Lymphatic Balancing

Lymphatic Balancing (LB) is a curriculum specifically designed to utilize the philosophy, approach, and specialized manual lymphatic drainage techniques, which were originally designed to treat lymphedema, and apply them to the orthopedic patient. LB is be used to treat excess fluid or swelling, fluid stagnation or lymphedema in the cranium, spine, rib cage, visceral system, and the upper (shoulder, elbow, wrist and hand) and lower extremities (hip, knee, ankle and foot). LB expands on the work and teachings of Dr. Emil Vodder (Vodder Method), Bruno Chikly MD, DO (Lymph Drainage Therapy), Dr. Albert Leduc PT, PhD (Leduc method) and osteopathic lymphatic pumping techniques.

The LB procedure involves both short and long lever manual pumping techniques to simulate gentle, specific wave-like movements to stimulate fluid motion, and aid in the re-circulation of the venous and lymphatic flow. These subtle manual maneuvers activate lymph and interstitial fluid circulation, as well as stimulate the functioning of the immune and parasympathetic nervous systems.

Lymphatic Balancing Techniques

  • Long Lever Lymphatic Pumping Techniques
  • Long and Short Lever Nodal Techniques
  • Effleurage
  • Short Lever Pumping Techniques
  • Short Lever Drainage Techniques
  • Local Oscillation

The proper functioning of the lymphatic system is critical to our body's ability to detoxify and regenerate tissues. The lymphatic system filters out toxins and foreign substances, recovers crucial substances that have escaped from the blood, and helps maintain a healthy immune system.

If the lymph circulation stagnates due to injury or infection, toxins accumulate, and cellular metabolism is significantly compromised. The result is an increase in acid and toxins within the tissues causing pain, tension, and edema. These substances, along with the edema, need to be removed quickly from the interstitial fluid, in order to promote proper tissue healing and restore proper pain-free movement.

Lymphatic Balancing is very effective for the following conditions;

  • Reduction in edema (swelling)
  • Lymphedema
  • Detoxification of the body
  • Regeneration of tissue, including burns and wounds
  • Relief of numerous chronic and subacute inflammations
  • Relief of chronic pain
  • Reduction in the symptoms of chronic fatigue syndrome
  • Reduction in the symptoms of fibromyalgia
  • Relieves muscle spasm
  • Deep relaxation to aid insomnia, stress, and loss of vitality
  • Headaches
  • Stroke and head injuries
  • Sports Injuries
  • Post-Surgical
  • Amputees
  • Breathing problems
  • Whiplash
  • Orthopedic problems with the spine, rib cage, and extremities
  • General wellness

LB helps reduce swelling in the cranium, spine, rib cage, visceral system, and the upper (shoulder, elbow, wrist and hand) and lower extremities (hip, knee, ankle and foot).

LB helps to restore proper joint biomechanics, functional range of motion, and postural alignment.

LB is appropriate with the following patient populations: pediatrics, adolescents, young adults, adults, and geriatrics.

You are given a highly illustrated manual outlining each evaluation and treatment technique. This course involves a combination of theory, demonstration, and hands-on practice. Evaluation and treatments are performed by each participant using the methods learned. Ample time is allotted for hands-on practice, as well as questions, discussion, and review.

LB, like all other manual therapy techniques, begins with evaluation. You learn to utilize the principles of ARTS to evaluate either the Total Body Lesion or the Local Lesion.

Evaluation of the Total Body Lesion

The A stands for Asymmetry: Postural Evaluation The practitioner evaluates the total body posture of the patient in the sagittal, frontal, and transverse planes, in both standing and sitting positions.

The R stands for Range of Motion: The practitioner evaluates the active and passive range of motion (ROM) of the spine, the rib cage, diaphragms, upper and lower extremities.

The T stands for Tension Tests: The practitioner evaluates for tension in the spine, the rib cage, upper and lower extremities. Normally, the tension tests should present a soft, supple, and springy end feel. If the sensation is hard and restrictive, a local lesion is present.

The S stands for Special Tests: The practitioner evaluates specific dynamic tests to confirm findings.

Specific Evaluation of the Local Lesion (area of swelling)

  • Asymmetry of Local Bony Landmarks
    • Compare affected and non-affected side
  • Range of Motion Tests
    • Active range of motion (AROM)
    • Passive range of motion (PROM)
  • Tissue Tenderness & Tension Tests
    • Palpate Tissue Tenderness for muscle spasm
    • Perform Tension Tests for joint hypomobility
  • Special Tests
    • Perform Fascial Glide Test for fascial tension
      • Specific Dynamic Tests
      • Orthopedic Tests

Lymphatic Balancing is taught as three courses (Total Body Approach and a Local Approach for the Upper & Lower Quadrant).

The courses can be taken in any order.

Lymphatic Balancing; Total Body Approach (LBT): This course teaches you how to perform a Total Body Evaluation (ARTS), and treat excess fluid or swelling in the body. This class teaches you a total body approach to lymphatic balancing. LB is useful place to start for new patients before performing specific LB on local regions of the body, or as preventative health care or maintenance for the patient.

Lymphatic Balancing; Local Approach - Upper Quadrant (LBUQ): This course teaches you how to perform a specific local evaluation (ARTS), and treat excess body fluid or swelling in a specific region. These include the cranium, cervical spine, thoracic spine, thorax (viscera), upper abdomen, and upper extremities (shoulder, elbow, wrist and hand).

Lymphatic Balancing; Local Approach - Lower Quadrant (LBLQ): This course teaches you how to perform a specific local body evaluation (ARTS), and treat excess body fluid or swelling in a specific region. These include deep drainage, the lower abdomen and abdominal (viscera), lumbar spine, pelvis, sacrum, and lower extremities (hip, knee, ankle and foot).

Course Objectives:

  • Gain an understanding of the history, principles, and neuromuscular basis of Lymphatic Balancing Learn the significant anatomy of the lymphatic system and supporting structures
  • Conduct a thorough specific orthopedic evaluation using ARTS of the cranium, spine, thorax, abdomen (viscera), and upper and lower extremity.
  • Ability to chart your results of the evaluation and formulate a treatment plan
  • Determine the proper sequence of treating the Total Body Lesion
  • Perform Lymphatic Balancing on the nodes, vessels, and tissues of the cranium, spine, thorax, abdomen, and upper and lower extremity.
  • Understand the clinical importance of Lymphatic Balancing for the treatment of excess fluid, swelling, or lymphatic stagnation in relation to muscular skeletal dysfunctions.
  • Integrate Lymphatic Balancing with other treatment modalities taught at the D'Ambrogio Institute.

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