Pregnancy brings many wonderful changes, but it can also bring some discomforts, especially as the body adapts to the growing baby. Common complaints include swelling, water retention, and aching joints. An effective and non-invasive treatment for these issues is lymphatic drainage massage (MLD), which can offer relief, promote wellness, and help pregnant individuals feel their best. In this blog, we’ll explore the safety, benefits, and potential contraindications of lymphatic drainage massage during pregnancy, as well as how this therapy can be customised to suit each individual’s needs. The Benefits of Lymphatic Drainage Massage During Pregnancy Lymphatic drainage massage focus in boosting the work of the lymphatic system. By increasing the functionality of this body system, we promote the flow of lymph liquids and help the body to move unwanted substances, as well as reduce fluid retention. This type of massage has been shown to have specific benefits for pregnant individuals (Cataldo Oportus et al., 2013), particularly when it comes to managing swelling and improving overall circulation. The benefits of include: Reduction of Swelling (Oedema): One of the most common pregnancy-related discomforts is swelling in the feet, ankles, and legs. Lymphatic drainage helps to enhance the flow of lymph, which can reduce fluid buildup in the tissues and alleviate discomfort caused by oedema. Relief from Pregnancy-Related Back Pain: Lymphatic drainage massage can reduce tension in the back and promote better posture, helping to relieve pain caused by the increased weight and pressure on the spine during pregnancy. In this case, the treatment is delivered in a side position. Improved Circulation: Pregnancy can lead to changes in blood flow and circulation. Lymphatic drainage promotes circulation and can improve oxygen and nutrient delivery to both the mother and baby. Mental and Emotional Wellbeing: Lymphatic drainage massage is extremely relaxing, and this positive side effect of the treatment can help you in having a better sleep which obviously can overcome stress and body ache. Per standard and comfort, at Melbourne Massage and Treatment, I tend to deliver lymphatic drainage massage in a seated position for pregnant women. This is possible thanks to the reclined hydraulic table, which can be converted from a flat table into a comfortable and big chair. How Compression Stockings Can Help Reduce Swelling Another effective way to manage swelling during pregnancy is the use of compression stockings. I recommend and provide to my patient stockings from Sigvaris, which is one of the world’s leading stocking manufacturers. The idea of using stocking, is to maintain pressure and liquid moving along the day, while sitting or walking, or doing your daily activities. How the stocking works is by adding a constant compression, which still leave you with a comfortable feeling and does help in pushing the liquid towards the upper body, reducing the chances of fluid accumulation in the lower limbs. For pregnancy, the grade recommended is grade 2, which is a clinical grade stocking. Consider that grade 3 is what is recommended for presentation like Lymphoedema. In terms of measurements, I can easily take mesuraments on site for the best fitting compression, and have the leggings with in 2 to 3 business days. For any enquire about the product or the services please do not hesistate to contact me now. What to Consider When Delivering a Massage During Pregnancy Now we are going to talk about what to consider when we deliver a massage to a pregnant patient, and as you will read, often light pressure is a must in this type of treatment, which gives lymphatic drainage massage an advantage compared to traditional relaxation pregnancy massage. So, there are certain areas of the body that we tend to avoid working on during a massage treatment for pregnancy, or where we may work on, but with a really light pressure and a full verbal or sometimes written consent. Here is a brief summary: 1. Abdominal Area: Deep or direct pressure on the abdominal area is a big NO. Instead, we can do gentle, light strokes if the patient is comfortable with it and they request it. Explicit consent here is a must. 2. Lower Back (Spine and Sacral Area): This is another big NO for heavy pressure. The reason lies behind the fact that strong pressure can lead to strain of the ligaments that hold the joints together, which, as the pregnancy progresses to a later stage, become more and more relaxed, allowing the birth to happen. So again, gentle massage techniques such as effleurage (long, sweeping strokes) or light kneading can be beneficial, but light touch. 3. Legs: Inner thighs another area where we avoid strong pressure, due to the presence of pressure points that could potentially stimulate uterine contractions if over-stimulated (e.g., peroneal or acupressure points). 4. Ankles and Feet: Ankles and feet, as there are acupressure points (like those related to the reproductive system) that may lead to unwanted effects if stimulated too forcefully. That said, a gentle foot massage can help relieve swelling and discomfort. 5. Hand and wrist The area of your hand, between thumb and index, and the pulsing point on the wrist, are other areas where massage is not recommended as it can cause contractions. Always remember that this is a brief summary, and everyone can react differently to the work received in that area. Therefore, there is no need to be scared of making contact with other people, and you should feel comfortable with your body. Trimesters and Positioning The position to be in during a massage, including lymphatic drainage massage, also depends on the trimester in which you are. First Trimester (0–12 Weeks): Lying on the back or side is generally fine during the first trimester, as long as the client is comfortable. A reclining position with support (e.g., pillows or bolsters) is often preferred for comfort. Lying prone (on the stomach) can be done during the first trimester if the client feels comfortable. However, lying flat on the stomach will become uncomfortable and impractical as pregnancy progresses. Second and Third […]
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Preeclampsia is a condition that can affect pregnant women. Preeclampsia is a severe condition of pregnancy, most of the time characterised by: high blood pressure protein in the urine severe swelling Most women who suffer from preeclampsia are unaware of this condition, which is why continuous monitoring during pregnancy is so important. There is no cure for this condition, and the only step it can be taken to prevent the death of the mother the baby is to deliver the baby by opting for a C-section birth. What happens during preeclampsia? What does happen during preeclampsia is that the blood pressure increase to a dangerous level. The consequences can be catastrophic for both the mother and the baby. Indeed, the mother’s organs, such as the liver, kidney, heart and brain, are in great danger. The increase of protein in the urine also cand puts the kidney and liver in danger. How can MLD help with a preeclampsia presentation? In this case, MLD would not be applied to reduce preeclampsia. Still, it can be used when the baby is delivered, and there is a need to reduce the swelling postpartum that eventually would build up in the legs and abdominal area after the C-Section. On the other hand, MLD would also help scar healing by moving fluid away from the scar tissue and reducing the swelling around the scar itself. Said so, as you may already read in other blog posts about MLD, liver and kidney failure are absolute contraindications, and condition as high blood pressure too can be a partial contraindications. Indeed, before starting any treatment, the “good to go” from the doctor would be needed in this case. How would MLD be applied after the C-section? In regards to the type of approach needed in this case, the MLD session would start by: Working on the neck and terminus area Applied MLD on the abdominal area to clear off the Cisterna Chyli And finally, MLD along both leg A simple sequence would be used because a wound is still there when doing MLD on the legs. I would not recommend that the client lies in a side position, which could hurt the wound. So when should I come in for my first session? If the doctors reckon that your liver and kidney are functioning at 100% and your blood pressure has decreased since giving birth, you can start receiving MLD immediately. I already had a client, who had preeclampsia, and thanks to the suggestion of the nurses they book in their session just 10 days after the birth. After just one session, they realised how the swelling was reducing. Said so, it can take longer to reduce the swelling down to the desired level. What else can be done in combination with MLD? In combination with MLD, I am walking and staying active help. Also, lots of water is always highly recommended, especially after an MLD session. In conclusion, if you need an MLD treatment due to Preeclampsia or other body swellings, and you have no Liver or kidney conditions or DVT, MLD is the treatment that does for you. Then click here to book your next session. Or click here if you have any enquiries about MLD or Melbourne Massage and Treatment services.
Dec
A Watershed is an imaginary line that divides the body and the Lymphatic System into quadrants. Each quadrant has its lymphatic liquid collection canal, and the lower quadrants, as per the two legs, sends the liquid to the cisterna kili, a gland that sits deep behind the belly button that is connected to the upper left duct within the upper left quadrant. Some genetic variation, seeing the thoracic duct connecting to the right lymphatic duct. What does the watershed division look like? The main watersheds are four. A vertical one divides the body into two equal vertical halves. A horizontal one divides the body into the upper and lower body at the inguinal level. Other horizontal watersheds are parallel to each other and are located at: The clavicle line runs through the belly button on top of the iliac crest. In doing so, we have six quadrants: upper, medial, and lower. Other watersheds run vertically within the body. Those are located on the arms and on the upper leg. The importance of watersheds. As we dig more and more within the functionality of the Lymphatic System and MLD as a Lymphatic Drainage technique, we can see that in these specific quadrants, there are bundles of Lymph nodes that get loaded from the lymph vessels connected to them. The watershed division allows the liquid to be directed to a specific body area where lymph nodes are found. Indeed, the lymph nodes are the ones that clean up the lymph fluid, also called obligatory lymph load. When we treat a patient, we have to make sure where we direct the liquid because we want to ensure that the lymph fluid gets sent to the lymph nodes, where it will be processed and then transferred to the lymph/vein duct at the base of the cervical area. This is extremely important when we treat Lymphoedema, where we may bypass the watersheds, where the lymphatic system has been damaged or is missing, to transport the lymphatic fluid from a stagnant area to an active one. How to bypass a watershed To bypass a watershed and transfer the lymphatic fluid from one side of the body to the other side, we have to stimulate the anastomoses, which are the alternative pathways of the lymphatic system. Unless those pathways are stimulated, we can not transfer the fluid side to side along the horizontal or vertical lines. An example would be a person who went through a mastectomy and has a unilateral Lymphoedema. In that case, we need to stimulate the upper anastomosis to transfer the fluid side to side. In the drawing beside, you can notice the upper anterior and posterior anatomoses drawn in thick green lines. The upper watershed and the duct. After the obligatory lymph load reaches the upper watershed (the one running along the clavicle), it gets passed to the venous system. This happens after the obligatory lymph load travels with the trunk collector and passes through the duct. The duct is the last portion of the lymph trunk that connects to the venous system. In conclusion, we want to specify that the lower quadrants (R leg and L leg) and the upper L quadrant drain in the L thoracic duct within the L subclavian vein. Where the R upper quadrant drains into the R duct connected to the R subclavian vein. Below here, is a list of blog posts that talk about conditions where MLD can be beneficial: Bone fracture Sunburn Preeclampsia TMJ Chronic Pain Fibromyalgia Melbourne Massage and Treatment and Lymphatic Drainage Massage At Melbourne Massage and Treatment, Lymphoedema Clinic, I am specialised in Applied MLD and Lymphoedema management. I did train with the Vodder academy for my Lymphatic Drainage practice, and I have a clinical approach to this type of work. If you are in need of manual lymphatic drainage treatment, do not hesitate to book your next appointment now. A 15-minute Online free consultation is also available for those who suffer from Lymphoedema or Lipedema.