Health
UHL Physiotherapists Recognised for Reducing Incidence of Lymphoedema in Cancer Patients
Senior UHL physiotherapists Sinead Cobbe, and Kathy Nugent from the lymphoedema early detection service at UHL have won the MSD Excellence in Oncology Award at the Hospital Professional Awards 2024 and are pictured here with Shirley Real, Allied Health Lead, Acute Hospitals, HSE Mid West, right.
UHL Physiotherapists recognised for reducing clinical lymphoedema from an expected 25 per cent to under 2 per cent as the team wins MSD Excellence in Oncology Award
A team of specialist physiotherapists from University Hospital Limerick (UHL) has been recognised for significantly reducing the incidence of clinical lymphoedema in cancer patients in the Mid West.
Sinead Cobbe and Kathy Nugent are at the heart of the lymphoedema early detection service, which has been honoured at the Hospital Professional Awards 2024 by winning the MSD Excellence in Oncology Award.
Lymphoedema is a swelling that can occur in the arm, hand or torso after cancer treatments including surgery, radiotherapy and chemotherapy. These treatments can compromise the lymphatic system and lead to a build-up of lymph fluid which causes pain, skin changes and reduced function. This can be very distressing and adversely affect quality of life.
Since the establishment of the UHL service in 2021, initially with the support of the Irish Cancer Society, the evidence has shown that patients can significantly reduce their risk of developing lymphoedema through prompt assessment, patient education and ongoing monitoring.
Of almost 450 patients – the majority with a diagnosis of breast cancer – referred to the service between September 2021 and January 2024, the incidence of clinical lymphoedema has reduced from an expected 25 per cent to under 2 per cent through the intervention and support of the UHL team.
“What our work and research has shown,” said senior physiotherapist Sinead Cobbe, “is that lymphoedema is not only preventable, but also reversible when it is caught early. Our message to patients who have had lymph node surgery done, or who are otherwise at risk, is to know their risk level. Those at high risk can lead a normal life but do need to add in some maintenance strategies like massage, losing excess body weight and exercise.”
Kathy Nugent, senior physiotherapist, said: “When patients initially come in to see us, they are very worried about what they may have been told or read online about lymphoedema. We help them to stratify their risk and hopefully they walk out of our service knowing what they can do about it. And we are always available for any patient who goes on to develop symptoms.”
Shirley Real, Group Lead for Allied Health, Acute Hospitals, HSE Mid West, said, “I am so proud of Kathy and Sinead that their dedication in building up this service and in improving quality of life for our patients has been recognised with this award. We continue to empower patients at risk of, or living with, this often devastating complication through the development of a patient app which will be launched in the Mid West later this month.”