Homeosomatic Lymphopathic Therapeutics UNLOCK THE HEALING POWER OF LYMPHOPATHIC THERAPEUTICS: A TRAINING GUIDE
The Workshop OUR PRESENTATION AND WORKSHOP OBJECTIVES
Lymphopathic Therapeutics – A Training Guide Unlock the Healing Power of Lymphopathic Therapeutics: A Training Guide Embark on a transformative journey with our Lymphopathic Therapeutics workshop and training guide. This guide has been written for health care professionals who aspire to master the art of lymphopathic therapeutics through manual therapy, exercise, diet and nutrition, and herbal medicine. Whether you’re a seasoned massage therapist, doctor, a student of holistic health, or an allied health practitioner eager to expand your practice skills, this workshop and guide is your gateway to proficiency.
Lymphopathic Therapeutics – A Training Guide
About the Homeosomatic Lymphopathic Therapeutics Workshop
This workshop on Homeosomatic Lymphopathic Therapeutics (HLT) is provided in two parts. Part one is a brief lecture presentation on the anatomy, physiology, and pathology of the lymphatic system and the theories, concepts, and protocols of Homeosomatic Lymphopathic Therapy (HLT).
Lymphopathic Therapeutics – A Training Guide
About the Homeosomatic Lymphopathic Therapeutics Workshop
This workshop workbook is accompanied by the Lymphedema Training Manual authored by Dr. Gregory T. Lawton. The training manual contains photographs of the various manual therapy techniques referenced in this workbook and used for the treatment of lymphedema.
Lymphopathic Therapeutics – A Training Guide About the Homeosomatic Lymphopathic Therapeutics Workshop
Training manual for the Lymphedema Program workshop.
HLT Workshop Highlights:
Lymphopathic Therapeutics – A Training Guide
Fundamentals of the Lymphatic System: Gain a deep understanding of the anatomy and physiology of the lymphatic system. Learn how it works to detoxify the body, support immune function, and maintain fluid balance.
Techniques & Protocols: Step-by-step instructions on various lymphatic drainage techniques, complete with high-quality illustrations and easy-to-follow guidelines.
Hands-On Practice: Practical exercises to hone your skills and build confidence in applying techniques on clients.
Personalized Guidance: Receive personalized feedback from experts to ensure you’re performing techniques correctly for maximum benefit.
Health Benefits: Explore the myriad of health benefits associated with lymphatic drainage, from reducing swelling to enhancing recovery post-surgery.
Client Care & Safety: Essential tips for ensuring client comfort, addressing contraindications, and maintaining impeccable hygiene standards.
Your Presenter GREGORY T. LAWTON, D.N., D.C., D.AC.
Lymphopathic Therapeutics – A Training Guide Dr. Lawton is national board certified in chiropractic, physiotherapy, radiology, and acupuncture. 40+ years of research in the field of brain, spinal and peripheral neurology. Author of over 100 books and numerous health science articles. Licensed in 3 healthcare professions in 3 US states. 50+ years as a health science educator. Former vice president of large medical psychology practice. Former vice president of large physical therapy group practice. Founder of the Blue Heron Academy. Founder of American Health Source. Over 50 years in private practice at Clinical Health Maintenance.
About Your Presenter
Lymphopathic Therapeutics – A Training Guide
“In the 1970’s I studied the Vodder Method of Lymph Drainage at the National College of Naprapathic Medicine and later at the University of Health Sciences. Since that time and during over fifty years of clinical practice and experience in treating edema, I have refined and, I feel, improved upon, the techniques of manual lymph drainage. I feel that as you, the student and/or practitioner of manual therapy review the biomechanics and physiological effects of these clinical techniques for the treatment of edema you will find a systematic and detailed approach to edema therapy. This therapy, Homeosomatic Lymphopathic Therapeutics (HLT) demonstrates the same specificity that we bring to all aspects of manual medicine in private practice, at the Blue Heron Academy, and through American Health Source workshops.” Dr. Lawton
This Training Guide PRESENTATION MANUAL
Unlock the Healing Power of Lymphopathic Therapeutics: A Training Guide
Lymphopathic Therapeutics – A Training Guide
This manual covers a series of treatment techniques and protocols for the management of disorders associated with the abnormal movement and/or interruption of fluid through the lymphatic system. This topic requires a brief review of how lymph fluid moves in an around the human body, its cells, tissues and organs as well as lymph and interstitial fluid hydraulic and osmotic behavior. This also requires a brief review of the filtration and osmotic mechanisms that control cellular, interstitial, vascular, and lymphatic fluid balance.
