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Complete Lymphatic Body Pump

by David Lintonbon(more info)

listed in osteopathy, originally published in issue 200 - November 2012



Lymph System
Lymph System

Lymphatic Body Diagram Legend
Lymphatic Body Diagram Legend



Patient prone, spring the thorax to encourage maximum mobility of ribs and vertebrae prior to treatment


Patient supine, clear the thoracic ducts. Stand to the side of the couch, place the patient’s hand on your shoulder and pull up gently and rhythmically on the clavicle to clear the thoracic ducts.


Thoracic pump, compress the manubrium AP at about two cycles per second, following patient’s expiration. Repeat 6 times. On the sixth, follow the expiration all the way through and just as you feel the resistance of the patient’s inspiration, suddenly release your hands; this will create a ‘vacuum’ in the thorax which will encourage lymph flow.


Dome the diaphragm bilaterally. Knees bent, thumbs or tips of fingers under the borders of the ribs inhibiting the diaphragm. Follow the patient’s breath out and push upwards into the diaphragm. Take care not to press too hard; it might be uncomfortable but it shouldn’t be painful. Inhibit the diaphragm as the patient inhales. Repeat six times.


Stand at the head of the couch, locate and palpate the nodes of the face and neck and apply light stroking movements towards the heart.


Place fingertips in the suboccipital groove and traction as the patient breathes out. Repeat several times


Clasp the patient’s wrist to your side and gently grip the forearm, keeping the elbow bent perform a ‘figure-of-eight manoeuvre to encourage lymph flow in the axillary and cubital nodes


Included in the above manoeuvre


Gently flex and extend the wrist to encourage lymph flow in this area


Effleurage the forearm and upper arm to encourage lymph flow towards the heart


Rhythmically pump the inguinal nodes with the heel of your hand to encourage lymph flow.


Externally rotate flexed leg and stretch saphenous opening (Hunter’s canal) along the medial border of the sartorius


Bend the leg (patient still supine) and sit at the foot of the couch. Move your fingers into the popliteal crease and rhythmically pump the popliteal nodes


Apply a pedal pump to the foot to flex the gastrocnemius, thus encouraging lymph flow


Effleurage the leg to encourage lymph towards the heart


Image: LD1
Image: LD1

Image: LD2
Image: LD2

Image: LD6
Image: LD6

Image: LD7
Image: LD7

Image: LD9
Image: LD9

Image: LD11
Image: LD11


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About David Lintonbon

David Lintonbon DO PG Cert (Clin Ed) qualified from the British School of Osteopathy in 1985 where he was taught most of his manipulative skills by Laurie Hartman DO. On graduating he went to work in the West Country and developed further osteopathic techniques for the treatment of sports injuries by working with players from various football and rugby clubs in the area. Whilst in this area he also studied post graduate teaching at Dartington College Devon. Upon returning to London, David went to work for the British School of Osteopathy in 1996. He subsequently developed a DVD on osteopathic technique used for the teaching of students and practitioners of manual medicine which can be purchased at

Continuing to treat sports related injuries, David spent 2 years with Manchester City FC developing a training programme for their physios in the treatment of the team. With an eye on London Olympics 2012, he is now working in conjunction with medical health product manufacturer Cetuem to develop an anti-inflammatory gel for the treatment of joint and muscle pain to be  launched at the Back Pain Show at London Olympia in Feb 2012.

He is currently working on a book on osteopathic technique. David also works at the London School of Osteopathy as a clinic tutor and lecturer as part of their teaching programme for students and osteopaths and works in private practice at the Integrated Medical Centre, 121 Crawford Street, London W1U 6BE. David may be contacted on Tel: 07958 488 784 or via;;

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