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ABSOLUTE CONTRAINDICATIONS - Coggle Diagram
ABSOLUTE CONTRAINDICATIONS
MLD
Acute Infection
DO NOT TREAT with acute infections
Cellulitis
: acute Streptococcus skin infection
Acute DVT
Pain with ambulation
Pain with sneezing and coughing
BP spikes really high when someone sneezes or coughs
Acute bronchitis
The Bronchi musculature is innervated by the same part of the parasympathetic ANS that you are affecting by MLD
Causes the musculature to constrict
Lymph work here can cause further spasm
Renal Failure
Cardiac Edema
Definition
Swelling caused by decompensated cardiac insufficiency
Severe CHF
Not medicated
Short walks - have them short of breath
Severe hypertension
If lymphedema is combined with cardiac insufficiency, the cardiac and pulmonary functions need to be closely monitored by the referring physician
CONTRAINDICATIONS FOR THE NECK
ABSOLUTE
Carotid Endoarterectomy
brittle arteries
Hyperthyroidism (on meds)
Carotid Sinus Syndrome
The receptor sits at the bifurcation of internal and external carotid arteries
MLD? can cause BP to increase or decrease
History of a CVA (Cerebral Vascular Accident)
Cardiac Arrythmia
? Manipulates the carotid sinus receptor
RELATIVE
Age
Over 60
Arteries more prone to hardening with age
CONTRAINDICATIONS FOR THE ABDOMINAL AREA
Absolute
Pregnancy
Dysmenorrhea
Congestive Heart Failure
Ileus
Blockage of the intestines
Paralyzed section of hte small intestines
Diverticulosis, Diverticulitis
Weakening of the intestinal walls
Pockets or cysts in walls of the colon
Children under age 12
Aortic aneurysm in the abdominal region
Inflammatory conditions of the large/small intestine
OR ulcerative colitis
Like Chron's disease
Recent abdominal surgery (within 1 year)
Radiation fibrosis/radiation cystitis
Unexplained pain
DVT
In the abdominal area
OR a history of DVT in the abdominal area
Relative
Age
Less than 12 years old
Someone on their menstrual period
CONTRAINDICATIONS FOR COMPRESSION THERAPY
Absolute
Cardiac edema
individuals can benefit from
diuretics
Arterial diseases
Like
PAD
Raynaud's
Spasticity
compression therapy increases the response of the
Golgi Tendon Reflex
Acute infections
Severe CHF
Compression therapy is also possible...
IF no acute pulmonary edema is present
IF treatment with cardio stimulatory medications and diuretics have been started
Relative
Hypertension
providers should be careful if client is
not on meds
Cardiac arrhythmia
Paresis/Paralysis/decreased sensation
Age
Malignant Lymphedema
Reflex Sympathetic Dystrophy (RSD)/ Complex Regional Pain Syndrome (CRPS)
EFFECTS OF MANUAL LYMPH DRAINAGE
Improve the activity of lymph vessels
Mobilize lymph fluid
Re-route lymph flow around blocked areas into more centrally located, healthy areas
This is done via
collateral lymph collectors, anastomoses, or tissue channels
increased
lymph production
stretch on the
anchoring filaments
of
lymph capillaries
stimulates the intake of the lymphatic loads into the lymphatic system
increases the
contraction frequency of lymph collectors
aka
lymphangiomotoricity
this is achieved by
mild stimuli of the smooth musculature located in the wall of lymph collectors
Reverses lymph flow
MLD moves lymph fluid in
superficial lymph vessels opposite its natural flow patterns
Increases the local
sympathetic response
Increases the general
parasympathetic effect
the light pressure in MLD decreases the
sympathetic mode
and promotes the
parasympathetic response
MLD can
accelerate lymph flow
Which creates a
suction effect on lymp collectors located distally of the collectors worked on
The directional pressure of MLD strokes
increases venous return
especially in the
abdominal area
which affects the venous return in the
deep venous system
Increased
venous return
produces additional
decongestive effects
ANALGESIC
MLD provdes stimulus for
"gate control"
A theory of pain put forward by
Ron Melzack and Patrick Wall in 1962
an idea that physical pain in not a direct result of activation of pain receptor neurons, but rather it perception is
modulated by interaction between different neurons
WHAT IS MLD?
A gentle manual treatment
Based on Dr. Emil Vodder's basic technique consisting of
four strokes
These strokes
stretch the walls of superficial lymph vessels
which
stimulates an increase in their activity
MLD techniques
re-route lymph flow around blocked ares
to more
centrally located lymph vessels
that drain into the
venous system