast surgery including breast reconstruction and prevent or manage lymphedema.

What the Lymphoedema Physiotherapy Programme Offers:

  • This is a comprehensive Lymphoedema Physiotherapy programme offering:
    • Detailed Physiotherapy Consultation
    • Lymphedema
      • Education (how to prevent it/how to manage it)
      • Manual Lymphatic Drainage
      • Pressotherapy
      • Multilayer Bandaging
      • Compression Garments advice
    • Private Pilates Sessions
    • Group Pilates Sessions – Pink Ribbon Programme


During the Mastectomy Physiotherapy and Lymphoedema Physiotherapy Treatment Consultation, Deborah will assess the range of movement and muscular strength of the affected arm, assess the scar tissue and possible presence of Lymphoedema and axillary web syndrome. After examination, a treatment plan will be put in place to help with your recovery and well-being.

This Mastectomy Physiotherapy and Lymphoedema Physiotherapy Treatment plan will include hands-on Physiotherapy including Manual Lymphatic Drainage, shoulder mobilisation and scar tissue rehabilitation, Pressotherapy, multilayer bandaging, tailored Pilates exercises to improve mobility and strength and advice on Compression garments.

What is Lymphoedema?

The term Lymphoedema refers to swelling of one or more regions of the body due to accumulation of excessive amounts of protein-rich fluid.

Lymphoedema is caused by a mechanical failure of the lymphatic system when the demand for the lymphatic drainage exceeds the capacity of the lymphatic circulation.

The lymphatic system is a network of vessels and nodes throughout the body that transports lymph from the body tissues back to the bloodstream. The lymphatic system helps removing waste products from the tissues, assists the immune system and maintains the volume and protein concentration of the extra-cellular fluid in the body.

This intricate system can be compromised during fetal development (Primary Lymphoedema or after surgery, trauma or injury to the lymphatic system (Secondary Lymphoedema)

In treating lymphedema, physiotherapists aim to restore the equilibrium between the load and the carrying capacity of the patient’s lymphatic system in order to reduce edema, restore limb function, and prevent further complications.

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