What is Complex Lymphoedema Therapy?
Complex Lymphoedema Therapy (CLT), also known as Complete Decongestive Therapy (CDT), is the gold standard for managing lymphoedema — a chronic condition involving the accumulation of lymphatic fluid, leading to swelling, heaviness, and reduced tissue health. CLT combines four core components to reduce swelling, restore lymphatic function, and prevent complications: Manual Lymphatic Drainage (MLD), Compression Therapy, Exercise, and Skin Care.
At The Athlete’s Guild, CLT is tailored for both early-stage and complex presentations, including cancer-related lymphoedema, post-surgical swelling, and genital or lower limb lymphatic congestion in men.
Common Conditions Treated
Primary and Secondary LymphoedemaWhether hereditary (primary) or acquired due to surgery, trauma, radiation, or infection (secondary), lymphoedema can lead to chronic swelling in the limbs, genitals, trunk, or face. CLT helps reduce fluid build-up, restore mobility, and prevent long-term complications like fibrosis or cellulitis. |
Scrotal and Genital LymphoedemaGenital swelling can cause significant discomfort, mobility restriction, and psychosocial distress. CLT protocols include specialised MLD techniques, compression garment fitting, and low-level laser therapy to reduce inflammation and fibrosis in sensitive tissue regions. |
Post-Cancer LymphoedemaFollowing prostate, testicular, penile, or colorectal cancer treatment, lymphatic function can be compromised — especially after lymph node removal or radiation. Scrotal, penile, or lower limb lymphoedema is not uncommon in men, and CLT plays a critical role in managing swelling and restoring comfort. |
Post-Surgical Swelling and FibrosisCLT can be used post-operatively — including after oncological, orthopaedic, and vascular surgeries — to assist with oedema control, reduce scar formation, and promote faster recovery by restoring lymphatic drainage pathways. It is also highly effective in managing fibrosis, which involves the thickening and hardening of connective tissue following trauma, surgery, or radiation. |
Treatment Approaches
Manual Lymphatic Drainage (MLD)A gentle, rhythmic technique designed to stimulate the flow of lymphatic fluid through functional pathways and bypass blocked or damaged areas. MLD promotes the removal of metabolic waste, reduces swelling, and supports immune function. MLD is adapted to each individual — including genital, abdominal, and truncal protocols when necessary. |
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Compression TherapyGraduated compression using bandaging or custom-fitted garments helps prevent fluid from returning and assists with re-shaping affected tissues. In genital and lower limb cases, multi-layered short-stretch bandaging or custom scrotal supports may be required. Compression is essential to maintain progress made during MLD and reduce recurrence. |
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Low-Level Laser Therapy (LLLT)LLLT (904 nm) is used adjunctively to reduce inflammation, improve microcirculation, and soften fibrotic tissue. This is especially beneficial in chronic or hard-to-treat areas such as post-radiation scarring or genital lymphoedema. Research shows LLLT can enhance lymphangiogenesis, reduce pain, and improve treatment outcomes in moderate to severe cases. |
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Exercise and Movement TherapyMovement is essential in supporting lymphatic flow. CLT incorporates targeted, low-impact exercises to activate the muscle pump, improve circulation, and sustain lymphatic return. These may include breathing drills, functional mobility work, or gentle resistance training. |
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Skin Care and Infection PreventionProper skin care is vital in lymphoedema management. Education on hygiene, moisturising, and early detection of cellulitis signs is integrated into all treatment plans to reduce infection risk and preserve tissue health. |
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Why Choose The Athlete’s Guild?
At The Athlete’s Guild, we offer a specialised, evidence-based approach to lymphoedema management. Trent Renshaw is an accredited lymphoedema practitioner with advanced training in men’s health, oncology rehabilitation, and low-level laser therapy.
Trent brings clinical expertise and compassion to every session — whether you’re managing chronic swelling, recovering from cancer treatment, or seeking a second opinion on lymphatic congestion or fibrosis.
Our tailored CLT programs are discreet, respectful, and effective — with a strong focus on restoring function and confidence in men affected by these often-overlooked conditions.
Take Control of Your Health Today
Lymphoedema doesn’t have to control your life. Book an appointment with Trent Renshaw at The Athlete’s Guild to receive expert lymphoedema care grounded in clinical excellence and patient-centred outcomes.