Manual Medicine HANDS ON TRAINING SECTION
Unlock the Healing Power of Lymphopathic Therapeutics: A Training Guide
Lymphopathic Therapeutics – A Training Guide
When we begin the technique and hands on portion of the Lymphopathic Therapeutic workshop we will cover the following protocols in detail: 1.
Repetitive Movement Technique
2.
Lymphedema Technique
Elevation
Progressive Capillary Propulsion
Muscular Contraction and Relaxation
Lymphatic pump, Thoracic
Extremity wrapping technique with elevation, single wrap and cross-hatch wrap
Compressive stroking with elevation
Repetitive Movement Technique (Repeated)
Ancillary techniques
HLT Technique Progressive Capillary Propulsion
Progressive Capillary Propulsion
Progressive Capillary Propulsion describes the process of capillary action. Once we begin to apply a progressive, compressive, squeezing manual technique from the distal end point of the extremity toward the lymph collection centers, the molecular movement of the fluid tends to draw additional fluid along in a process called capillary action.
HLT Technique Repetitive Motion
HLT Technique Elevation
HLT Technique Muscular Contraction and Relaxation
HLT Technique Ringing and Squeezing Massage
Unlock the Healing Power of Lymphopathic Therapeutics: A Training Guide
Lymphopathic Therapeutics – A Training Guide
We will also present, demonstrate, and review the following ancillary techniques: Cupping Red light or Bioptron Therapy Castor Oil Packs Infused Oil Treatment (IOT) (Poke Root) Dry Brushing Gua Sha Kinesio tape (KinesioStretch Method)
Learning About the Lymphatic System WHAT IS IT, HOW IT WORKS, AND WHAT DOES IT DO?
The Lymphatic System The lymphatic system is a crucial network of organs, vessels, and tissues that work together to maintain fluid balance, protect against infections, and support overall health.
The Lymphatic System
Acts as a drainage system to transport, via the bloodstream, proteins and fluid that have leaked into the interstitial fluid surrounding body cells. The lymphatic system collects excess fluid (lymph) from body tissues and returns it to the bloodstream, ensuring healthy fluid levels. Absorbs lipids from the small intestine. It transports fats and fat-soluble vitamins from the intestines to the bloodstream. Creates antibodies. Part of the immune system, it produces and releases white blood cells (lymphocytes) that detect and destroy invaders like bacteria, viruses, and fungi.
The Anatomy of Lymphatic System: Working in coordination with many vital organs, including the heart, the lungs, the digestive organs, the liver and the kidney’s, the components of the lymphatic system include:
The Lymphatic System
Lymph: A clear, yellowish fluid created by filtering plasma. It contains water, proteins, lipids, glucose, ions, and cells. Lymphatic Vessels: Collect lymph and transport it toward the bloodstream. Lymph Nodes: Small structures filled with immune cells that filter lymph and monitor for pathogens. Lymph nodes are collections of stationary lymph tissue that produce lymphocytes and act as lymph fluid filters; contain macrophages, B cells and T cells that destroy foreign substances. Lymphoid Organs: Include the spleen, thymus, and tonsils, contributing to immune function.
The Anatomy of Lymphatic System: Right lymphatic duct: Large duct in the upper chest that the lymph vessels empty into; drains the right side of the head and the chest. Thoracic duct: Large duct in the upper chest that the lymph vessels empty into; drains the lower body and the left side of the head.
