Lymphatic Balancing for the Injured Athlete: Focus the Knee

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Abstract:
The lymphatic system is extensively involved in all soft tissue injury associated with orthopedic injury. Although there is Level 2 or moderate evidence to support the use of Manual Lymphatic Drainage (MLD) techniques for improving patient and disease-oriented outcomes for orthopedic conditions, including edema, ROM and ADLs, treatment approaches for orthopedic patients are limited. Lymphatic Balancing (LB) is evaluation and treatment approach that was developed to meet this need. LB uses osteopathic pumping and manual lymphatic drainage techniques to relieve lymphatic congestion throughout the body, remove accumulated waste and edema in the local tissues, and remove barriers to lymphatic flow. These gentle, specific wave-like movements stimulate fluid motion and aid in the re-circulation of the venous and lymphatic flow. By assisting in the removal of waste products associated with inflammation and injury, healing can occur. Being first line providers, Athletic Trainers are in a unique position to use LB to address the initial stages of inflammation and swelling to encourage decreased healing times, improved function, and quicker return to sport.

Objectives:

  • Participants will be able to describe the Lymphatic Drainage Pathways., 
  • Participants will be able to define and describe Lymphatic Balancing., 
  • Participants will be able to differentiate between local and total body treatment., 
  • Participants will be able to describe the four phases of connective tissue injury., 
  • Participants will be able to list what a knee needs to heal (inflow/outflow)., Participants will be able to identify normal lymphatic flow pathways and potential barriers., 
  • Participants will be able to perform an ARTS Evaluation.


Level:
Essential

Domains:
Domain 2: Assessment Evaluation and Diagnosis
Domain 4: Therapeutic Intervention

CEUs:
1.25 Category A

Keywords: Manual Lymphatic Drainage, MLD, Lymphatic Balancing, LB, soft tissue injury, edema, osteopathic pumping

On-Demand (Enhanced Access) Course Expiration:
Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
For full details, refer to the expiration policy on our FAQ page.

Kerry D'Ambrogio, D.O.M., A.P., P.T., D.O.-M.T.P

Dr. Kerry D'Ambrogio, D.O.M., A.P., P.T., D.O.-M.T.P. is an internationally recognized lecturer, author, physical therapist, osteopath and board certified acupuncture physician. He is the President and Director of the D'Ambrogio Institute (DAI) and Therapeutic Systems, Inc. (TSI). The TSI Center for Mind-Body Medicine treatment facility is located at 7311 Merchant Court in Sarasota, Florida, 34240.

He graduated from the Physical Therapy program at the University of Toronto, Canada, the Osteopathic program at the Canadian Academy of Osteopathy in Hamilton, Ontario, Canada, The John Wernham College of Classical Osteopathy in Maidstone England and the Acupuncture program at the Academy of Chinese Healing Arts in Sarasota, Florida, USA. His unique approach follows several schools of thought. His background in manual therapy includes: Maitland, Kaltenborn, Cyriax, McKenzie, Norwegian approach, and Osteopathy (Muscle Energy, Strain/Counterstrain, Myofascial Release, Craniosacral Therapy/Cranial Osteopathy, Visceral Manipulation, and Classical Osteopathy among others). Dr. D'Ambrogio also has a background in Acupuncture, Applied Kinesiology, Orthotics, Muscle Imbalance and a variety of exercise and movement therapies (Janda, Somatics, Florence Kendal, Shirley Sahrman and the Norwegian approach, among others).

Dr. D'Ambrogio started lecturing in 1988 and has taught in over 20 countries worldwide. He is recognized throughout Canada, the United States, Mexico, Brazil, Venezuela, China, Hong Kong, Japan, New Zealand, Australia, the Philippines, South Africa, England, Scotland, Wales, Ireland, Germany, Italy, Norway, and Israel as an exceptional teacher of manual and exercise therapies. He is a certified instructor recognized by the International Alliance of Healthcare Educators (IAHE). He is a published author of Positional Release Therapy and he has written numerous articles in Physical and Occupational Therapy journals. He has also discussed health issues on radio and television talk shows.

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