Lymphology Association of North America (LANA) Practice Exam

What are the contraindications for abdominal MLD?

1. Lower extremity ulcers, asthma, acute DVT

2. Hypothyroidism, chronic venous insufficiency

3. Radiation colitis, recent abdominal surgery, acute infection

4. Diabetes, Crohn's disease, radiation cystitis

The correct answer is: Radiation colitis, recent abdominal surgery, acute infection

Abdominal manual lymphatic drainage (MLD) can have certain contraindications due to the nature of the conditions affecting the abdomen and surrounding areas. One of the primary reasons why radiation colitis, recent abdominal surgery, and acute infection are considered contraindications for abdominal MLD is related to how these conditions can affect the internal structures and lymphatic system. Radiation colitis may lead to inflammation and damage of the bowel tissues, making them more susceptible to further injury from manipulation. MLD in this context could exacerbate symptoms or lead to complications. Recent abdominal surgery involves healing tissues that are delicate and recovering. Applying MLD in this area can disrupt the healing process, increase the risk of complications like bleeding or infection, and can also result in pain for the patient. Acute infections pose a significant risk because MLD can potentially spread the infection or worsen the patient's condition by encouraging lymphatic flow, which may inadvertently carry pathogens to other areas of the body. These considerations highlight the importance of being cautious in applying MLD techniques in these specific cases, focusing on the patient’s safety and overall health.