Podcast
Questions and Answers
What is the primary function of the lymphatic system?
What is the primary function of the lymphatic system?
- Maintaining fluid balance and fighting infection (correct)
- Digesting food in the body
- Transporting oxygen to the cells
- Regulating body temperature
Which of the following is NOT a component of the lymphatic system?
Which of the following is NOT a component of the lymphatic system?
- Thymus
- Tonsils
- Blood vessels (correct)
- Lymph nodes
What is the function of the spleen in the lymphatic system?
What is the function of the spleen in the lymphatic system?
- Aiding in white blood cell formation
- Filtering dead blood cells from the body (correct)
- Storing lymph fluid
- Producing red blood cells
Where are the tonsils located?
Where are the tonsils located?
What is the role of lymph vessels in the body?
What is the role of lymph vessels in the body?
What is the primary composition of lymph fluid?
What is the primary composition of lymph fluid?
What are initial lymph vessels covered with to keep them closed?
What are initial lymph vessels covered with to keep them closed?
What is the function of pre-collectors in the lymphatic system?
What is the function of pre-collectors in the lymphatic system?
Why do collector vessels have alternate drainage routes (anastomoses)?
Why do collector vessels have alternate drainage routes (anastomoses)?
What is the role of lymph nodes in the body?
What is the role of lymph nodes in the body?
What type of receptors do sensory nerves in lymph angions respond to?
What type of receptors do sensory nerves in lymph angions respond to?
Which technique involves using digits 2-5 on the medial arm in 3 spots to pump towards the axilla?
Which technique involves using digits 2-5 on the medial arm in 3 spots to pump towards the axilla?
During Swedish Drainage Portion, which technique is used for passive range of motion to the affected joint and/or joints above?
During Swedish Drainage Portion, which technique is used for passive range of motion to the affected joint and/or joints above?
How many times are the scoops at the terminus performed at the lateral neck and posterior neck?
How many times are the scoops at the terminus performed at the lateral neck and posterior neck?
Which technique involves using thumb circles to the dorsum of the wrist in 3 spots?
Which technique involves using thumb circles to the dorsum of the wrist in 3 spots?
What is done at the same time bilaterally during the pumping at the lateral neck?
What is done at the same time bilaterally during the pumping at the lateral neck?
In how many spots is unidirectional light effleurage performed on the forearm towards cubital fossa?
In how many spots is unidirectional light effleurage performed on the forearm towards cubital fossa?
Which technique involves pumping anterior and lateral arm in 5 spots towards axilla performed 2 times?
Which technique involves pumping anterior and lateral arm in 5 spots towards axilla performed 2 times?
How many Little Soldiers are used on the medial thigh to pump towards inguinal nodes?
How many Little Soldiers are used on the medial thigh to pump towards inguinal nodes?
What is the purpose of vasodilation in the context of inflammation?
What is the purpose of vasodilation in the context of inflammation?
Which protein is responsible for attracting phagocytes to the damaged area?
Which protein is responsible for attracting phagocytes to the damaged area?
What molecules promote histamine release, attract white blood cells, promote phagocytosis, and destroy bacteria?
What molecules promote histamine release, attract white blood cells, promote phagocytosis, and destroy bacteria?
What does increased permeability in inflammation allow?
What does increased permeability in inflammation allow?
Which stage of inflammation involves the emigration of phagocytes?
Which stage of inflammation involves the emigration of phagocytes?
What is a primary function of inflammation?
What is a primary function of inflammation?
Which sign of inflammation is due to increased blood flow caused by vasodilation?
Which sign of inflammation is due to increased blood flow caused by vasodilation?
What are students expected to revisit and practice in terms of skills?
What are students expected to revisit and practice in terms of skills?
What is the main focus of lymphatic massage when the primary aim is to reduce swelling (edema)?
What is the main focus of lymphatic massage when the primary aim is to reduce swelling (edema)?
In which scenario would lymphatic drainage massage be contraindicated?
In which scenario would lymphatic drainage massage be contraindicated?
What is an important precaution to consider when performing manual lymphatic drainage (MLD)?
What is an important precaution to consider when performing manual lymphatic drainage (MLD)?
What is the recommended approach after finishing a treatment with lymphatic drainage for reducing edema?
What is the recommended approach after finishing a treatment with lymphatic drainage for reducing edema?
Why should lotion never be used with manual lymphatic drainage (MLD)?