The Lymphatic System
Large veins in the neck: Lymph is carried here from the ducts where it then enters the bloodstream. Spleen: Composed of lymph tissue; destroys old blood cells, filters foreign substances from the blood, activates lymphocytes that produce antibodies and stores blood. Thymus gland: Composed of lymph tissue; especially important during childhood and helps with the creation of antibodies and immune cells.
The Anatomy of the Lymphatic System:
The Lymphatic System
More than half of the lymph fluid that flows into the lymphatic system is derived from the liver and intestines, the remaining, less than fifty percent, flows from all other areas of the body.
Lymph vessels and their relationship to the cellular matrix and the circulatory system.
The Lymphatic System
The Lymphatic System
The larger vessels that comprise the lymphatic system have valves that direct the lymph toward the lymphatic ducts and into the blood stream. The purpose of the valves is to prevent a “back flow” of lymphatic fluid. Muscular activity, peristalsis, respiration, and body movement all creates pressure on the lymph vessels that moves lymph fluid towards the heart and back through the circulatory system.
The Lymphatic System
An exquisitely delicate network of vessels, nodes, and collection centers that permeates every aspect of the human body.
The Lymphatic System
Some areas of the lymphatic systems and its organs, nodes, and vessels cannot be reached by external manual techniques for these areas and regions we need other specialized movements, breathwork, and maneuvers.
The Lymphatic System
Lymph fluid allowed to accumulate and stagnant leads to inflammation, fibrosis, and possibly benign and malignant tumors.
How is lymph fluid moved in the human body?
The Movement of Lymph Fluid
Most of the movement and flow of lymph in the human body results from daily movement or locomotion, respiration, heart and arterial pulsation, as well as peristalsis activity in the digestive tract. In the interstitial spaces, the spaces outside of cells and vessels, fluid moves via the process called osmosis. Osmosis is a process by which molecules of a solvent tend to pass through a semipermeable membrane from a less concentrated solution into a more concentrated one, thus equalizing the concentrations on each side of the membrane.
How is lymph fluid moved in the human body? Contraction of skeletal muscles
The Movement of Lymph Fluid
Lymphatic vessel compression Smooth muscle contraction Heart and arterial contraction Valves in lymphatic vessels Breathing Digestion
Lymphatic System Pathology UNDERSTANDING LYMPHEDEMA
Lymphedema refers to swelling that generally occurs in the arms or legs. Although lymphedema tends to affect just one arm or leg, sometimes both arms or both legs may be swollen.
Lymphedema
Lymphedema is caused by a blockage in the lymphatic system, an important part of the immune and circulatory systems. The blockage prevents lymph fluid from draining well, and as the fluid builds up, the swelling continues. There's no cure for lymphedema, but it can be controlled. Controlling lymphedema involves diligent care of the affected limb or limbs.
Lymphedema symptoms include: 1. Swelling of part of an arm or leg or an entire arm or leg, including fingers or toes. 2. A feeling of heaviness or tightness in the arm or leg. 3. Restricted range of motion in the arm or leg.
Lymphedema
4. Loss of function. 5. Aching or discomfort in an arm or leg. 6. Recurring infections in the affected limb. 7. Hardening and thickening of the skin on the arm or leg. 8. Ulceration of the skin and superficial tissues. 9. Gangrene.
Lymphedema
The swelling caused by lymphedema ranges from mild, hardly noticeable changes in the size of the arm or leg to extreme swelling that can make it impossible to use the affected limb.
Types of Lymphedema
Lymphedema occurs when the lymph vessels are unable to adequately drain lymph fluid, usually from an arm or leg. Lymphedema can be either primary or secondary. This means it can occur on its own (primary lymphedema) or it can be caused by another disease or condition (secondary lymphedema).
Causes of primary lymphedema:
Causes of Lymphedema
Primary lymphedema is a rare, inherited condition caused by problems with the development of lymph vessels in your body. Primary lymphedema occurs most frequently in women
Causes of secondary lymphedema: (Doctors)
Causes of Lymphedema
Any condition or procedure that damages the lymph nodes or lymph vessels can cause lymphedema. Causes include: 1. Surgery 2. Radiation 3. Cancer 4. Infection
Causes of Lymphedema
Causes of secondary lymphedema: (Doctors) Medical treatment for breast cancer is a common cause of upper extremity edema due to lymph node resection, scar tissue, radiation and damage resulting from chemotherapy.
