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
The drainage of the supraclavicular fossa is the place of greatest proximity to the thoracic and the right lymphatic ducts, and therefore is the site at which drainage should be started, unless an indication to the contrary exists. 48 Observe drainage of the anterior part of the face towards the submandibular lymph nodes. Observe drainage of the anterior part of the face towards the submandibular lymph nodes. From these lymph nodes emerge vessels going towards deep cervical lymph nodes. 49 Drainage from the chin and lower lip is performed towards the submental lymph nodes.
All lymphatic trunks lead towards the lymphatic ducts that drain into the venous system, at the junction of the subclavian and jugular veins. At the cervical region, the superficial cervical lymph nodes follow the trajectory of the external jugular vein over the sternocleidomastoid muscle, and drain into the lymph nodes of the deep cervical chain. The illustration evidences the final direction of head and neck drainage. 47 The cervical region and the utilization of a rod as instrument of drainage are observed.
In manual lymphatic drainage maneuvers are suave and superficial, not requiring compression of muscles but rather, mobilizing a current of liquid within a lymphatic vessel at a superficial level and above an aponeurosis. It is universally recognized that the pressure of the hand on the body should be light so as not to produce lymphatic collapse. The suggested value runs at around 30-40 mmHg. It should be observed that manual lymphatic drainage and massage are two distinct things. Therefore, in order to perform manual lymphatic drainage it must be borne in mind that one is draining: for this, strong movements of compression are not required.
A New Approach to Manual Lymphatic Drainage by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy