Lymphatic Massage

Question 1

French osteopath who teaches for the Florida Upledger Institute and who developed a complex, advanced therapy called Lymph Drainage Therapy. SWIHA incorporates some of his therapy into the Lymph Massage class

Answer 1

Dr. Bruno Chikly

Question 2

The name of the Danish therapist who developed the lymph drainage technique that SWIHA bases some of its class on.

Answer 2

Emil Vodder

Question 3

The word “lymph” comes from the Latin word “limpa” meaning…

Answer 3

clear

Question 3

What is lymph fluid?

Answer 3

Protein rich interstitial fluid that has entered the lymph system

Question 4

Is the lymphatic system a closed loop like the circulatory system?

Answer 4

No. It is an open system

Question 5

Babies have about _______% of water in their bodies, the elderly typically have about ___%.

Answer 5

72-85% for babies

50% for the elderly

Question 6

The walls of lymph capillaries are made of what kind of cells?

Answer 6

Endothelial (the same kind of cell that blood capillaries are made of)

Question 7

The initial endothelial cells of lymph capillaries are not side-by-side as is usually the case. Instead they _______ each other.

Answer 7

Overlap. This arrangement created flap valves that open and close.

Question 8

When we stretch the skin with light pressure, elastic fibers called _________ _________ pull the flat cells of the capillary open.

Answer 8

Anchoring filaments

Question 9

How large are lymph capillary openings compared to blood capillary openings?

Answer 9

4-6 times, allowing the lymph to pick up large molecules like proteins

Question 10

The 4 types of lymph vessels are:

Answer 10

Lymph Capillaries
Pre-collectors
Collectors
Ducts

Question 11

Pre-collectors are like capillaries except…

Answer 11

They are larger and have valves every 2-3mm

Question 12

Lymph Collector vessels are like pre-collectors except they are larger (4-8 times wider than a hair) and they have tiny muscles called _______

Answer 12

Lymphangions

Question 13

The biggest lymph collectors in the body are the…

Answer 13

Lymph trunks, lymph ducts (e.g. Thoracic ducts) and terminal pathways

Question 14

Cisterna chyli

Answer 14

A sac at the lower end of the thoracic duct into which lymph from the intestinal trunk and two lumbar lymphatic trunks flow.

Question 15

Where is the Cisterna Chyli?

Answer 15

In front of the 12th thoracic, 1st and 2nd lumbar vertebrae, slightly to the right of the aorta.

Question 16

What percentage of people have a Cisterna chyli?

Answer 16

15%

Question 17

Collectors send lymph fluid to lymph nodes, which have 3 biological functions:

Answer 17

Filtration
Concentration of the lymph fluid
Lymphocyte production

Question 18

After lymph fluid has been filtered by lymph nodes it drains from the ________ ducts into veins near the _____.

Answer 18

Terminal; Heart

Question 19

Lymphatic circulation is divided into the ____________ lymph circulation just under the top layer of the skin and the ____ lymphatic circulation of the muscles and organs.

Answer 19

Superficial; deep

Question 20

True or false: Lymphatic Drainage Therapy stimulates deep lymph circulation

Answer 20

False. Deep circulation is stimulated by exercise.

Question 21

What is the main way that the body creates movement in the lymph system?

Answer 21

As the body moves, the fascia pulls on the anchoring filaments, allowing lymph fluid to drain into the lymph capillaries

Question 22

Does exercise stimulate superficial lymphatic circulation?

Answer 22

Exercise has a limited effect on the superficial circulation. This is why Lymph Drainage Therapy is helpful.

Question 23

What percentage of the lymph is drained by the superficial lymphatic circulation?

Answer 23

70%

Question 24

Can a damaged lymph node regenerate?

Answer 24

No

Question 25

What are the benefits of Lymph Drainage Therapy?

Answer 25

``` Stimulates immune system Detoxifies body Relaxes the body by switching to the parasympathetic nervous system Reduces water retention and lymphedema Reduces muscle spasms ```

Question 26

Can lymph drainage therapy potentially promote metastasis of cancer?

Answer 26

No, according to a 1996 report by the International Society of Lymphology

Question 27

True or false? Lymphatic massage is indicated for those with a compromised immune system

Answer 27

False. Lymphatic massage is for an uncompromised, healthy (but maybe sluggish) lymphatic system

Question 28

True or false? Lymphatic Massage is indicated for lymphedema, tooth pain, acne, rosacea, eczema, wrinkles, bags under eyes, cellulite, chronic constipation, hepatitis, spinal injuries, Parkinson's, Multiple Sclerosis, chronic glaucoma, cataracts, Macular degeneration, sprains, fractures, dislocations, whip lash, lower back pain, sciatica, tinnitus, vertigo, Rheumatoid arthritis, gout, osteoporosis, muscle spasms or cramps, post-surgical edema

Answer 28

True BUT advanced training is needed to effectively treat these conditions.

Question 29

What conditions are indicated for lymphatic massage without advanced training?

Answer 29

Stress, Fatigue, Chronic Fatigue Syndrome, Fibromyalgia, chronic pain, sleeping disorders, weight loss, muscle tightness and pain, edema

Question 30

T or F: Acute infections are usually contraindicated for Lymph massage

Answer 30

False. They are ALWAYS contraindicated

Question 31

T or F: Lymphatic drainage improves fluid supply to the heart and therefore can be helpful for cardiac patients.

Answer 31

False. Major cardiac issues are contraindicated. If a client cannot carry a bag of groceries up a flight of stairs without strain, they should not receive lymphatic massage.

Question 32

What two things do you look for when opening up the terminals?

Answer 32

Swallowing and skin stretching

Question 33

What should you always do before doing lymphatic work on ANY part of the body?

Answer 33

Open the lymphatic terminals

Question 34

Is pitted edema indicated for lymphatic massage?

Answer 34

No. Pitted edema indicates a filtering problem (kidney stress) and moving the lymphatic fluid increases stress on the kidneys.