Causes of Lymphedema
Causes of secondary lymphedema: (Doctors) Reconstructive surgery post mastectomy is also a cause of disruption and damage to the delicate lymphatic capillaries and vessels.
Other causes of secondary lymphedema:
Causes of Lymphedema
Lymphedema, even cases secondary to surgery or radiation, most often has a very strong lifestyle and behavioral component and is commonly associated with a poor diet leading to heart disease, lung disease (smoking), obesity, diabetes and alcoholism.
Lymphatic System Pathology LYMPHEDEMA DISEASE STAGING
Stages of Lymphedema Disorder Latent - Stage 0
Stages of Disease and Disorder
Lymphatic transport capacity is reduced No visible/palpable edema Subjective complaints are possible In this early stage, changes occur deep within the tissues without obvious swelling. Sensations like tightness, heaviness, or diffuse tingling may be present, even though the limb appears normal. Special imaging or other lymphatic technology is required for diagnosis at this stage
Stages of Lymphedema Disorder Stage I (Reversible Lymphedema)
Stages of Disease and Disorder
Accumulation of protein rich edema fluid Pitting edema Reduces with elevation (no fibrosis) Upon waking in the morning, the limb or affected area is almost a normal size. The tissue is still in a "pitting stage" ( when pressed by a finger the area indents and holds the indentation).
Stages of Lymphedema Disorder
Stages of Disease and Disorder
Stage 2 (moderate) - The tissue is "non-pitting" (when pressed by a finger the tissue bounces back without leaving an indentation). The tissue has a spongy consistency. Chronic soft-tissue inflammation leads to fibrosis (thickening and hardening of tissues). Treatment is essential to manage symptoms and prevent further damage
Stages of Lymphedema Disorder Stage 3 (Lymphostatic Elephantiasis)
Stages of Disease and Disorder
Accumulation of protein rich edema fluid Non pitting Fibrosis and sclerosis (severe induration) Skin changes (papillomas, hyperkeratosis, etc.) While complications can arise in all stages of lymphedema, it is Stage 3 that presents with the most significant and severe complications. Another very important reason for early diagnosis and immediate treatment. Stage 3 (severe) - The tissue at this stage is hard (fibrotic) and will be only slightly responsive to the touch. The swelling is almost irreversible, and the limb is very large and swollen. Infections are possible at any stage of lymphedema, but occurrence becomes greater as stages progress. A swollen limb, left untreated, becomes hard (fibrotic) and full of lymph fluid which is high in protein and a perfect medium for bacteria and infections. At this stage, lymphedema significantly impacts daily life and mobility.
Stages of Lymphedema Disorder Stage Four
Stages of Disease and Disorder
The limb is densely fibrotic and it is not possible to make an indentation in the skin when pressed. It becomes impossible for ultrasound testing to record the pulse in the limb. The skin becomes brittle and even minor trauma causes a serious, extensively weeping wound. Because of the hardness of the tissue, it has become a septic pool for bacteria and cellulitis. Recurrent or constant infections are common.
Homeosomatic Lymphopathic Therapeutics FLUID DYNAMICS
Fluid Dynamics A Vital Concept to Understand: Lymph fluid moves through lymph nodes at a specified rate or gradient. As the lymph moves through the node it is filtered and acted upon by components of our immune system. The normal homeostatic gradient allows immune and filtering tissues the time they need to act upon antigens and foreign materials in the lymph fluid. The role of the therapist is not to bypass or to accelerate this natural mechanism beyond its capacity, but rather to encourage homeostasis. The approach that we take to this therapy is called the homeosomatic system. Homeosomatic simply means that the body responds best to modes of treatment that are most like the body’s natural systems and functions.
Fluid Dynamics
Dysfunctional fluid dynamics and edema, secondary to or as a part of inflammation, is a primary factor in most acute and chronic musculo-skeletal pain conditions. It is a common cause of neuritis and in chronic conditions the cause of fibrosis related to fluid and protein accumulation in the connective tissues.
