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C h e c k o u t A B M P 's l a t e s t n e w s a n d b l o g p o s t s . Av a i l a b l e a t w w w. a b m p . c o m . 61 Resources Ebert, J. R. et al. "Randomized Trial Investigating the Efficacy of Manual Lymphatic Drainage to Improve Early Outcome After Total Knee Arthroplasty." Archives of Physical Medicine and Rehabilitation 94, no. 11 (November 2013): 2103–11. Accessed December 2015. www.movinglymph.com/docs/Misc/Abstract%20RCT%20of%20MLD%20after%20TKA.pdf. Hodge, L. M. "Osteopathic Lymphatic Pump Techniques to Enhance Immunity and Treat Pneumonia." International Journal of Osteopathic Medicine 15 (2012): 13–21. Accessed December 2015. www.ncbi.nlm.nih.gov/pmc/articles/PMC3437985. Knott, E. M. et al. "Increased Lymphatic Flow in the Thoracic Duct During Manipulative Intervention." Journal of the American Osteopathic Association 105 (2005): 447–56. Accessed December 2015. www.ncbi.nlm.nih.gov/pubmed/16314677. Pereira de Godoy, J. M. "Godoy & Godoy Technique in the Treatment of Lymphedema for Underprivileged Populations." International Journal of Medical Sciences 7, no. 2 (2010): 68– 71. Accessed December 2015. www.medsci.org/v07p0068.htm. Pereira de Godoy, J. M. et al. "Cervical Stimulation for Volumetric Reduction of Limbs in the Treatment of Lymphedema." Indian Journal of Medical Sciences 62, no. 10 (October 2008): 423–5. Accessed December 2015. www.medsci.org/v07p0068.htm. Schander, A., H. F. Downey, and L. M. Hodge. "Lymphatic Pump Manipulation Mobilizes Inflammatory Mediators into Lymphatic Circulation." Experimental Biology and Medicine 237, no. 1 (2012): 58–63. Accessed December 2015. www.jaoa.org/content/112/7/413.full.pdf. Taradaj, J. et al. "Comparison of Efficacy of the Intermittent Pneumatic Compression with a High- and Low-Pressure Application in Reducing the Lower Limbs Phlebolymphedema." Therapeutics and Clinical Risk Management 11 (2015). Accessed December 2015. www.ncbi.nlm.nih.gov/pmc/articles/PMC4603726. Approved by the NCBTMB (409296-00), AMTA, ABMP, and state boards. All courses come with a satisfaction guarantee. SAVE 20% on all CE Courses! 70+ Courses online! CE hours Cost Sale 24 Course Packages $280 $225 20 Sports Massage $220 $176 20 Neuromuscular Therapy $220 $176 18 Cupping Therapy $200 $160 18 Medical Massage $190 $152 18 Trigger Point Therapy $190 $152 18 Spa Bodywork $190 $152 17 Orthopedic Massage $180 $144 16 Myofascial Release $175 $140 15 Stone Massage $175 $140 14 Lymphatic Drainage $155 $124 12 Managing Pain $135 $108 12 Chair Massage $135 $108 12 Shiatsu Therapy $135 $108 10 Craniosacral Therapy $115 $92 10 Cancer & Massage $110 $88 9 Treating Headaches $105 $84 9 Elderly Massage $100 $80 9 Acupressure Basics $95 $76 8 Postural Assessment $90 $72 8 Prescription Medication $90 $72 7 Massage & Fibromyalgia $75 $60 7 Massage & TMJ $75 $60 6 Massage & Migraines $65 $52 6 Ethics and Research $60 $50 6 Business Management $65 $52 6 General Aromatherapy $65 $52 5 Reiki Basics $55 $44 5 Massage & Carpal Tunnel $55 $44 4 All about Marketing $45 $36 4 Startup Guide $45 $36 4 Ethics for Therapists $45 $36 3 HIV/AIDS $35 $28 3 Ethics Refresher $35 $28 3 Ethics: Communication $35 $28 3 Research Education $35 $28 2 Ethics in Massage $25 $20 2 Medical Errors $25 $20 2 Social Networking $25 $20 1 Cultural Competence $15 $12 1 Ethics Q&A $15 $12 New Courses for 2016! FREE 1 hour Ethics course! www.massagetherapyceu.com Special Savings for ABMP Members! www.massagetherapyceu.com 866-784-5940 Save 20% on your next order! Use Code ABMP20 the left arm first. When possible, position the area being massaged above the heart so that gravity can assist the lymph flow. • Rhythm. Slow, rhythmic repetition of the massage movements stimulates a wave in the lymph fluid similar to intestinal peristalsis (e.g., a pump). • Duration. Full-body lymphatic drainage massage lasts about 45 minutes. Focus on local areas for about 5–15 minutes. • Drag. Drag on the tissue pulls open the terminal ends of the lymphatic capillaries (flap), allowing interstitial fluid to enter. Drag moves the superficial tissues (skin and superficial fascia) into and out of bind. A JUSTIFIED STATEMENT Now, we have an answer to our question. Massage can be adapted to generally support normal fluid movement and lymphatic function and effectively manage simple edema. Massage can incorporate many of the principles from the various schools of manual lymphatic drainage and osteopathic manipulation techniques without infringement of scope of practice, so long as pathology is not present. PUT INTO PRACTICE: APPLICATION OF MASSAGE TO SUPPORT LYMPHATIC DRAINAGE Having justified the work, here is a protocol for a 50-minute lymphatic system-targeted massage. CAN MASSAGE TARGE TING LYMPHATIC FUNCTION BE JUSTIFIED?