Why should lotion never be used with manual lymphatic drainage (MLD)?
What should be the pressure level when performing manual lymphatic drainage?
What should be the pressure level when performing manual lymphatic drainage?
How should movements be carried out when performing manual lymphatic drainage?
How should movements be carried out when performing manual lymphatic drainage?
What should be done first before beginning treatment with lymphatic drainage to clear the terminus?
What should be done first before beginning treatment with lymphatic drainage to clear the terminus?
What is the collection of dead tissues and white blood cells seen at the end of the inflammatory process called?
What is the collection of dead tissues and white blood cells seen at the end of the inflammatory process called?
What is recommended during a general Swedish massage?
What is recommended during a general Swedish massage?
What is the process called when neutrophils travel to the site of injury?
What is the process called when neutrophils travel to the site of injury?
What is an important step for chronic gout in the late sub-acute stage during MLD?
What is an important step for chronic gout in the late sub-acute stage during MLD?
What is the term for the increase in white blood cells usually seen during an infection?
What is the term for the increase in white blood cells usually seen during an infection?
How should one begin working on the edematous area during a general Swedish massage with incorporated lymphatic drainage?
How should one begin working on the edematous area during a general Swedish massage with incorporated lymphatic drainage?
What occurs when there is pus that cannot be reabsorbed or drained and becomes walled off?
What occurs when there is pus that cannot be reabsorbed or drained and becomes walled off?
Which stage of healing involves new scar tissue formation and alignment according to force?
Which stage of healing involves new scar tissue formation and alignment according to force?
What is the term for the local or general accumulation of fluid in the interstitial tissue spaces?
What is the term for the local or general accumulation of fluid in the interstitial tissue spaces?
What are the common complications of chronic inflammation?
What are the common complications of chronic inflammation?
"PRISH / SHARP" treatment for inflammation focuses on:
"PRISH / SHARP" treatment for inflammation focuses on:
"Manual lymphatic drainage" can help with what aspect of the inflammatory process?
"Manual lymphatic drainage" can help with what aspect of the inflammatory process?
What are the common complications of chronic inflammation?
What are the common complications of chronic inflammation?
"Manual lymphatic drainage" can help with what aspect of the inflammatory process?
"Manual lymphatic drainage" can help with what aspect of the inflammatory process?
What is the primary function of inflammation?
What is the primary function of inflammation?
Which stage of inflammation involves vasodilation and increased permeability?
Which stage of inflammation involves vasodilation and increased permeability?
What causes vasodilation and permeability in inflammation?
What causes vasodilation and permeability in inflammation?
What is the purpose of vasodilation in the context of inflammation?
What is the purpose of vasodilation in the context of inflammation?
What is the function of the spleen in the lymphatic system?
What is the function of the spleen in the lymphatic system?
What molecules promote histamine release, attract white blood cells, promote phagocytosis, and destroy bacteria?
What molecules promote histamine release, attract white blood cells, promote phagocytosis, and destroy bacteria?
Where are the tonsils located?
Where are the tonsils located?
What are initial lymph vessels covered with to keep them closed?
What are initial lymph vessels covered with to keep them closed?
What does increased permeability in inflammation allow?
What does increased permeability in inflammation allow?
What is done at the same time bilaterally during the pumping at the lateral neck?
What is done at the same time bilaterally during the pumping at the lateral neck?
What is the role of lymph vessels in the body?
What is the role of lymph vessels in the body?
During the acute stage of the inflammatory process, which cells arrive at the site of damage?
During the acute stage of the inflammatory process, which cells arrive at the site of damage?
What is the main focus during the sub-acute stage (proliferative stage) of healing?
What is the main focus during the sub-acute stage (proliferative stage) of healing?
Which of the following is a possible outcome of chronic inflammation?
Which of the following is a possible outcome of chronic inflammation?
What occurs during the post-acute stage (maturation stage) of healing?
What occurs during the post-acute stage (maturation stage) of healing?
Which stage of healing involves the immune system continuing to attack the tissue due to unsuccessful resolution?
Which stage of healing involves the immune system continuing to attack the tissue due to unsuccessful resolution?
What is a common complication associated with chronic inflammation that involves an abnormal overgrowth of scar tissue?
What is a common complication associated with chronic inflammation that involves an abnormal overgrowth of scar tissue?
The inflammatory process may result in ______ formation.
