We don't have a dedicated lymphodema specialist. There is a 'porridge' pool at the Y. It's disgusting. Maybe I am just sqeamish about other people's body fluids in warm environments. There is no regular coordinated exercise program for post surgical patients either terra or aqua anyway.
The community physio who does her best to help manage lymphoedema is on long service leave. She has not been replaced. She only works two days a week There is novone to help fit a sleeve; you order via catalogue with the best measurements you can come up with. If it doesn't fit, you send it back and wait a couple of weeks for a replacement. Then repeat the process. The breast care nurses do their best, but they spend most of their time with newly diagnosed people. As they should. Compression garments are not, and should not be, their priority. Battle grundies in several colours required.