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Lymph Drainage Therapy 1 (LDT1): Lymphatic Pathways - Anatomical Integrity

Thoracic duct Mascagni

“Lymphatics are the next frontier of discovery in human disease. Long ignored because of their subtlety and complexity, the mysteries of our cellular ‘waste disposal’ system have been comprehensively deciphered by Bruno Chikly.”


Mehmet Oz, M.D., Cardiothoracic surgeon, Author of “Healing from the Heart”.


Course Description

Lymph Drainage Therapy (LDT) is a cutting edge hands-on method of lymphatic drainage developed by Bruno Chikly, MD, DO. It was created out of his award-winning research on the lymphatic system consistent with recent scientific discoveries.

LDT1 takes traditional lymph drainage techniques and adds a level of precision. LDT is the first technique that enables practitioners to detect and palpate the specific rhythm, direction, depth and quality of the lymph flow anywhere in the body. Skilled practitioners with developed listening skills can practice Manual Lymphatic Mapping (MLM) of the lymphatic vessels.

LDT practitioners use their hands to assess and enhance overall circulation as well as determine the best alternate pathways for draining stagnant body fluid (lymph, interstitial, synovial fluid, etc…).

Therapists work with flat hands, using all the fingers to simulate gentle, specific wave-like movements. These subtle manual maneuvers activate lymph and interstitial fluid circulation as well as stimulate the functioning of the immune and parasympathetic nervous systems.


Class length

4 days


Highlights and Learner Objectives

By the end of this workshop you should be able to:

Describe basic anatomy, physiology of the lymph system and main body fluids.

Explain the scientific principles behind Lymph Drainage Therapy, and why the lymphatic system plays a crucial role in recovering from disease and enhancing health.

Explain the importance of the lymphatic system and how it relates to blood and other body fluids.

Describe main indications and contraindications of LDT.

Perform techniques that help you move lymph and interstitial fluid through the body to cleanse it of toxins.

Describe the main specific locations of lymph nodes and lymph vessels.

Work with a 3-dimensional perspective of the lymphatic anatomy of the body.

Palpate lymph flow and explain key details to specifically do so.

Parotid-nodesDemonstrate specific lymph-drainage sequences for the face and neck, upper and lower extremities, superficial and deep abdomen.

Describe key points to observe for optimal lymph drainage results.

Travel through the body via the "lymphatic highway" to accurately understand fluid flow.

Perform techniques for pre-post surgical conditions.

Put treatments and self-help techniques right away into practice.


Some Applications:

Medial KneeReduction in edemas (swelling) of various origins

Relief of subacute and chronic pain

Relief of numerous chronic and subacute inflammations, including sinusitis, bronchitis and otitis

Regeneration of tissue, including burns, wounds and wrinkles

Detoxification of the body

Reduction in the symptoms of chronic fatigue syndrome and fibromyalgia

Antispastic actions to relieve conditions such as muscle hypertonus and some forms of constipation

Deep relaxation to aid insomnia, stress, loss of vitality and loss of memory

Anti-aging effects

And many other benefits



Licensed healthcare practitioner



25 hours for numerous professions



Please Note:

LDT1 does not certify therapists to work on lymphedema. The first level of lymphedema certification is LLCC1 (LDT Lymphedema/CDP Certification).


LDT1 Class Preparation 

Advanced Reading

Silent Waves, All of Part 1, All of 2; in Part 5 just chapter one and all of Part 6. 


Lymph Drainage Therapy 1 Anatomical Terms

 In order to be best prepared for LDT1, be sure you clearly understand the following words and, as applicable, know where to locate them in the body:

  • Proximal, distal, medial, lateral, anterior, posterior, superior (cephalic), inferior (caudal)

  • Acute, subacute

  • Afferent, efferent vessel

  • Basal membrane, dermoepidermic junction

  • Interstitial fluid, interstitium, intracellular/extracellular compartment

  • Colloid, plasma, cerebrospinal fluid (CSF)

  • Lymph node, thoracic duct, cisterna chyli

  • Lipid, fatty acid

  • Sympathetic and parasympathetic innervation, macrophage, B and T lymphocytes, primary and secondary lymphoid organs, humoral and cellular immunity

  • Edema

  • Antigen, antibody, plasmocyte, adenopathy, lymphoma, superior vena cava, inferior vena cava, internal jugular vein, subclavian vein, brachiocephalic (innominate) vein, common iliac artery, external and internal iliac artery, femoral vein

  • Parotid gland

  • Sternocleidomastoid, trapezius, spinal accessory nerve

  • Axilla, inguinal, femoral triangle

  • Medial-lateral epicondyle, medial-lateral malleoli

  • Peristaltic contraction

  • Antispasmodic (antispastic)


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LDT Products


LDT Articles



A Heartwarming Video on Lymph Drainage Therapy (LDT) &  Bruno Chikly, MD, DO

Dr Chikly's Lymph Drainage Therapy (LDT):
Manual Palpation of the Lymph Flow

Dr Chikly's Overview of Lymph Drainage
Therapy Level 1 (LDT1)

Liver, Pre & Post Treatment: Lymph Drainage Therapy (LDT) Level 1 and 2

The Foundational Stroke of Dr Chikly's LDT





Dr Chikly's Lymph Drainage Therapy (LDT):
Manual Lymphatic Mapping

Releasing the Lobes of the Liver, A Lymph Drainage Therapy
(LDT) Demonstration

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