The inflammatory process may result in ______ formation.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
During the ______ stage of healing, specific cells accumulate and work to fill in damaged tissue.
During the ______ stage of healing, specific cells accumulate and work to fill in damaged tissue.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
The ______ stage of inflammation involves vasodilation and increased permeability.
The ______ stage of inflammation involves vasodilation and increased permeability.
The ______ is responsible for attracting phagocytes to the damaged area.
The ______ is responsible for attracting phagocytes to the damaged area.
The inflammatory process should not be ______ as it is necessary to fight infection and initiate repair.
The inflammatory process should not be ______ as it is necessary to fight infection and initiate repair.
[Blank] is a local or general accumulation of fluid in the interstitial tissue spaces.
[Blank] is a local or general accumulation of fluid in the interstitial tissue spaces.
Increased permeability of the capillaries can result from ______, tissue trauma, immune response or burns.
Increased permeability of the capillaries can result from ______, tissue trauma, immune response or burns.
During the ______ stage of inflammation, specific cells accumulate and work to fill in damaged tissue.
During the ______ stage of inflammation, specific cells accumulate and work to fill in damaged tissue.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
A common complication of chronic inflammation is ______ scarring.
A common complication of chronic inflammation is ______ scarring.
Inflammation is the body's innate immune response to an ______ or injury.
Inflammation is the body's innate immune response to an ______ or injury.
One of the signs and symptoms of inflammation is ______ (Rubor).
One of the signs and symptoms of inflammation is ______ (Rubor).
During the first stage of inflammation, there is ______ and increased permeability.
During the first stage of inflammation, there is ______ and increased permeability.
Increased ______ is needed to allow more blood flow to the injured area.
Increased ______ is needed to allow more blood flow to the injured area.
The second stage of inflammation involves the ______ of phagocytes.
The second stage of inflammation involves the ______ of phagocytes.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
Histamine is produced and released by mast cells, basophils, and platelets in response to ______
Histamine is produced and released by mast cells, basophils, and platelets in response to ______
Prostaglandins are released by damaged cells, enhancing the vascular permeability effect of histamine and kinins. They also attract ______ to the damaged area
Prostaglandins are released by damaged cells, enhancing the vascular permeability effect of histamine and kinins. They also attract ______ to the damaged area
Increased permeability causes fluid to move out of the bloodstream and into interstitial space, leading to ______
Increased permeability causes fluid to move out of the bloodstream and into interstitial space, leading to ______
Neutrophils slow down by sticking to the inner surface of the blood vessel near the damage, then squeeze through the walls to travel to the site of injury - this is called ______
Neutrophils slow down by sticking to the inner surface of the blood vessel near the damage, then squeeze through the walls to travel to the site of injury - this is called ______
Macrophages come in after neutrophils to clean up dead cells, pathogens, and pus. They are a bigger, more powerful type of ______
Macrophages come in after neutrophils to clean up dead cells, pathogens, and pus. They are a bigger, more powerful type of ______
Pus is the collection of dead tissues and white blood cells seen at the end of the inflammatory process. It will either drain away or be reabsorbed by the ______
Pus is the collection of dead tissues and white blood cells seen at the end of the inflammatory process. It will either drain away or be reabsorbed by the ______
An abscess occurs when pus cannot be reabsorbed or drained and becomes walled off, leading to localized ______
An abscess occurs when pus cannot be reabsorbed or drained and becomes walled off, leading to localized ______
Chronic inflammation may result in the accumulation of ______ tissue
Chronic inflammation may result in the accumulation of ______ tissue
The sub-acute stage of healing is also known as the ______ stage
The sub-acute stage of healing is also known as the ______ stage
The post-acute stage of healing involves tissue ______ and maturation
The post-acute stage of healing involves tissue ______ and maturation
What is the primary function of the lymphatic system?
What is the primary function of the lymphatic system?
Which of the following is a contraindication for lymphatic drainage massage?
Which of the following is a contraindication for lymphatic drainage massage?
What is the purpose of vasodilation in the context of inflammation?
What is the purpose of vasodilation in the context of inflammation?
What is the role of lymph nodes in the body?
What is the role of lymph nodes in the body?
What is the primary composition of lymph fluid?
What is the primary composition of lymph fluid?
What is the purpose of lymphatic drainage massage?
What is the purpose of lymphatic drainage massage?
