1Copyright © 2008 IHH, Inc.

Bruno Chikly, MD, DOAlaya Chikly, LMT

Lymph Drainage Therapy(LDT)

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Andrew Taylor Still (1828-1917): First specific manual techniques addressing

the lymph system

• "We strike at the source of life and death when we go to the lymphatics.”

• “No atom can leave the lymphatics in an imperfect state and get a union with any part of the body”

A.T. Still, Doctor AT Still and the Living,

Truhlar RE, Cleveland, OH, 1950, pp 78.

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Emil Vodder (1896-1986): MLD

Bruno Chikly, MD, DO: LDT

1- SPECIFIC RHYTHM2- SPECIFIC DIRECTION

3- SPECIFIC DEPTH4- ASSESS QUALITY OF LYMPH FLOW

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Lymph Circulation: Anatomy & Physiology

Silent Waves: Theory and Practice of Lymph Drainage Therapy, An Osteopathic Lymphatic Technique,

2nd, Ed., I.H.H. Publishing, 2001

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Superficial (Epifascial) Lymph Flow

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Lymph Rhythm

No connection with heart, breathing rate. Freq. about 0.1 Hz.

Study done with the Institute of Heartmath, Boulder Creek, CA

From Bruno Chikly, “Silent Waves”, IHH Pub., AZ, 2nd Ed., 2004, pp 119.

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Main Applications of LDT

1- ACTIVATE FLUID CIRCULATION

Activation of most body fluids: lymph, blood capillaries, veins,interstitial liquids, cerebrospinal and synovial fluid, etc..

Helps to “reroute” stagnant fluid (edema, primary and secondary lymphedema) in skin, mucosa, muscles, viscera, joints, cranial sutures, periosteum, chambers of the eyes, cochlea, etc.

2- DRAIN

Toxins, macromolecules (proteins in edema), fat.

3- STIMULATE THE IMMUNE SYSTEM

Help in prevention or with chronic or subacute inflammatory processes.

4- STIMULATE THE PARASYMPATHETIC SYSTEM

5- REDUCE PAIN

LD alleviates tissue fluid stagnation and may inhibits nociceptors (Földi, Alois).

6- REDUCE MUSCLE SPASM (voluntary and involuntary) 8

Lymph Drainage Therapy Curriculum

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Manual Lymphatic Mapping (MLM)

(Taught in LDT2)

-Assessing lymphatic conditions before/after treatment

- In case of pathology: i.e. lymphedema patient, MLM give specific information forareas of stagnation and fibrotic areas, rerouting, self-drainage, exercises under bandaging (muscles involved follow MLM), taping, follow up, etc…Pathological mapping (MLM)

of a lymphedema patient,10

Lympho-Fascia Release (LFR):Release the fascia and send the lymph

Release obstructions of the lymph

+ the fascia in one gentle, non invasive,

powerful stroke.

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Bruno Chikly MD, DO

Scottsdale, AZ, USA

BRAIN TISSUE, NUCLEI, FLUID

&

AUTONOMIC NERVOUS SYSTEM

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BRAIN 1: TISSUE TRAUMA“CELLULAR FEAR”

These challenging areas (trauma areas) need to be addressed before trying to release mechanical dysfunction.

SOURCES OF TRAUMA:

Any physical trauma, fall, blow, hit, strike, punch,

including surgery, anesthesia, etc.

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A BIMODAL TRAUMA RESPONSE:

NOT ONLY “FIGHT OR FLIGHT”

Two primary response patterns have been described in responses to threat:

Hyperarousal and Hypoarousal/Dissociation.

• Most individuals use various combinations of these two distinct response patterns during any given traumatic event. Each one represents a unique pathway to stress-relatedpsychopathology.

• Hypoarousal may predominate in traumatized children.

.

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Ventricular System: Fluid Dynamics

- Lateral ventricles

- Interventricular foramen of Monro

- Third ventricle

- Central Aqueduct of Sylvius

- Fourth ventricle

- Foramen of Magendie

- Foramen of Luschka

- Central canal of the spinal cord.

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BRAIN NUCLEI Systematic Examination:

Some Examples

- Corpus Callosum: “Callus body”

- Septum Pellucidum: “Transparent wall”

- Fornix: “Arched” structure

- Caudate Nucleus: “Tailed Nucleus”

- Putamen: “The Shell”

- Thalamus: “Anti-Chamber/Bridal Chamber”

- Pituitary

- Hypothalamus

- Pineal…etc.

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Brain 1: Brain & Spinal Cord Release

This technique can probably help

most of your patients, but it will

specifically help any brain and

spinal related pathologies

including closed head injury,

whiplash, motor vehicle accident

(MVI), concussion, soldiers

bomb blast, some form of

headache, birth trauma,

cerebral palsy, feeding

difficulties, dyslexia, cognitive

behavioral dysfunctions,

learning disabilities, post-

meningitis syndrome, etc.

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Cortex, Nuclei and White Fibers

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Brain Curriculum

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Contact Information

The Upledger Institute, Inc.

www.upledger.com

Phone: 561-622-4334

Or Toll Free in the United States

1-800-233-5880Copyright © 2008 IHH, Inc.