CANCER SURVIVORSHIPS

Aqua aerobics are excellent exercise

Brexit

The anti-Brexiters are all moaning the fact that we are committed to leave the EU, yet in the NHS, asking big-wigs in NHS England, etc. why we haven’t taken advantage of learning from European studies, they shrug their shoulders.

Arrogance personified!

At Charing Cross Lymphoedema clinic I was interviewed by a bright young doctor, who mentioned Paolo Zamboni’s research into aquaerobics for us. He promised to send over the paper, and when it arrived, I realised I had had one of his aquaerobics classes last time I was treated at Casciana Terme in Italy, over three years ago.

Zamboni and other have produced a paper (extract in the magazine Phlebology (Oct. 18th 2016), on a specifically designed aquatic exercise protocol to reduce chronic lower limb edema, exploring advantages of basic aquaerobics, written by Paolo Zamboni and others who seemed to be Italian; sources included work at University of Ferrara.

Italy of course has an enormous advantage in that warm mineral spring are to be found all over the country, making it easy for every hospital and medical centre to have gallons of warm mineral waters gushing up (only I am not too keen on the sulphur-smelling ones around Tivoli – phew!)  Some hydrotherapists in UK use exercises developed in Bad Ragaz, Switzerland, and others have been to the fantastic Clinic Bad Sulza (part of University of Jena, Germany) where their Olympic sized pools are state of the art – as is the physio.

Here, lin UK, there are still pools around, so ASK! And keep digging!

What does Lymphoedema Support Network advise?

They sent me a link http://www.lymphnotes.com/article.php/id/24/

which provides invaluable advice.  From temperature of water to advice on exercises and wearing compression garments.

Pretty well any exercise in a pool is good – but those on the website seem the same as I was being taught in Italy.

Talk to your Physio and see if they can offer help with specific exercises for ‘your’ lymphoedema.  They may well want to read Zamboni’s article to learn more.Work Starts on New Children's Hospital Hydrotherapy Pool

Why does exercise work?

The lymphatic system is made up of a network of vessels that carry a clear fluid called lymph throughout the body. Lymph fluid serves the important purpose of carrying nutrients to the cells that bathe in the fluid. The lymph fluid then delivers cellular waste to the bloodstream, which caries it to the kidneys, colon and lungs for elimination. If your lymphatic system is blocked or clogged, you may experience a number of symptoms, including back pain, constipation, fatigue, depression and weight gain. However certain exercises can help release blockages and promote healthy movement of nutrients and waste throughout the body.

If your lymphatic system is blocked or clogged, you may experience a number of symptoms, including back pain, constipation, fatigue, depression and weight gain. However certain exercises can help release blockages and promote healthy movement of nutrients and waste throughout the body.

However certain exercises can help release blockages and promote healthy movement of nutrients and waste throughout the body.

What exercises

Whereas in Britain hospital hydrotherapy pools are small, in Italy there is so much hot mineral water spouting out of the ground they can afford to build large, often Olympic sized  pools.  This means one exercise is standing, then spring up and jump as high as you can out of the water.   Weight bearing personified, but impossible to do without swamping our small pools!

Settle yourself standing in the water.   As you inhale, slowly turn your head to the right to a count of five. Pause for one second and then exhale, bringing your head back to center for a count of five. Repeat on the left side. Do five repetitions on each side.
Stand or sit in a comfortable position. As you inhale, draw both shoulders up toward your ears and then exhale, releasing your shoulders to a neutral position. Repeat five times.Stand.  Flex the ankle and extend the ankle six times, flexing and pointing the toe like a ballerina. Repeat on each side.Stand and hold onto side rail.  Get up on tip of toes for
Stand.  Flex the ankle and extend the ankle six times, flexing and pointing the toe like a ballerina. Repeat on each side.Stand and hold onto side rail.  Get up on tip of toes for count of 30.  Then down.
Then, use the ‘toys’ that surround most pools, and HAVE FUN!

 

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