What is the primary function of lymph nodes?
What is the primary function of lymph nodes?
Which statement about the location of lymph nodes is correct?
Which statement about the location of lymph nodes is correct?
How does the location of lymph nodes around joints assist in fluid movement?
How does the location of lymph nodes around joints assist in fluid movement?
What is the primary aim of lymphatic drainage massage?
What is the primary aim of lymphatic drainage massage?
How does the duration of lymphatic drainage massage affect the response?
How does the duration of lymphatic drainage massage affect the response?
The human body contains over 600 ______ which are most commonly found around the joints.
The human body contains over 600 ______ which are most commonly found around the joints.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymphatic Drainage Massage Procedure All massage will affect the circulatory and ______ system to some degree.
Lymphatic Drainage Massage Procedure All massage will affect the circulatory and ______ system to some degree.
Their location around joints assists in movement of fluid via the pumping action created by the ______ and muscle contraction.
Their location around joints assists in movement of fluid via the pumping action created by the ______ and muscle contraction.
Fluid from the lymph angion eventually flows into a group of ______ nodes where several important processes will occur.
Fluid from the lymph angion eventually flows into a group of ______ nodes where several important processes will occur.
The ______ system is responsible for removing metabolic waste and dead cells from the body.
The ______ system is responsible for removing metabolic waste and dead cells from the body.
Lymphatic drainage massage can help reduce ______ after an injury or surgery.
Lymphatic drainage massage can help reduce ______ after an injury or surgery.
Lymphatic drainage massage is contraindicated in cases of ______ cancer.
Lymphatic drainage massage is contraindicated in cases of ______ cancer.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ is responsible for attracting phagocytes to the damaged area during inflammation.
The ______ is responsible for attracting phagocytes to the damaged area during inflammation.
Which of the following is a contraindication for lymphatic drainage massage?
Which of the following is a contraindication for lymphatic drainage massage?
What is the primary purpose of lymphatic drainage massage?
What is the primary purpose of lymphatic drainage massage?
Which of the following is a precaution when performing lymphatic drainage massage?
Which of the following is a precaution when performing lymphatic drainage massage?
What is the term used to describe the local or general accumulation of fluid in the interstitial tissue spaces?
What is the term used to describe the local or general accumulation of fluid in the interstitial tissue spaces?
What is a common complication associated with chronic inflammation?
What is a common complication associated with chronic inflammation?
Lymphatic Drainage Massage will affect the circulatory and ______ system to some degree.
Lymphatic Drainage Massage will affect the circulatory and ______ system to some degree.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
[Blank] is the primary composition of lymph fluid.
[Blank] is the primary composition of lymph fluid.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymphatic drainage massage can help reduce swelling and inflammation after an injury or surgery.
Lymphatic drainage massage can help reduce swelling and inflammation after an injury or surgery.
Lymph nodes act as filtering stations for the lymphatic system, but they are not part of the lymphatic system itself.
Lymph nodes act as filtering stations for the lymphatic system, but they are not part of the lymphatic system itself.
Chronic inflammation can lead to the formation of abnormal scar tissue, a condition known as fibrosis.
Chronic inflammation can lead to the formation of abnormal scar tissue, a condition known as fibrosis.
Lymphatic drainage massage should be performed on patients with untreated or undiagnosed cancer.
Lymphatic drainage massage should be performed on patients with untreated or undiagnosed cancer.
Lymphatic Drainage Massage can help reduce ______ and inflammation after an injury or surgery.
Lymphatic Drainage Massage can help reduce ______ and inflammation after an injury or surgery.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
During the acute stage of inflammation, ______ cells arrive at the site of damage.
During the acute stage of inflammation, ______ cells arrive at the site of damage.
The primary function of lymph nodes is to attract ______ to the damaged area during inflammation.
The primary function of lymph nodes is to attract ______ to the damaged area during inflammation.
Lymphatic Drainage Massage will affect the circulatory and ______ system to some degree.
Lymphatic Drainage Massage will affect the circulatory and ______ system to some degree.
What is the recommended approach when performing manual lymphatic drainage on an area with chronic edema?
What is the recommended approach when performing manual lymphatic drainage on an area with chronic edema?
What technique is recommended to be incorporated into a general Swedish massage routine for lymphatic drainage?
What technique is recommended to be incorporated into a general Swedish massage routine for lymphatic drainage?
