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Nashville Neuromuscular Center

 has expanded our Pain Relief Services

to include Lymphatic Drainage Therapy

 The lymphatic system is one of our body’s primary waste management systems. It is a crucial player in maintaining our quality of health. The lymph vessels are the pathway by which stagnant and toxic fluids are drained, helping to regenerate tissues, reduce pain, and keep our immune system functioning at a high level. We typically think of lymph as the fluid that accumulates in a swollen body part, and it is. But it is also so much more than that.

The method of Lymphatic Drainage Therapy (LDT) we provide is an original hands on method developed by Bruno Chikly, MD, DO (hon.) of the Chikly Health Institute, who practiced general, neurology, and osteopathic medicine in France. This method enables trained practitioners to detect the specific rhythm, direction, depth and quality of the lymphatic flow. As a result, therapists trained in this specific method can achieve profound outcomes in short periods of time.

This treatment is very good for people who can't take deep tissue massage. It is quite calming and induces deep states of relaxation yet the client can get relief similar to that of NMT and the more assertive manual therapies.  Lymphatic Drainage Therapy uses a specific amount of very gentle pressure and movement to stimulate lymph flow, encouraging release of trapped fluids and waste products. Lymphatic Drainage Therapy should never cause pain.

In the spirit of Nashville Neuromuscular Center’s approach to education for independence, our LDT therapist, Mayumi Khimenko, also teaches protocols to  her lymphatic drainage clients so that they can manage their symptoms at home, without becoming dependent on massage therapists to keep them out of pain.

There are also KinesioTaping methods that are proven very beneficial to Lymphatic Drainage. Rebecca is certified in these Kinesiotaping techniques and  can apply and instruct you how to tape for effective Lymphatic Drainage.

* Please note:
A cancer diagnosis is life-changing.  After a mastectomy there may be many causes of tightness and discomfort. Fascial Adhesions can be released with MyoFascial Massage, but the discomfort of swelling from Lymphedema needs very special attention from an Advanced Certified Lymphatic Drainage Therapist.

At the beginning of the 20th century, people were afraid of the possibility of provoking metastasis in  evolving cancers. All of the current studies show no increase in complications or metastasis with lymph drainage techniques and a recent report from the International Society of Lymphology (1996) confirmed that scientific studies give no evidence of spreading cancer with Lymph drainage or massage.”The possibility of inducing malignant modifications with manual treatment has been excluded.” M. Foldi, MD.

We at NNC will always err on the side of caution and do not work on active-cancer patients IF the tumor has not been removed or is not under medical control. Always check with your physician.

 If you need to find a qualified lymphedema therapist in your area, you can consult the websites below. These schools train qualified certified lymphedema therapists:

Chikly Training www.chiklyinstitute.org

Klose Training www.klosetraining.com

Norton School www.nortonschool.com

Vodder School www.vodderschool.com


Another helpful website for persons with lymphedema is the National Lymphedema Network.  www.lymphnet.org





As with our other modalities, there is a long list of indications for successful  outcomes with LDT which continues to be explored and expanded. This type of massage therapy can be very beneficial for:

  •  Reducing chronic pain
  •  Stimulating the immune system – helpful in the  autoimmune diseases and spondyloarthropathies and rheumatologic ailments
  •  Stimulating the parasympathetic nervous system, thus helping with stress, depression and sleeping disorder
  •  Reducing the inflammation of Fibromyalgia and Chronic fatigue syndrome
  • Treating Lymphedema and  the Discomfort of Cancers**
  •  Reducing the swelling  of trauma- fractures, sprains, ligaments, meniscus, post surgical rehab
  •   Headaches/migraines
  • Peripheral nerve/cranium nerve disorders - trigeminal neuralgia, Bell’s Palsy,  tinnitus, vertigo
  •  Asthma and Allergies
  • Arthrosis and Arthritis, Tendonosis and Tendonitis, Bursitis
  •     And the list goes on.  
  • This is an Excellent technique to use with elderly because of profound effects on tissue regeneration and oxygenation of the body, immune system support, and the fact that it is such a gentle application.










*LDT is proven to be very effective in Lymphedemas but at this current time, we do not treat patients with a medical diagnosis of Lymphedema.  More advanced training is necessary. We can give you the names for other legitimately qualified therapists in the area to work Lymphedema.  The most important point here is that even regular massage therapy is a contraindication for lymphedema and may very well exacerbate the condition. This does not mean that massage can't be administered to the rest of the body, but the surgical arm is best approached with specific Advanced Lymphatic techniques.


 Lymphedema can be effectively treated by Certified Lymphedema Therapists (CLT) or (LLCC/LCAR). Certified lymphedema therapists can be physical therapists, occupational therapists, physicians, chiropractors, nurses, or massage therapists who have undergone specialized training. There are several schools that educate certified lymphedema therapists in the United States. Unfortunately, there are also some therapists who call themselves lymphedema therapists but have not actually attended and successfully graduated from one of these nationally recognized extensive advanced lymphatic training programs. If you have Lymphedema be sure to check your therapist’s credentials. A simple training in Manual Lymphatic Drainage or even a Certification from some schools is not always sufficient to treat this condition safely. 

A national competency examination for certified lymphedema therapists is given by the Lymphedema Association of North America (LANA). When certified lymphedema therapists successfully pass this national examination, they may use the initials CLT-LANA behind their name. The Chikly Health Institute offers two levels of lymphedema certification. (LLCC and LCAR) and requires recertification every three years to confirm the competency of the practitioners.