By Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy
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Additional info for A New Approach to Manual Lymphatic Drainage
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. The persistence of lymphedema propitiates the degeneration of the walls of the lymphatic collectors, leading to loss of motility, further aggravating lymph stasis. Lymphangiosarcoma, Stewart Trevess Disease, may occur in lymphedema of long standing.
Several techniques called lymphatic drainage, have been inadequately employed, becoming liable to inflict injury to patients. It is important for the professional worker to heed to this fact and to dominate the technique in order not to provoke lesions. Manual lymphatic drainage consists of gliding movements over the trajectory of lymphatic vessels, and compression at the region of the lymph nodes. It is a fully systematized technique whose movements should have a correct sequence with a well-defined direction and strategy.
64 The medial region of the buttocks drains in the antero-medial direction towards the inguinal region.
A New Approach to Manual Lymphatic Drainage by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy