| MANUAL
LYMPHATIC DRAINAGE (MLD) |
| Our
team has performed numerous anatomical studies during these past thirty
years, using human cadavers as well as live subjects in order to
investigate the various trajectories of the lymphatic collectors (300 human
cadavers for upper extremity AL1.32 ; for the head and neck OL1.2 ; for
the lower limb (ref.)
We
designed Manual Lymph Drainage after experimenting on live animals and
healthy subjects (AL1.2, AL1.3,
AL1.5, AL1.10, AL1.14,
OL1.3,
OL1.4, AL2.23).
We
can summarize our technique as follows: |
LYMPH
NODES DRAINAGE
Goal
: assist the lymph nodes drainage.
Lymph
nodes are emptied by simple pressure. It is not a stimulation because there
is no contraction taking place in lymph nodes.
The
maneuver on lymph nodes clears up these nodes before theye receive the
lymph drained from the oedmatous area.
|
inguinal
lymph nodes (159 Ko)
popliteal
lymph nodes (167 Ko)
|
|
CALL
UP INCITING MANEUVER
| This
maneuver increases the frequency of contraction of smooth muscles of lymphangious
of the lymphatic collectors of the area considered. This effect was related
by lymphoscintigraphy (OL1.1,
OL1.3, OL1.4).
This
technique generates also an acceleration of the drainage of the elements
of lymphedema. This is the reason why we called it " call up technique
" or inciting technique ".
|
Call
up maneuver (157 Ko)
|
|
REABSORPTION
MANEUVER
|
| The
technique of application of manual lymph drainage must be adapted to the
specific pathology to be treated. The substitution pathways must be used
only on patients who underwent a lymph nodes removal. In other cases, it
is recommended to respect the classic anatomy considering some specific
pathways which are not always described in anatomy but that we have
discovered during our cadaveric dissections. |
| The
relative duration of manual lymph drainage in a treatment may vary. For
example, for a lower extremity edema, it may last from 15 to 20 minutes
in case of edema post trauma, it may last one half hour for a congenital
edema and 45 minutes for a lymphedema post oncologic surgery… |
|