I have what's coming up to stg 2 lymphedema, with the hard (fibrotic) skin. I am working on getting compression stockings and then doing MLD.
However, one thing which is not clear: Can compression stockings and MLD (with the hivamat 200, as a therapist near my work provides this) break down the hard tissue? Also, are high strength compression stockings sufficient for a stg 2 LE? As therapists recommend bandages (which I wore after an op for vein ablation), but could barely walk in this! And with bandages, you need to walk around like normal e.g. go work etc, which I would not manage! Also, therapists recommend foam pads etc.
I did have one MLD out of curiousity (no hivamat) and found it amazing. My my trousers felt looser and my shoe slipped right on (slight foot swelling, but after the op I mentioned, not LE).