Fluid Dynamics
The Thoracic Lymphatic Duct and the Right Lymphatic Duct empty the lymph into the subclavian veins, located just below the collarbone. These veins are part of the venous system, which returns deoxygenated blood back to the heart. The subclavian veins join with the jugular veins to form the brachiocephalic veins, and eventually drain into the superior vena cava, which then carries the blood (now enriched with lymph) back to the heart.
Homeosomatic Lymphopathic Therapeutics THE TREATMENT PROTOCOL
Treatment of Lymphedema
The average massage therapist and massage therapy clinic is not designed to provide safe and effective care to patients suffering from the more severe stages of lymphedema. They cannot handle the potential complications, such as skin damage, bleeding, ulceration, and infection, that might occur. Poor or incompetent management of the lymphedema patient may result in further trauma to the lymphatic system with a worsening of the patient’s condition or infection. There are, however, many patients that are seen in the massage therapist's office who present with so called “subclinical” symptoms of lymphedema. Signs and symptoms of swelling and discomfort that represent either: 1.
Acute swelling
2. Chronic, but stable or slowly progressing lymphedema 3.
Early-stage progressive lymphedema
Homeosomatic Lymphedema Therapy
The Homeosomatic System of Lymphedema Therapy employs passive and active treatment techniques that encourage the movement of lymph fluid. In, addition to the intrinsic pumping mechanisms presented above the following factors, listed in order of importance are indicated below: 1.
Contraction of muscles
2. Passive movement of body parts and extremities 3.
Arterial pulsations
4.
Soft tissue compression by outside forces
5. Pulmonary respiration 6. Mobilization of the digestive tract
Amount of Pressure Used in Treatment
Homeosomatic Lymphedema Therapy
The amount of pressure used in Homeosomatic Lymphedema Therapy is determined by the stage of a patient's condition as diagnosed by a physician, the risk factors related to the patient's condition, and the tolerance of the patient to touch and pressure. Some methods of lymphedema therapy employ minute amounts of pressure regardless of these factors. Sequential or intermittent compression uses pressures between 30- and 80-mm Hg which is equal to .5 or 1.5 psi and as much as 130/150 mm Hg – 2.5 to 3 psi.
Homeosomatic Lymphedema Therapy
Treatment and management of the lymphedema patient requires a multi modal approach to a multi-factorial disorder. Lymphedema has many causes and lymphedema treatment requires many different approaches and modalities. Medical and physical therapy management of lymphedema may adopt massage and manual therapy technique combined with the use of compressive devices or drug therapy. The effectiveness of many of the mechanical or chemotherapeutic approaches is highly questionable. The most effective treatments for lymphedema simply involve massage, manual therapy and exercise.
Homeosomatic Lymphedema Therapy
Please refer to our training manual Lymphedema Program Volume IV, Ninth Edition for detailed descriptions and photographs of the techniques employed in Homesomatic Lymphedema therapy and the Lymphopathic Therapeutic Method.
Contraindications FIRST DO NO HARM
Contraindications (Situations in which manual lymphedema therapy (MLT) should not be used). There may be exceptions, but only if ordered by a medical physician. Open Wounds: Do not perform MLT over broken skin or recent unhealed surgical incisions.
Contraindications
Thinning Skin: Avoid performing MLT to thinning or fragile skin in the elderly or in any medical condition where the skin integrity is compromised. Skin Ulcers: Do not use MLT on patients with skin ulceration and/or infection. Acute Cellulitis: This condition involves inflammation of the skin caused by bacteria (usually staphylococcus or streptococcus). If a patient has acute cellulitis, characterized by redness, pain, swelling, and warmth in the infected area, MLT is not recommended.
Deep Vein Thrombosis (DVT): Do not use MLT with patients with a history or who have DVT (a blood clot in a deep vein). It can increase blood flow and dislodge the clot, potentially causing a pulmonary embolism.
