Dylan Crake RMT & R.KIN

Lymph Drainage – Example for leg

• Have client’s leg elevated so it is above their head
• Start at clavicle – 30 pumps
• Axillary pump – 30 pumps
• Inguinal pump – 30 pumps
• For all of the above, tell the client it will go on for 3-5 minutes, ask them to take relaxed breaths and pump with breaths.
• Compress- recoil towards inguinal, 3-5 minutes, superficial effleurage

Scar Treatment

• Describe how the scar looks ( texture, colour), ask about altered sensation, heaviness or numbness
• Begin with light palpation and go deeper into the scare to determine thickness – state
• Shift scar in 4 motions
• Perform joint range of motion with 1. scar in slack 2 hold down proximal scar 3. hold down distal scar
  • State any limitations, check in with sensations created
• Pick up scar, state if it feels tethered
  • C-Bowing, S-bowing, skin rolling – state if there’s denser parts

Communication

• Check in with client throughout treatment
• If scar is present, ask about loss of sensation, heaviness, numbness, pain and if you can touch it!