Carol Armstrong’s Journey in Lymphedema Care

You could compare Carol Armstrong RMT to a one stop shop for help with lymphatic diseases such as lipedema and lymphedema.

Armstrong, a 16-year member of the BCLA saw a need and has worked to help patients dealing with lymphatic diseases.

“I took my initial MLD/CDT training with the Vodder School in 1993. Coming from a deep tissue massage background, I was surprised how effective this light technique could actually be beneficial.” said Armstrong. Years later ICG scans showed the impact that this technique makes to patients dealing with Lymphedema.

Armstrong kept adding tools to her toolbox, including other fascial techniques to help with scar tissue, fibrosis and muscle imbalances. 

Her journey took her to Germany and Italy for training on fitting compression garments.

In 2009 she joined the BCLA to support us in advocating and educating for lymphedema awareness. 

From 2011 to 2021, she gave public information sessions, starting with the YM/YWCA Encore program, InspireHealth, Wound and Foot Care Nurses, and eventually local Plastic Surgeons and Radiation Oncologists. 

In 2021, Armstrong joined the BCLA Advocacy Committee and the BCLA Medical Advisory Group, finding Chairperson, Christine Chandler an inspiration.

Armstrong has seen some progress over the years.

“In the past 15 years since collaborating with the Breast Health Navigators (BHN) in Victoria, my practice focus has been able to shift from only helping patients manage advanced lymphedema to a focus on screening, education about risk reduction, and prophylactic use of compression garments,” said Armstrong. Early intervention keeps the progress of lymphedema in check and keeps it from progressing.

“This was a pivotal shift in my practice, from viewing lymphedema as inevitable and progressive in its impact, to one where empowering patients to take early intervention steps could reduce their symptom burden. In the same way we screen and implement lifestyle measures for pre-diabetes, this could be done for those at risk of developing lymphedema,” said Armstrong.

With information increasing online, she has noticed that many patients who come to her clinic are better informed about lymphedema. But every patient requires individual treatment.

“I have learned that different things work for different people in managing their lymphedema. Experiment with what works for your situation, and connect with a support group to share ideas, hope and laughter,” said Armstrong.

Armstrong has one last piece of advice for all of us - “I encourage more BC residents to speak up and reach out to their MLAs, their Health Authority, their Physicians, and BC Cancer to continue to raise awareness and demand equitable care for those living with lymphatic diseases.