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Manual Lymph Drainage (MLD), first introduced in 1936 by Drs. Emil and Estrid Vodder of Denmark, is a procedure which stimulates the lymphatic circulation with slow circular and careful pumping massage movements of the hand and the thumb. The thin lymph vessels run through the body tissue like a drainage system which transports the lymphatic fluid via large collecting vessels, the lymph nodes, on to the blood circulation. Manual Lymph Drainage has especially proven its worth in the case of a congestion of the lymphatic flow. This is often the result of postoperative abdominal surgery and surgical treatment of breast carcinoma. It is only with this smooth and harmonic form of massage that the lymphatic flow is stimulated in the sensitive lymph capillaries. Painful swelling is removed and healing is encouraged. This volume contains all the subject matter of the basic course and has proven its worth for many years. Hildegard Wittlinger is the director of the Dr. Vodder School in Walchsee, Austria, and has taught the MLD technique throughout the world since 1972.
Foreword to the 2nd revised English Edition Preface Course of Study in Manual Lymph Drainage (MLD) for health care professionals and therapists Course of study in Manual Lymph Drainage (MLD) for estheticians The history of Manual Lymph Drainage (MLD) Part I: Theoretical Section 1 Mode of action of Manual Lymph Drainage (MLD) -Effect on the autonomic nervous system -Reflexes -Effect on the reflex pathways -Immunological effect -The immune system -Humoral immunity -Cellular immunity -Effect on the smooth muscles of the blood vessels and lymph angions (autonomy and function) -Drainage effect 2 Connective Tissue -Structure and characteristics -Function -Connective tissue cells 3 Transport systems in the body -Water balance -Circulation -Lymph system -Lymph nodes -Anatomy of the lymph vessels -Summary of transport systems in the body 4 Substance transport -Molecular motion -Diffusion -Substance transport in the connective tissue -Osmosis 5 Effect of MLD on blood capillaries and connective tissue -Structure and function of blood capillaries -The Starling Equilibrium -Effect of MLD via the blood capillaries and lymph vessels 6 The significance of optimal massage pressure 7 Inertial Mass 8 Steel and rubber elasticity 9 The lymph vessel system -Lymphatic watersheds -Anatomy and function of the initial lymph vessels -Protein circulation and transport 10 Equilibrium and balance as a goal of massage -Bathtub -Fluid equilibrium -Equilibrium in natural healing methods 11 Oedema forms -Lymphostatic oedema (protein-rich) -Dynamic oedema (Low-protein) -Safety-valve insufficiency 12 Cosmetic indications 13 Indications for physiotherapy 14 Relative contraindications (precautions) 15 Absolute contraindications 16 Treatment guidelines -Excursus in the cosmetic field -Inflammations -Acne -Cellulite (panniculopathia - oedemato - fibrosclerotica) / Adiposis -Lipoedema -Toothaches -Consideration of outside temperature -Iontophoresis -Stress and Dr. Vodder's Manual Lymph Drainage -Scars Part II: Practical Section 1 Massage Technique -Stationary circles -Pump technique -Scoop technique -Rotary technique -Frequency of massage -Environmental conditions for optimal therapy -Basic principles -Sequence of manipulations I Treatment of the neck II Treatment of the face III Treatment of the arms IV Treatment of the legs V Treatment of the nape of the neck VI Treatment of the Back VII Treatment of the buttocks VIII Treatment of the chest IX Treatment of the abdomen X Therapeutic movements - special techniques - oedema therapy 2 Dr. Vodder on the technique of Manual Lymph Drainage -Whole body treatment Appendix Lymph Drainage - A new therapeutic methods serving cosmetic care Bibliography