Massage Therapy Journal Winter 2024

60 • Massage Therapy Journal

AMTA Continuing Education

Orpotus et al., (2013), concluded that MLD helps to reduce limb size of pregnant women. MLD objectives: To reduce the edema and the discomfort associated with the edema, improve sleep and support venous return. MLD considerations: Apply MLD to areas affected, with the exception of the abdominal region, which is contraindicated. Massage therapists should also rule out DVT, high blood pressure and the risk of preeclampsia (high blood pressure and proteins in the urine). Dental procedures. Wisdom teeth removal, root canal treatments and the filling of cavities can result in facial edema due to the trauma of the tissues and heightened activity of the nerves. MLD objectives: MLD can be used to reduce pain, reduce facial edema and help overall recovery and healing time. A Hungarian study in 2007 demonstrated that a significant reduction in facial swelling and pain could be achieved using MLD after the removal of impacted third molars (wisdom teeth). MLD considerations: Apply work daily within pain threshold until a reduction in edema and pain is accomplished. Tinnitus. Described as a ringing in the ears that originates in the head, sometimes

triggered by fluid accumulation in the ears, post ear infections, ear trauma and loud noise exposure. Symptoms include buzzing or ringing sounds, hearing loss and vertigo. MLD objectives: Reduce pressure from possible fluid accumulation in the inner ear. MLD considerations: MLD may not cure the condition but could possibly reduce the symptoms. Frequency of massage sessions will depend on the severity of the condition, and can be from 15 minutes to one hour. Dermatology. The skin is the largest organ in the body and acts as a physical barrier between the internal and external environments, providing a level of immunity due to the vital role it plays in inflammation, wound healing and angiogenesis (formation of new blood vessels). In 1983, Streilein discussed the concept of the skin being classified as lymphoid tissue and Ono and Kabashima (2015) further implied the skin being a peripheral lymphoid organ. Massage therapists have “constant contact” with their clients’ skin and are having a continuous impact on the immune system. Below are some skin conditions that can benefit from MLD by promoting effective tissue drainage, reducing puffiness/edema, and improving skin immune function. Acne vulgaris . Client should arrive with clean skin. Use warm compresses prior to treatment of face and neck. Massage sessions should be 30 to 40 minutes, three times per week. Acne rosacea. Localized facial edema around the reddened areas of nose, cheeks, chin and forehead, inflammation of the epidermis. Eczema . Treat in the chronic stage as opposed to the acute stage and treat proximally from the start. Palliative/hospice care. The World Health Organization defines palliative care as an approach that improves the quality of life of patients and their families facing the challenges associated with a life-threatening illness through the prevention of suffering by

When you add techniques like MLD to your toolbox, you’re able to reach more clients, as well as continue to help loyal clients whose needs may change.

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