In the acute stage of inflammation, what treatment is recommended before performing manual lymphatic drainage?
In the acute stage of inflammation, what treatment is recommended before performing manual lymphatic drainage?
Which of the following techniques is NOT mentioned as part of the manual lymphatic drainage protocol?
Which of the following techniques is NOT mentioned as part of the manual lymphatic drainage protocol?
During the sub-acute stage of inflammation, what treatment is recommended before performing manual lymphatic drainage?
During the sub-acute stage of inflammation, what treatment is recommended before performing manual lymphatic drainage?
What is the recommended starting point for manual lymphatic drainage?
What is the recommended starting point for manual lymphatic drainage?
The ______ system is responsible for removing metabolic waste and dead cells from the body.
The ______ system is responsible for removing metabolic waste and dead cells from the body.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
During the pumping at the lateral neck, stationary circles and scoops are done at the same time ______.
During the pumping at the lateral neck, stationary circles and scoops are done at the same time ______.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymph ______ act as filtering stations for a region or organ of the body.
The inflammatory process may result in ______ formation.
The inflammatory process may result in ______ formation.
The inflammatory process should not be ______ as it is necessary to fight infection and initiate repair.
The inflammatory process should not be ______ as it is necessary to fight infection and initiate repair.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
The ______ stage of healing involves new scar tissue formation and alignment according to force.
Lymphatic drainage massage can help reduce ______ after an injury or surgery.
Lymphatic drainage massage can help reduce ______ after an injury or surgery.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymph ______ act as filtering stations for a region or organ of the body.
Increased ______ is needed to allow more blood flow to the injured area.
Increased ______ is needed to allow more blood flow to the injured area.
Chronic inflammation can lead to ______ scarring.
Chronic inflammation can lead to ______ scarring.
During the ______ stage of inflammation, specific cells accumulate and work to fill in damaged tissue.
During the ______ stage of inflammation, specific cells accumulate and work to fill in damaged tissue.
Lymph ______ act as filtering stations for a region or organ of the body.
Lymph ______ act as filtering stations for a region or organ of the body.
The inflammatory process may result in ______ formation.
The inflammatory process may result in ______ formation.
Increased ______ is needed to allow more blood flow to the injured area.
Increased ______ is needed to allow more blood flow to the injured area.
What is the primary purpose of performing lymphatic drainage massage?
What is the primary purpose of performing lymphatic drainage massage?
Which technique is used to massage the posterior and lateral thigh?
Which technique is used to massage the posterior and lateral thigh?
How many times are stationary thumb circles performed on the ankle?
How many times are stationary thumb circles performed on the ankle?
What technique is recommended to finish the lymphatic drainage massage on the lower extremity?
What technique is recommended to finish the lymphatic drainage massage on the lower extremity?
Which technique is used on the medial thigh to promote lymph flow towards the inguinal nodes?
Which technique is used on the medial thigh to promote lymph flow towards the inguinal nodes?
What is the primary aim of the lymphatic drainage massage technique described in the text?
What is the primary aim of the lymphatic drainage massage technique described in the text?
In which stage of the inflammatory process should manual lymphatic drainage not be performed?
In which stage of the inflammatory process should manual lymphatic drainage not be performed?
What is the purpose of the pumping technique described in the text, starting from the thoracic spine and moving towards the upper ribs?
What is the purpose of the pumping technique described in the text, starting from the thoracic spine and moving towards the upper ribs?
What is the purpose of the draping technique described in the text, where the therapist angles the drape from the waist/midline towards the greater trochanter?
What is the purpose of the draping technique described in the text, where the therapist angles the drape from the waist/midline towards the greater trochanter?
Which of the following techniques is recommended to be incorporated into the general Swedish massage routine for lymphatic drainage, as described in the text?
Which of the following techniques is recommended to be incorporated into the general Swedish massage routine for lymphatic drainage, as described in the text?
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Study Notes
Inflammation Process
- The inflammatory process has three stages: vasodilation and increased permeability, emigration of phagocytes, and tissue repair.
- The body's innate immune response to an irritant or injury is inflammation.
- Causes of inflammation: pathogens, trauma, chemical, immunological, extreme temperatures, obesity, diet, stress, and anxiety.
- Signs and symptoms of inflammation: PRISH (Pain, Redness, Immobility, Swelling, Heat) or SHARP (Swelling, Heat, A loss of function, Redness, Pain).
