[libribook.com] Traumatic Scar Tissue Management 1st Edition

Figure 9.4
Scooping: clearing the extremities (lower leg). This technique is used only on the extremities.
Again, using half-moon/circlular movements, the MT transitions from palmar flexion and pronation
into dorsal-flexion and supination and moving back to palmar flexion and pronation at the end of the
stroke. The MT may used one hand or both. All strokes begin proximal to the terminus and move
distal. (A–D) Red arrows indicate the direction of lymph flow.
Alternating pump and stationary circle technique
Alternating pump and stationary circle technique is commonly used on the side
of the thorax and extremites. The efficacy of the lymphatic system prior to the
start of the specific scar tissue work will ensure a much healthier environment
for the entire session. Through years of clinical experience the following
protocol for clearing the lymphatic system prior to scar work has yielded solid
results (see Fig. 9.6):