Information for healthcare professionals
Loam & Moss provides manual lymphatic drainage and lymphatic care in Calgary for lymphedema, post-operative concerns, and cancer-related lymphatic changes. Manual lymphatic drainage is our primary treatment service.
Raegan Brumer is a Registered Massage Therapist, Licensed Practical Nurse, and Certified Lymphedema Therapist. Her nursing and lymphatic-care training informs the services she provides at the practice.
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Services and scope
Our services include manual lymphatic drainage, nursing assessment, swelling measurements, compression bandaging, garment measuring and fitting, skin care, movement guidance, and self-management teaching. Care is provided within the treating practitioner’s qualifications and scope.
Post-operative appointments can include skin and incision assessment and wound-care education. Dressing changes and genital decompression are not provided. We do accept patients with drains or wound VACs, as we can work around the sites. The treatment is very gentle and safe post-operatively.
Adults and children may be considered; a parent or guardian attends a child’s visit.
Clinical requirements
- Active cancer-related care requires oncologist approval, including after active treatment has ended.
- Post-operative lymphatic drainage is not provided in the first 48 hours after surgery. A longer delay may be needed based on surgical restrictions and recovery.
- Suspected infection, clot, or other acute concerns require medical assessment before routine treatment.1
Referral information
Request the secure receiving route before sending records. Please include:
- Reason for referral, diagnosis or working diagnosis, affected area, and symptom onset
- Relevant procedures, dates, and lymph-node treatment details
- Current care, medication, compression, precautions, and medical clearance
- Skin or wound concerns, drains, devices, and mobility or positioning needs
- Patient contact details and authority to share information
- Referrer details and any request for an assessment summary
The treating practitioner can provide assessment summaries or progress updates with patient consent. Reporting purpose, timing, recipient, and delivery arrangements are agreed for each case. Jane is used for intake and clinical charting.
Access and appointment requests
Our Calgary clinic location is being finalized. Include mobility, transfer, and positioning needs in your enquiry so we can confirm the arrangements available before booking. See location information for updates.
Appointments are limited and requests are reviewed individually. Allow up to two business days for a routine enquiry; this is not an urgent referral service.
Sources
- Cancer Research UK. Manual lymphatic drainage (MLD) for lymphoedema. Accessed 2026-09-15. cancerresearchuk.org