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Highlights from the ALA Symposium in Fremantle

  • Jeanine Mewburn
  • Jun 2
  • 3 min read

I recently attended this year’s ALA Symposium in Fremantle to stay up to date on developments in lymphoedema management. It’s so important to keep informed about best practice guidelines, the latest research, and to connect with other professionals for fresh insights and collaboration opportunities.


A few standout topics were on the use of ICG (Indocyanine Green) lymphography in lymphoedema care. Some clients are already coming into the clinic with their ICG results in hand, which shows how quickly this technology is being adopted. This imaging technique uses a fluorescent dye to visualise the lymphatic system in real time, helping us identify blockages in lymphatic vessels. What really impressed me was seeing how lymph flow changes under manual manipulation and compression. It was a powerful visual demonstration of just how effective lymphatic drainage massage can be. This approach marks a big step forward in making drainage treatments more targeted and precise by highlighting and bypassing obstructed areas.


A fascinating workshop by Madeleine Stockden explored how bandaging affects superficial lymphatic flow in the lower leg after a snakebite—again using ICG lymphography. Surprisingly, the findings challenge the old assumption that compression slows venom spread. In fact, it may actually speed up lymphatic transport. This supports using compression banding to reduce swelling and reinforces the role of compression garments in managing and preventing the progression of lymphoedema.


I was also pleased to hear that choosing the right compression garment dosage still depends heavily on close clinical observation—assessing things like skin colour, elasticity, temperature, and texture through touch. These are the hands-on skills I use every day when performing manual lymphatic drainage, and the workshop really reinforced the value of these clinical observations.


While treating wounds is outside my scope of practice, I often work with clients who have them. Gaining a better understanding of wound care helps me support their recovery—especially when using lymphatic drainage and compression therapy. Even though I don’t treat wounds directly, I can offer advice that respects professional boundaries while aligning with best practices in wound protection.


It was also exciting to see new products entering the lymphoedema market during the trade exhibition, which was one of the most enlightening parts of the event. For example, I attended a session on managing breast lymphoedema, followed by a hands-on workshop where I practiced fitting a new ready-made, adjustable compression vest - and neck brace. They are great innovations for clinical use and will help me support clients with breast and neck lymphoedema more comfortably and effectively.


The exhibition also showcased products designed for less commonly discussed conditions like genital oedema—an area that is often under-recognised and under-treated. I had the chance to explore new nightwear garments created specifically to help manage genital oedema, and they appear to be a promising and effective addition to care strategies.

Attending the ALA Symposium has really deepened my understanding of evidence-based approaches to lymphoedema care and given me practical tools I can use right away in clinic. It is always rewarding to keep learning so I can continue to offer clients the best support possible.


“If anything you have read here resonates with you, or if you are looking for personalised support with lymphatic drainage or compression therapy, I would love to help. Book an appointment and let’s work together to get you feeling better.”






Reference

I am the author of this blog, and I use the help of chatGPT to proofread


 

 

 
 
 

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