Lymphoedema Diagnosis & Management

Lymphoedema is a long-term condition that occurs when the lymphatic system is not functioning as effectively as it should, resulting in a build-up of fluid and swelling. It most commonly affects the arms or legs, but can also occur in areas such as the breast, trunk, genitals, or head and neck. Lymphoedema may develop following cancer treatment, surgery, radiation therapy, infection, vascular conditions or injury, and in some cases can be present from birth (primary lymphoedema).

Dharani is an Accredited Lymphoedema Therapist with the Australasian Lymphology Association (ALA), providing comprehensive, evidence-based care for people living with lymphoedema and chronic oedema. Whether you are newly diagnosed or have been managing lymphoedema over time, Dharani delivers personalised treatment tailored to your individual needs, stage of recovery, and everyday life.

Symptoms We Treat

• Persistent swelling in one or both limbs (arms, legs), breasts or genitals
• Feeling of heaviness, tightness, or fullness
• Reduced range of movement or flexibility
• Recurring skin infections (cellulitis)
• Skin changes including hardening or thickening

Our Treatment Approach

Parkinson's Disease Management

Parkinson’s disease is a progressive neurological condition that affects movement, balance, coordination and daily function. It occurs when the brain produces less dopamine, which can lead to changes in how the body moves and responds.

Exercise is a powerful and essential part of living well with Parkinson’s disease. Research shows that regular, targeted exercise can significantly improve mobility, balance, strength and overall quality of life, with growing evidence that it may also help slow the progression of symptoms.

Dharani has extensive experience working with people with Parkinson’s disease, including within the Movement Disorders Programs at Eastern Health and Monash Health (Kingston Centre), and is PD Warrior trained. She is also connected with Fight Parkinson’s and actively involved in the Victorian Parkinson’s Disease Physiotherapy and Exercise Physiology Community of Practice, ensuring her care is informed by the latest research. Care is tailored to your individual needs, stage of condition, and everyday life to support you to stay independent, build confidence, and continue doing the things that matter most to you.

Symptoms We Treat

• Bradykinesia (slowness of movement)
• Rigidity and stiffness
• Shuffling walking pattern
• Freezing and/or festination when walking
• Frequent falls, poor balance and dizziness
• Stooped posture and trunk stiffness

Our Treatment Approach

Lipoedema Diagnosis & Management

Lipoedema is a long-term condition that involves an abnormal build-up of fat, most commonly in the legs and sometimes the arms. It almost exclusively affects women and is thought to have a hormonal and genetic basis. The condition is often symmetrical and does not typically affect the hands or feet.

In some cases, lipoedema can progress to include fluid build-up (known as lipo-lymphoedema), particularly when the lymphatic system becomes affected. This may be further influenced by underlying conditions such as venous insufficiency.

Recognising Lipoedema

• Disproportionate fat distribution in the lower body
• A feeling of heaviness or discomfort in the limbs
• Easy bruising
• Tenderness or sensitivity to touch
• Difficulty losing fat in affected areas despite diet and exercise

Our Treatment Approach