By Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy
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Extra resources for A New Approach to Manual Lymphatic Drainage
Therefore, this type of movement is not justified. The pressure exerted should be around 30 to 40 mmHg in order not to damage vessels and adjacent tissues. The gliding velocity of the rod must be low so as not to lead to a sudden increase of pressure in the interior of the vessel, causing possible damage. It is an unanimous opinion that the lymphatic vessels should be centrally unblocked, and then to proceed draining more distal regions. In the last step, to follow towards the affected limb. The procedure is generally initiated by draining the cervical region, axilla, thoracic region, abdomen, root of the healthy limb, following with distal drainage.
The collectors end up by dilating to a marked extent and their valves loose the capacity to avoid reflux. The pumping activity of the lymphangions is also impaired, causing stasis and lymphedema. The veins can drain part of the liquid. However proteins, mainly of higher molecular weight cannot return to the vessels and accumulate in the interstitium, stimulating macrophage activity in an attempt to eliminate them. Excess protein in the interstitium also stimulates fibroblasts, capable of causing fibrosis.
It is an unanimous opinion that the lymphatic vessels should be centrally unblocked, and then to proceed draining more distal regions. In the last step, to follow towards the affected limb. The procedure is generally initiated by draining the cervical region, axilla, thoracic region, abdomen, root of the healthy limb, following with distal drainage. This approach creates empty reservoirs through which peripheral lymphatics may drain. In this way, lymph is taken to lymphatic declines through which it is drained.