Stages of Healing
- The four stages of healing are: acute stage, sub-acute stage (proliferative stage), post-acute stage (maturation stage), and chronic inflammation.
- Acute stage: initial inflammatory phase, chemical released by damaged cells, exudate/edema develops, cells arrive (platelets & WBCs), and may last 1-3 days.
- Sub-acute stage: specific cells accumulate and work to fill in damaged tissue, new capillaries grow into the area for new cell growth, scar tissue forms, WBCs clean up debris, and can last 2-3 weeks depending on severity.
- Post-acute stage: new scar tissue (collagen fibres) is remodeled and reshaped, becomes denser and aligns according to force, and it's important not to limit mobility entirely during this stage to allow most ideal scar formation.
Chronic Inflammation
- Chronic inflammation is when the inflammatory process is not successful, pathogens/irritants are not removed, and the immune system continues to attack tissue.
- Complications of chronic inflammation: cysts, abscesses, fistulae, sinuses, tendinosis, keloid scarring, and musculoskeletal structures never regain full function.
Treatment of Inflammation
- RICE method: Rest, Ice, Compression, Elevation, and Immobilize (sometimes and only for a specific period of time).
- Massage can be beneficial in the post-acute stage (maturation/remodelling) for fluid turnover (circulatory techniques) and alignment of scar tissue.
- Manual lymphatic drainage can help with the reduction of swelling in all stages, provided that the appropriate principles are followed for each respective stage.
Edema
- Edema is a local or general accumulation of fluid in the interstitial tissue spaces.
- Causes of edema: increased permeability of capillaries from inflammation, tissue trauma, immune response, or burns; obstruction of lymphatic flow; increased capillary pressure from heart failure, thrombophlebitis, pregnancy, or a generalized allergic response; and decrease of plasma protein with liver and kidney diseases, starvation, and following extensive burns.
Lymphatic System
- The human body contains over 600 lymph nodes, most commonly found around the joints (160 in the neck).
- Lymph nodes act as filtering stations for a region or organ of the body, and their location around joints assists in movement of fluid via the pumping action created by the joints and muscle contraction.
Lymphatic Drainage Massage
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Lymphatic drainage massage aims to reduce swelling (edema) by focusing on the lymphatic system.
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Indications for lymphatic drainage massage: metabolic removal, local inflammation, acne, gout, stress, constipation, bruising, bronchitis, carpal tunnel, thoracic outlet syndrome, and sinusitis.
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Contraindications for lymphatic drainage massage: sprains, strains, tendonitis, arthritis, burns, mastectomy, breast augmentation, breast reduction, dental/oral surgery, cosmetic surgery, joint replacement, scarring, untreated/undiagnosed cancer, acute infection (local or systemic), thrombosis (blood clot), heart-related edema (congestive heart failure, advanced high blood pressure), and precautions for tuberculosis, pregnancy (if history of miscarriage or in 3rd trimester), diabetes (may cause insulin shock), extreme low blood pressure (may cause fainting), and asthma (sternal work may cause asthma attack).### Lymphatic Massage Effects
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Drains congested areas and reduces edema, such as in acute injuries like sprains or strains
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Localizes and reduces inflammation, particularly post-surgery
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Helps remove metabolic waste, dead cells, and debris, especially post-surgery
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Re-routes the lymph if there is an obstruction, such as scar tissue, typically performed by a certified lymphedema therapist
Indications for Lymphatic Drainage Massage
- Metabolic removal
- Local inflammation
- Acne
- Gout
- Stress
- Constipation
- Bruising
- Bronchitis
- Carpal Tunnel
- Thoracic Outlet Syndrome
- Sinusitis
Contraindications for Lymphatic Drainage Massage
- Sprains
- Strains
- Tendonitis
- Arthritis
- Burns
- Mastectomy
- Breast Augmentation
- Breast Reduction
- Dental/oral Surgery
- Cosmetic Surgery
- Joint Replacement
- Scarring
- Decongestive Pre/Post Operative
- Untreated/Undiagnosed cancer
- Acute infection (local or systemic)
- Thrombosis (blood clot)
- Heart-related edema (congestive heart failure, advanced high blood pressure)
Precautions for Lymphatic Drainage Massage