Contraindications, Continued
Uncontrolled Diabetes: MLT can worsen pinsand-needles sensations (peripheral neuropathy) associated with uncontrolled diabetes. Active Cancer: Do not use MLT with patients who are undergoing cancer treatment. Lymph Node Removal: Do not perform MLT directly over areas where lymph nodes have been surgically removed or damaged by trauma. Varicose Veins: Tortuous varicose veins may be both and indication and contraindication for MLT.
Renal Dysfunction (Kidney Disease): MLT may not be suitable for individuals with kidney disease.
Contraindications, Continued
Hypothyroidism: Be cautious during MLT neck sequences, as activated lymphatic vessels could encourage additional thyroid hormones to enter the bloodstream. Untreated Congestive Heart Failure: MLT should be avoided in patients who have untreated congestive heart failure. Vaccination: While there are no official studies on the effects of MLT after vaccination, some practitioners recommend avoiding MLT within two weeks of receiving a vaccination.
Fever: Not recommended for patients with a fever.
Contraindications, Continued
Broken or Damaged Skin: Do not perform lymphedema techniques over broken or damaged skin. (Risk of infection) Pregnancy: Care is required during pregnancy. Certain Medications: Patients who are taking blood thinner medications may observe bruising under the skin due to the increased circulation effects.
The significant risks of treatment of lymphedema by the medical profession is: Inappropriate use of pneumatic compression pumps.
Contraindications, Continued
Catastrophic effects of surgical interventions. Mild, moderate to severe drug reactions including liver or kidney failure. Failure to employ massage, manual therapy and other noninvasive techniques.
Contraindications, Continued
Probably the most significant problem with incompetent massage or manual therapy care of lymphedema is simply ineffective treatment. Certainly, deep tissue therapy is inappropriate and could cause further damage to lymphatic vessels.
Contraindications, Continued
Patients who present with signs and symptoms of lymphedema should always be evaluated by a medical physician to determine the cause of the edema, appropriateness of manual care, and the possibility of combined medical care.
Lymphopathic Therapeutics ANCILLARY TECHNIQUE AND METHODS
Ancillary Methods
In addition to the main manual therapy protocols employed in the Homeosomatic Lymphopathic Therapeutic method we also use many ancillary techniques. The choice of which techniques, therapeutic modalities to use, is based upon the condition of the patient, the stage of the disease, and complicating factors. These ancillary techniques include: Cupping Red light or Bioptron Therapy Castor Oil Packs Infused Oil Treatment (IOT) (Poke Root) Dry Brushing Gua Sha Kinesio tape (KinesioStretch Method) Herbal medicine and supplementation
Ancillary Techniques Cupping
Ancillary Techniques Red Light Therapy
Ancillary Techniques Castor Oil Packs
Ancillary Techniques – Dry Brushing
Ancillary Techniques Gua Sha
Ancillary Techniques Herbal Medicine
Ancillary Techniques Nutraceuticals
KinesioStretch Taping Technique THE CLINICAL APPLICATION OF KINESIOLOGY TAPE FOR EDEMA
Kinesio Tape for Edema
Kinesio tape gently lifts the superficial layers of skin, creating a space between the skin, fascia, and underlying tissues. This lifting effect is thought to promote better circulation and lymphatic drainage, which can help reduce swelling and inflammation. As an ancillary part of our Homeosomatic Lymphopathic Therapeutic treatment protocol, and at the end of a treatment session, we often send patients home with kinesio tape applied to an area or region that is afflicted with edema.
KinesioStretch Taping Technique – Fan Edema Technique (Fan Shape): To reduce swelling, create a fan shape around the affected area. Start from the center and fan out. Anchor one end of the tape, stretch the tape gently, and then anchor the other end of the tape. Apply the tape from distal to proximal and from the further point of the involved area towards the lymphatic fluid collection sites and/or towards the heart.
Fan technique Anchor tape from the center of the edema or below it
Run the tape branches across and outward from the edema
Theraband Kinesiotape Tension Chart Theraband kinesiology tape is a product that supports muscles and joints and provides pain relief. It is safe, effective, and easy to apply. The tape is latex-free, non-irritating, and allergy tested3. It lasts up to 5 days. The tape features stretch indicators for perfect application every time41. It has best in class adhesion and sticks and lasts like only the best tapes in the market.
