In LDT2, you'll review and hone existing skills plus learn valuable refinements and advanced drainage techniques for all surface areas of the body, along with numerous pathological conditions. You will learn the foundational principles of lymphedema care. At the end of the course, you should be able to drain the superficial lymphatic circulation over the entire body as well as the cisterna Chyli, the breast tissue, and perform Lympho-Fascia Release (LFR) on some viscera.
Class length 4 days
This is an Intermediate level class.
Please contact us for special needs requests.
Conflict of Interest: All classes presented by Chikly Health Institute have no financial conflict of interest.
CHI is not sponsored by outside organizations or corporations.
Please read "Our Policies" for more information: https://chiklyinstitute.com/Policies
• Contact Continuing Education (CE) Hours Total: 24 CEUs for massage therapists - NCBTMB Approved Provider # 451238-10
NCBTMB CEUs are accepted in every US state for NCBTMB certification renewal.
Most states accept NCBTMB for license renewal but not all. We are also an approved provider for NY state.
Please look here for more information: http://www.ncbtmb.org/map/requirements-map
Because certification and license renewal policies vary from state to state, it's important for you to make sure the CEUs are accepted wherever you practice. Therefore, please be aware that this information may not apply in your state.
Check your state’s website at: http://www.ncbtmb.org/regulators/state-info
• 24 CEU's for OT and OTA by American OT Association (AOTA)
AOTA Provider # 10304
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
• 24 hours approved by the Massage Therapy Association of Manitoba, Canada (MTAM)
• 20 hours approved by the Certified Registered Massage Therapy Association of Alberta, Canada (CRMTA)
We are in the process of providing Continuing education for numerous other professions. Please check back to this page later, as we will post all updates.
Advanced face techniques, including the tracheal rings, nose, upper eyelids, and skull
Advanced body techniques, including deeper lymph circulation, extensive protocol for the upper extremities and the entire back
Manual lymphatic mapping (MLM) to assess superficial lymphatic circulation over the entire body
- Possible applications to acupressure points, foot and hand reflexology, Chapman reflexes
Examination of edema and lymphedema. Principles of rerouting for edema and lymphedema
The second lympho-venous rhythm, the "directional impulse technique and "the switch" technique to help reroute lymph flow
Maneuvers to access the cisterna chyli
Extensive drainage of the breast (Lymphatic Breast Care)
Exploration of edematous and fibrotic tissues
Lympho-fascia release (LFR)
Techniques to alleviate wrinkles and "cellulite" (bariatrics)
Drainage of the lobes of the liver and the lungs
- Study Guide
- Question & Answer
- PowerPoint Slides
- Practice sessions
Schedule (subject to change)
9:00 - 11:00 Introduction, teachers, students, teaching assistants and facilitator
Superficial and deep thorax: theory - anatomy
11:00 - 11:15 Break
11:15 - 12:30 Superficial and deep thorax: Lab
12:30 – 2:00 Lunch
2:00 - 3:30 Superficial Manual Lymphatic Mapping (MLM): Lab
3:30 - 3:45 Break
3:45 - 5:30 Upper extremity lymphatics - Lab
9:00 - 11:00 Q & A
Edema and Lymphedema theory
11:00 - 11:15 Break
11:15 - 12:30 Liver and lungs
12:30 – 2:00 Lunch
2:00 - 3:30 The back
3:30 - 3:45 Break
3:45 - 5:30 Mapping of the back lymphotomes
9:00 – 9:45 Q& A
Specific lymphatic anatomy of the neck
9:45 - 10:30 The neck demo and lab
10:30 - 10:45 Break
10:45 - 12:30 Lymphedema Cases/Mapping Slides
12:30 – 2:00 Lunch
2:00 - 3:30 Lymphatic of the breast
3:30 - 3:45 Break
3:45 - 5:30 Applications of LDT for the face
9:00 - 10:30 Directional impulse technique
10:30 - 10:45 Break
10:45 - 12:30 Lympho-fascia Release (LFR) technique: application to a viscera.
12:30 – 1:30 Lunch
1:30 – 2:45pm Bariatrics / cellulite / wrinkles and lymph
Fluidic Fibrotic techniques
Final questions and answers.
Take home Protocol.
