Olivia holding a lymphoedema care session at Well Bath.

Treatment at Well Bath

Specialist Lymphoedema Care in Bath

Clinical care for the lymphatic system

Olivia works with a precise, gentle touch designed to move lymph. Nothing about the session is rushed. Nothing bruises. Specialist Lymphoedema Care is a dedicated clinical service for people managing lymphoedema, whether primary or secondary to cancer treatment, surgery, or another cause. Olivia is a chartered physiotherapist with specialist training in lymphoedema management.

Sessions can include manual lymphatic drainage, compression guidance, skin care, and self-management coaching. Care is long-term where needed, and always paced to the individual.

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Specialist Lymphoedema Care in Bath at Well Bath

Duration

60 minutes

Price

£80

Available add-ons

You can extend the session on the booking page

Initial Assessment £45 · +15 min Please add on your first visit so Olivia can carry out the initial assessment.

What people bring

Presentations commonly worked with

Specialist Lymphoedema Care is a long-term clinical relationship rather than a one-off treatment. What people arrive with is a specific diagnosis and a wish for it to be well-managed.

Primary lymphoedema (present from childhood or emerging in adult life)
Secondary lymphoedema after cancer treatment — breast, gynaecological, head and neck, or other
Post-surgical lymphoedema after node removal or radiotherapy
Lipoedema requiring specialist manual and self-management support
Skin-integrity concerns associated with lymphatic compromise
Preparation for or recovery from major surgery where lymphatic care is called for
Long-term maintenance for people already well-managed but wanting continuity of care

Lymphoedema is a lifelong condition that responds best to consistent care. Olivia works alongside your GP, oncology team or specialist consultant where relevant. This is a specialist clinical service, not a general-wellness treatment — for the wellness version, see her Lymphatic Drainage Treatment.

What a session is like

From arrival to the last breath in the room

The first visit includes an Initial Assessment (a fifteen-minute add-on) for the full clinical picture. Sessions run sixty minutes.

01

Arrival

Front door, herbal tea, up to the therapy room. If you have imaging, measurements from other clinicians, or compression garments already in use, bring or share them ahead.
02

Clinical intake

A full lymphoedema-specific history — onset, current stage, current management, any garments, any recent flare-ups. Olivia takes measurements where they are useful for tracking.
03

Manual Lymphatic Drainage

The primary hands-on element. Olivia works the specific lymphatic pathways relevant to your presentation, at the pressure the lymphatic system responds to (much lighter than a standard massage).
04

Compression guidance

Review of any garments you use, fit check, wear-pattern advice. Olivia can help you source appropriate garments if you do not have them yet.
05

Skin care and self-management coaching

Short, practical guidance on skin care, safe movement, and self-drainage techniques you can use between sessions.
06

Follow-up plan

Olivia names the rhythm she thinks would serve — often more frequent early on, tapering to maintenance. Care is long-term where needed.

Weighing it up

Specialist Lymphoedema Care versus Lymphatic Drainage Treatment

Both are Olivia's hands. The clinical vs general-wellness distinction is what matters.

	Specialist Lymphoedema Care	Lymphatic Drainage (wellness)
Register	Specialist clinical service for a diagnosed condition.	General wellness treatment for someone without lymphoedema.
Components	MLD, measurement, compression guidance, skin care, self-management.	MLD-informed whole-body treatment for immune and circulatory support.
First-visit format	Initial Assessment required (fifteen-minute add-on).	Standard first-visit, no separate assessment.
Rhythm	Ongoing, often long-term.	One-off or occasional restorative rhythm.
Cost	£80 per session (plus £45 for the first-visit assessment).	Standard session rate.

If you have a lymphoedema diagnosis, book Specialist Lymphoedema Care. If you are looking for a general-wellness restorative treatment, book Lymphatic Drainage.

What the evidence says

Research and clinical literature

Manual Lymphatic Drainage and physiotherapy-led lymphoedema care have a substantial evidence base as first-line treatment.

Complete Decongestive Therapy (MLD, compression, exercise, skin care) reduces lymphoedema volume by twenty to sixty per cent across multiple randomised trials, and is now standard first-line care internationally.

International Society of Lymphology consensus · treatment guidelines · 2020
Early physiotherapy intervention after breast-cancer surgery reduces lymphoedema incidence compared with usual care.

Breast Cancer Research and Treatment · Torres Lacomba et al. · 2010
Structured self-management education alongside clinical MLD improves long-term quality of life measures in people living with lymphoedema.

Journal of Vascular Surgery — Venous and Lymphatic Disorders · reviews · 2019

Questions people ask

Before you book

Do I need a GP or consultant referral? +

No. You can book Olivia directly. She is happy to work alongside your medical team and can share notes with your consent.

What is Olivia's specialist training? +

Olivia is a chartered physiotherapist of fifteen years with specialist post-graduate training in lymphoedema management, including Manual Lymphatic Drainage and Complete Decongestive Therapy.

How is this different from a normal massage? +

The pressure and pathways are completely different. Manual Lymphatic Drainage works at a much lighter pressure than standard massage — the lymphatic system sits very superficially and heavier pressure closes rather than opens it. The pathway sequence follows the lymphatic anatomy rather than the muscular one.

Do I need to wear my compression garments to the session? +

Wear them as you normally would. Olivia will discuss the garment's fit and function as part of the session and can advise on replacement or adjustment.

How often will I need to come? +

Depends on stage and current management. New presentations often need a run of weekly or fortnightly sessions early on, tapering to monthly or quarterly maintenance once well-managed.

Can this help with lipoedema? +

Yes. Olivia works with both lymphoedema and lipoedema. Mention which at the intake so she can shape the session appropriately.

Do I need the Initial Assessment? +

Yes — please add the fifteen-minute Initial Assessment when you book your first visit so Olivia can take the full lymphatic history and specific measurements.

Held by

Practitioner

Physiotherapy, Yoga for Cancer, Reflexology

Olivia

Chartered physiotherapist. Yoga for Cancer teacher. Reflexologist. Three registers held in one practitioner.

Other work by the same hands

Also with these practitioners

Physiotherapy in Bath

Chartered physiotherapy assessment and treatment with Olivia.

Yoga for Cancer

A class designed specifically for the recovering body. Held by Olivia.

Reflexology in Bath with Olivia

One-to-one reflexology with Olivia in the therapy rooms. Held inside her chartered physiotherapy practice.

Specialist Cancer Physiotherapy in Bath

Olivia's specialist physiotherapy for the body that has been through cancer treatment.

Lymphatic Drainage Treatment in Bath

Olivia's general-wellness lymphatic drainage, distinct from her specialist lymphoedema care.

If you are arriving from