5. Lymphatics Lab

Question 1

What are the indications for lymphatic treatment?

Answer 1

SD

Sprains / strains

Edema / Tissue congestion

Lymphatic / Venous stasis

Pregnancy

Infection

Inflammation

Question 2

What are the absolute contraindications of lymphatic treatment?

Answer 2

Anuria

Necrotizing fasciitis

Question 3

What are the relative contraindications for lymphatic treatment?

Answer 3

Malignancy

Fracture / Dislocation

Some infections

Some circulatory disorders

Patients on anticoagulants

Question 4

What are the three “fluid pumps” we evaluate in lymphatics?

Answer 4

Thoracic inlet

Thoracic diaphragm

Pelvic diaphragm

Question 5

What are the 5 “principles” of lymphatic diagnosis?

Answer 5

Evaluate indications/risk

Evaluate central myofascial pathways (Zink’s restrictors)

Evaluate fluid pumps

Evaluate for spinal involvement

Evaluate peripheral / regional pathways (lymph nodes)

Question 6

What are the six regions for palpation of lymph nodes?

Answer 6

Supraclavicular

Epigastric

Posterior axillary

Inguinal

Popliteal

Achilles

Question 7

What are the four “principles of lymphatic treatment?”

Answer 7

1. Open pathways to remove restriction to flow
2. Maximize diaphragmatic functions
3. Increase pressure differentials (transmit motion)
4. Mobilize targeted tissue fluids