Self-reflection and identification of changes for practitioner’s practice
By the end of the 1st-day participants will be able to correctly describe the lymphatic anatomy of the superficial and deep thorax
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the superficial and deep thorax
By the end of the course participants will be able to correctly palpate on a live person superficial Manual Lymphatic Mapping (MLM) on the body
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the upper extremity
By the end of the course participants will be able to correctly describe applications of LDT for edema and lymphedema
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the liver and lungs
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the back
By the end of the course participants will be able on a live person to correctly design a proper treatment plan for the lymphotomes of the back with manual lymphatic mapping
By the end of the course, participants will be able to correctly describe the lymphatic anatomy of the neck
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the neck
By the end of the course participants will be able to correctly describe specific LDT techniques for lymphedema
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the breast
By the end of the course participants will be able to correctly evaluate on a live person LDT techniques on the face
By the end of the course participants will be able to correctly evaluate on a live person LDT directional impulse technique
By the end of the course, participants will be able to correctly evaluate on a live person LDT Lympho-Fascia Release (LFR) technique
By the end of the course participants will be able to correctly describe LDT on a live person techniques for fibrotic tissues, cellulite, wrinkles
Please read the following sections in Silent Waves:
Part 3 chapters 1,2, and 5 - Part 4 - Part 5 chapter 11.
To be best prepared for LDT2, be sure you clearly understand the following words and, as applicable, know where to locate them in the body:
- Anterior and posterior triangle of the neck
Cephalic vein, axillary vein
Antecubital and supracubital fossa
Aplasia, hypoplasia, hyperplasia, atrophy, congenital or connatal
Ipsilateral and contralateral
Parenchyma of an organ
Lymphotome, lymphatic watershed
Chronic Venous Insufficiency (CVI)
Diffusion, osmosis, hydrostatic pressure, phagocytosis, exocytosis
- Sarcoma, lymphangiosarcoma
Registration Discount: $650
You can receive the discounted price of $650 by using your CHI-Pak or by registering and making a minimum deposit of $200 at a prior CHI class and pay the balance in full 45 days prior to the class start date.
(If the class is not paid in full 45 days before the start of class, the rate automatically goes up to $850)
Lymph Drainage Therapy is a profound and effective means whereby the lactation therapist can facilitate optimal breast health. I have seen breast lumps dissolve before my eyes; relieved severe and chronic breast pain in one to two treatments; resolved acute breast and lactation problems with regularity; and empowered my clients by teaching them self-care breast routines that give them the ability to prevent and resolve future problems. I highly recommend Lymph Drainage Therapy to all therapists who desire lasting and meaningful health changes for their clients.
Alison K. Hazelbaker, MA, IBCLC - Author, Inventor, Professional Educator, LDT practitioner, CST practitioner, Certified NOMAS Examiner
LDT has been very successful in treating both acute and chronic pain where no other modalitiy has quite resolved the condition. I have also found it to be an incredible healing modality for bones, burns, shingles, infertility etc.
Vivian Michaud, B.S.,M.Ed.,C.M.T.
Dr. Chikly has explored the pathways and implications of the lymphatics at a depth greater than has been previously explained. The importance of the lymphatics cannot be denied. Knowledge of this material is of great assistance in the diagnosis and treatment of many common health complaints.
Ken Lossing DO - Board certified by the American Academy of Osteopathic Family Physicians, Director of the Visceral Manipulation Program, American Academy of Osteopathy
The lymphatic system remains perhaps the least studied and understood system in the human body. Now, in Silent Waves, Theory & Practice of Lymph Drainage Therapy (LDT), Dr. Bruno Chikly methodically pulls the curtain of mystery aside. He traces how, through the ages and piece-by-piece, different scientists unraveled the structure and function of the lymphatic system. From gross structural revelations of hundreds of years ago to today''s elucidation of individual lymph cell types, the author demonstrates for us a depth of understanding and clinical application helpful to both novice and expert clinician alike. Today''s health professionals need this knowledge to more effectively combat their ever growing clinical challenges.
Stephen Davidson, DO, CSP-OMM
Bruno Chikly is one of the most gifted medical professionals I have ever met. His insight in the development of LDT has not only expanded successful treatment options available to patients but has helped rewrite the art and science of diagnosis. Theory and practice of Lymph Drainage Therapy and the information on the lymphatic system should be required reading in every medical school in the country.
Nancy J. Soliven, M.F.C., M.D., D.C.
Sharing the Joy of Healing
I thought I would share the joy. I received this from one of my clients who comes to me regularly for "maintenance" care for her lymphedema:
As you and lymph drainage therapy (LDT) have been so instrumental in my recovery, I really have to share the outcome of my semi-annual radiation oncology follow-up. You would not believe how amazed my doctor was! He stated:
"You are a supreme example of what can happen when a patient assumes responsibility for her health care. What you have done is a true illustration of integrative medicine – a harmonious blend of conventional and complementary therapies."
I gratefully acknowledged the role of the Chikly method of therapy as the prime source of pain and lymphatic congestion relief (and all of the other combined life adjustments). My doctor was truly amazed that the symptoms had been so greatly reversed! (Not his words, mine! – He looked for swelling and couldn''''t seem to find much! –He remembered that I have an extensive case – arm, breast and torso). All he could say was WOW! Also, I do not have to go back to him for nine months (instead of six)…
Anyway, I am thankful for all that I have learned from you, and I thank you for sharing your knowledge in such a patient, humble, and kindly way.