Lymphoedema care, teaching and advocacy across Kenya and the entire African continent

Swelling that has a name, a cause and can be effectively managed.

I am Dr. Janet Mwau, a lymphoedema specialist, physiotherapist and clinical instructor. Most patients who reach my clinic have carried their swelling for years, through wrong diagnoses and wrong explanations, before anyone gave the condition its proper name. My work is to shorten that wait — for one patient at a time, and for the continent.

Certified Lymphoedema Therapist Physiotherapist Certified Clinical Instructor Chair, LE&RN Kenya National Chapter Chair, Education Sub-Section — LOC, Kenya Society of Physiotherapists
Dr. Janet Mwau, lymphoedema specialist and physiotherapist, Nairobi.
1st

World Lymphoedema Day commemoration ever held in Kenya, in March 2026.

100+

Patients screened free of charge over two days of that week.

500+

Patients and caregivers trained during the awareness campaign.

5,000+

Health workers reached by the accompanying national webinar series.

From the inaugural World Lymphoedema Day commemoration at Kenyatta National Hospital, 2–6 March 2026.

The work

Four strands, one aim: that anyone in Kenya and across the African continent living with a swollen limb is recognised early, treated properly, and never told it is witchcraft.

Clinical care is only a quarter of the job.

A therapist can drain one limb at a time. A trained ward, a referring surgeon and a public that recognises early swelling can change outcomes for a whole continent.

Assessment and treatment

Complete decongestive therapy for primary and secondary lymphoedema — manual lymphatic drainage, multilayer compression bandaging, remedial exercise and skin care, moving into long-term garment and self-management programmes.

Training clinicians

Vision bearer and designer of the KNH Lymphoedema Certification Course and its curriculum framework for lymphatic rehabilitation. Certified clinical instructor, and lead instructor of the Lymphoedema and Oncology Wellness Programme.

Advocacy and policy

Pioneer of the first World Lymphoedema Day commemoration in Kenya. Founder and Chief Executive Officer of Lymphyt Lymphoedema and Physiotherapy Centre. Chair of the Kenya National Chapter of the Lymphatic Education & Research Network, working towards recognition of lymphoedema in national policy and meaningful insurance cover for compression therapy.

Research and publication

Lead author on the forthcoming account of Kenya's inaugural World Lymphoedema Day, and an advocate for the operational data Kenya and the wider African continent currently lack about who has lymphoedema and where.

What it looks like

Many people live with lymphoedema for years without knowing it has a name. These are the changes to look for in an arm — the same pattern appears in the leg.

See the full list of early signs

Would you recognise it?

Two arms side by side, palms upward. The arm on the left is a normal shape. The arm on the right is uniformly swollen from the upper arm down, with the wrist contour lost and the hand and fingers thickened.
Arm lymphoedema commonly follows breast cancer surgery or radiotherapy to the armpit. The earliest change is a feeling of heaviness or tightness, often months before the arm looks any different — which is exactly when treatment works best.

“Lymphoedema is often invisible and misunderstood.”

Dr. Janet Mwau, speaking at the launch of the KNH lymphoedema clinic, March 2026

Invisible, because the lymphatic system does its work quietly until it fails. Misunderstood, because a swollen leg is still read across much of the continent as a curse, a punishment, or simply bad luck — and because patients are commonly told there is nothing to be done.

There is a great deal to be done. Lymphoedema does not have any known definite cure, but it is effectively manageable, preventable and controllable when it is diagnosed early. The sooner it is caught, the more of a person's limb, mobility and dignity can be preserved.

Read what lymphoedema actually is

A first for Kenya

2–6 March 2026 at Kenyatta National Hospital, with the Physiotherapy Council of Kenya, the Kenya Society of Physiotherapists and a wide group of partner institutions, health facilities and industry stakeholders.

Kenya's first World Lymphoedema Day

For years, Kenya watched World Lymphoedema Day pass every 6th of March without marking it. In 2026, that changed. I conceptualised, chaired, facilitated and led the country's inaugural commemoration at Kenyatta National Hospital — brought together with the Physiotherapy Council of Kenya, the Kenya Society of Physiotherapists, and a wide group of partner health facilities, training institutions, professional bodies and industry stakeholders who supplied screening capacity, compression products and expertise.

The week brought together patient and caregiver training, free screening, webinars, media engagement and a public awareness campaign walk — and closed with the launch of a dedicated Lymphoedema Clinic at Kenyatta National Hospital as a centre of excellence.

Participants carrying a banner reading Inaugural World Lymphoedema Day, 6th March 2026, at the public awareness campaign walk in Nairobi.
Dr. Janet Mwau speaking into a microphone at a lectern bearing the Kenyatta National Hospital crest, during the World Lymphoedema Day commemoration.
The public awareness campaign walk, 6 March 2026 — the first time lymphoedema had been marked publicly anywhere in Kenya.

Women who had been swollen for years met, for the first time, someone who could name what they had. The Lymphatic Education & Research Network recognised the initiative internationally, and Kenya now has a national chapter.

Where to go from here

You are a clinician

Referral pathway, what to include in a referral letter, the cautions to check before any patient is placed in compression, and how to arrange training for your team.

Refer a patient

You are inviting Janet

Conference sessions, hospital in-service training, broadcast and print interviews, and partnership on lymphatic health programmes across Kenya and the entire African continent.

Speaking and media

Reach Janet

Enquiries are answered personally. For clinical referrals, please use the referral page so nothing essential is missed.

No one should wait years for a diagnosis.

Phone and WhatsApp

+254 791 187 269

Based in

Nairobi, Kenya