- Tuberculosis
- Pregnancy (if history of miscarriage or in 3rd trimester)
- Diabetes (may cause insulin shock)
- Extreme low blood pressure (may cause fainting)
- Asthma (sternal work may cause asthma attack)
Lymphatic Drainage Massage Protocol
- Removes all constrictions to the affected area
- Begins at the neck and pumps the terminus
- Techniques include:
- Stationary circles
- Pump
- Scoop
- Rotary
- Thumb circles
- Acute: no treatment distal or through injury site
- Early sub-acute: work around periphery of injury site
- Late sub-acute: work to the sides of the injury and then center and proximal of injury site
- Chronic: work distal and through injury site
Manual Lymphatic Drainage Routine
- Incorporated into a General Swedish Massage
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- Elevates affected area (if possible) while performing GSM
-
- Treats all other conditions first using GSM
-
- Hydrotherapy vs No Hydrotherapy:
- Acute: applies cold for 10 minutes
- Sub-acute: applies contrast warm/cool for 5 minutes each, 3 sets
- Chronic: warm to decrease gelling of edema (via Swedish techniques)
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- Performs Deep Diaphragmatic Breathing
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- Removes all pillowing and loosens draping
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- Begins treatment at the neck to clear the terminus
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- Works on the edematous area from furthest area of closest segment to lymph node cluster
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- Can close with 2 or 3 Swedish Lymphatic Drainage Techniques:
- Light unidirectional effleurage
- Light course running vibrations
- Passive relaxed range of motion
- Muscle setting
- Shaving
- Soothing stroking
- Neck & Terminus Pumping
Upper Extremity (Anterior) Lymphatic Drainage
- Starts with neck & terminus pumping
- Unidirectional light effleurage to limb
- Pumps deltoid and shoulder in 3 spots, 3x each spot, towards terminus
- Uses digits 2-5 (‘8 Little Soldiers’) on medial arm in 3 spots to pump towards axilla
- Pumps anterior and lateral arm in 5 spots towards axilla
- Scoops to posterior arm in 3 spots
- Pumps to forearm in 5 spots towards cubital fossa
- Thumb circles to dorsum of wrist in 3 spots
- Swedish Drainage Portion:
- Finishes with 2 of the following to the entire arm; direction is always towards axilla:
- Unidirectional light effleurage
- Running vibrations
- Stimulating stroking
- Passive range of motion to affected joint and/or joints above 7-10x
- Finishes with 2 of the following to the entire arm; direction is always towards axilla:
Lower Extremity (Anterior) Lymphatic Drainage
- Starts with neck & terminus pumping
- Unidirectional light effleurage to limb
- 8 little soldiers to medial thigh in 3 spots, 5x each spot, towards inguinal nodes
- Pumps to anterior and lateral thigh with single hand or alternating hands in 7 spots, towards inguinal nodes
- Alternating thumb circles to pes anserine in 3 spots
- Stationary circles to popliteal space 5x
- Pumps anterior lower leg in 5 spots, towards pes anserine & popliteal fossa
- Stationary thumb circles to ankle in 2 spots
- Stationary thumb circles to dorsum of foot
- Squeeze ball of foot
- Swedish Drainage Portion:
- Finishes with 2 of the following to the entire leg; direction is always towards greater trochanter:
- Unidirectional light effleurage
- Running vibrations
- Stimulating stroking
- Passive range of motion to affected joint and/or joints above 7-10x
- Finishes with 2 of the following to the entire leg; direction is always towards greater trochanter:
Lower Extremity (Posterior) Lymphatic Drainage
- Performed with client in prone
- Starts with neck & terminus pumping
- Unidirectional light effleurage to limb
- Stationary circles/pump to glut region in 3 spots towards greater trochanter
- 8 little soldiers to medial thigh in 3 spots, 5x each spot, towards medial inguinal nodes
- Pumps to posterior and lateral thigh with single hand or alternating hands in 7 spots, towards greater trochanter
- Stationary circles to popliteal space 5x
- Pumps/squeeze with whole hand to posterior lower leg in 5 spots, towards popliteal fossa
- Stationary thumb circles to ankle in 2 spots
- Swedish Drainage Portion:
- Finishes with 2 of the following to the entire leg; direction is always towards greater trochanter:
- Unidirectional light effleurage
- Running vibrations
- Stimulating stroking
- Passive range of motion to affected joint and/or joints above 7-10x
- Finishes with 2 of the following to the entire leg; direction is always towards greater trochanter:
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