After 8 months i have at last got a proper, well fitting compression sleeve. My MLD therapist is pure magic. A specialist who diagnosed the cause as scar tissue in the armpit as a result of cancer surgery has managed to release this tissue so the lymph is able to flow. My arm has much reduced. Hand had been sausage fingered but now nearly normal. It is difficult to get efficient treatment but dont be afraid to dig your heels in. Early treatment is absolutely vital.