RockTape Edema Applications A type of kinesiology tape, this tape is an upscale brand that is used all over the world by health professionals. Made with an acrylic adhesive, nylon, and cotton, this is a latexfree product that won’t cause an allergic reaction. It is widely accepted that this tape reduces body pain, increases blood circulation, improves how your muscles and joints work, and provides overall support.
Research LYMPHOPATHIC THERAPEUTICS IS EVIDENCE BASED
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References LYMPHOPATHIC THERAPEUTICS IS EVIDENCE BASED
References Koul R, Dufan T, Russell C, Guenther W, Nugent Z, Sun X, Cooke AL. “Efficacy of complete decongestive therapy and manual lymphatic drainage on treatment-related lymphedema in breast cancer.” Int J Radiat Oncol Biol Phys. 2007 Mar 1;67(3):841-6. Tan IC, Maus EA, Rasmussen JC, Marshall MV, Adams KE, Fife CE, Smith LA, Chan W, Sevick-Muraca EM. “Assessment of lymphatic contractile function after manual lymphatic drainage using near-infrared fluorescence imaging.” Arch Phys Med Rehabil. 2011 May;92(5):756-764. Chmelova K, Novackova M. “Effect of manual lymphatic drainage on upper limb lymphedema after surgery for breast cancer.” Ceska Gynekol. 2022;87(5):317–323. dos Santos Crisóstomo RS, Costa DS, de Luz Belo Martins C, Fernandes TI, Armada-da-Silva PA. Influence of manual lymphatic drainage on health-related quality of life and symptoms of chronic venous insufficiency: a randomized controlled trial. Arch Phys Med Rehabil. 2015 Feb;96(2):283-91 Qiao J, Yang LN, Kong YH, Huang X, Li Y, Bai DQ. “Effect of manual lymphatic drainage on breast cancer-related postmastectomy lymphedema: a meta-analysis of randomized controlled trials.” Cancer Nurs. 2023 Mar-Apr;46(2):159–166. Liu J, Chen D, Yin X. “Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery.” Int Wound. 2023 Jan;20(1):183–190. Torres-Lacomba M, Prieto-Gomez V, Arranz-Martin B, Ferrandez JC, Yuste-Sanchez M, Navarro-Brazalez B, Romay-Barrero H. “Manual lymphatic drainage with progressive arm exercises for axillary web syndrome after breast cancer surgery: a randomized controlled trial.” Phys Ther. 2022 Mar 1;102(3). Schingale FJ, Esmer M, Kupeli B, Unal D. “Investigation of the less known effects of manual lymphatic drainage: a narrative review.” Lymphat Res Biol. 2022 Feb;20(1):7–10. Heald A, Perrin R, Walther A, Stedman M, Hann M, Mukherjee A, Riste L. “Reducing fatigue-related symptoms in long covid 19: a preliminary report of a lymphatic drainage intervention.” Cardiovasc Endocrinol Metab. 2022 Apr 12;11(2). Tsai KY, Liao SF, Chen KL, Tang HW, Huang HY. “Effect of early interventions with manual lymphatic drainage and rehabilitation exercise on morbidity and lymphedema in patients with oral cavity cancer.” Medicine. 2022 Oct 21;101(42). Zimmermann A, Wozniewski M, Szklarska A, Lipowicz A, Szuba A. Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Lymphology. 2012 Sep;45(3):103-12.
No part of this proprietary material is to be used for any purpose, other than clinical therapy and treatment provided to patients, by schools or other organizations, without the express written approval of Dr. Lawton.
Homeosomatic Lymphopathic Therapeutics
Dr. Gregory T. Lawton 616 – 570 - 0790 drlawton@clinicalhealthmaintenance.com www.blueheronacademy.com
Homeosomatic Lymphopathic Therapeutics
Homeosomatic Lymphopathic Therapeutics UNLOCK THE HEALING POWER OF LYMPHOPATHIC THERAPEUTICS: A TRAINING GUIDE