01/21/2026
When it comes to lymphatic work, the details aren’t small. They’re everything. 🔍
Where you start matters.
Here’s the sequencing I’ve been paying closer attention to, and why it works:
• 🦵 **Calves first**
Walking and calf movement are among the primary pumps for lymphatic flow, second only to breathing. Starting here gently engages the system and begins moving fluid upward.
• 🌀 **Then the intestines**
This work reflects basic structural and hydraulic principles. Creating space and movement in the intestines and digestive system establishes capacity for processing. When lymphatic congestion starts to move, it has somewhere to go.
Without this preparation, fluid can shift but not truly clear. Congestion can actually increase, and some clients may even feel worse before the system has a chance to settle.
• 🫁 **Then the thorax**
Clearing the cisterna chyli. Establishing pathways through the sternum. Drawing fluid from the intercostal spaces toward the midline.
• ✋ **Finish with posterior tapotement**
A brief, purposeful, rhythmic tapotement on the back helps the system organize and continue the work on its own. It’s not aggressive, but intentional.
Why this matters:
• The lymphatic system is driven by the natural cycle of muscular compression and relaxation.
• The orchestrated contraction and relaxation of the muscular system creates the pressure changes that move lymph.
• 🌬️ **Breathing is one of the primary continuous lymphatic pumps**, influencing pressure, rhythm, and flow with every inhale and exhale.
• Freedom in the ribs, spine, and viscera allows this system to work efficiently.
This unique approach to working with the body, including the addition of tapotement, helps support all of these influences.
Clients often notice:
• Easier breathing
• A sense of lightness through the chest
• Effects that last beyond the session
This kind of work is less about doing more and more, and more about creating the conditions that allow the body to do what it’s designed to do.
If you’d like to learn more about this approach, I’m teaching visceral and lymphatic classes in Reno that explore these relationships in depth, including sequencing, anatomy, and hands-on techniques.
Visceral techniques can sometimes feel complex when they are initially introduced within lymphatic work. Based on my experience, I offer the visceral class as a standalone learning experience. It provides a clear foundation, supports clients’ digestion right away, and prepares you to get more out of the lymphatic class when you choose to take it.
For many therapists, this means the visceral component within the lymphatic class becomes a refinement rather than a first-time learning experience, allowing the rest of the material to be absorbed, understood, and utilized more efficiently.
More information about upcoming classes:
https://musclemanagement.com/classes?fbclid=IwdGRjcAPd57BleHRuA2FlbQIxMQBzcnRjBmFwcF9pZAo2NjI4NTY4Mzc5AAEeG4lANfhxPjJ1cypfQzalvZjHdiBMuafTkof2dR2U2z8n5fytmQQdPLAPyPs_aem_4rVrFT6aw1xbUyJj38C5VA
The Lauren Berry Method®