Aesthetic Physiotherapy - AUTOMATIC VITALTERM
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Treatment of edema
Treatment of lymphoedema or lymphostatic edema
Treatment of superficial veinous extasy
Treatment of lymphatic drainage as consequence of the extirpation
of the lymphatic ganglia in specific parts of the body (arms...)
The AUTOMATIC VITALTERM favours the resolution of the alterations of
vascularization and of the microcirculation at corporal level. Problems
like the stasis venosas superficial or the edemas are frequently
motive of the aesthetic consultation, although generally they are
alterations of medical treatment. For this reason, the aesthetic
professional will have to perform a detailed observation in order
to send to medical consultation if necessary. Once the cause of
the alteration and its possible medical treatment are over, the
professional will have to collaborate in the aesthetic treatment,
always under medical supervision.
Treatment of edema
The edema is one of the pathologies of microcirculation related
to the aesthetic that people are most worried about. The word edema
comes from the greek oidema (swelling) and defines its state of
visible and palpable swelling caused by an accumulation of liquid
in the interstitial space.
In order to understand the edema it is necessary to take into account
how the exchange of liquid between the capillaries and the interstitial
is established. When the equilibrium of those forces in favour of
the exit (filtration) of liquid from the capillaries, the edema
is produced.
The causes that produce the edema are various. The knowledge of
these causes will make us understand better the physiological effect
that will make us understand the physiological effect that the AUTOMATIC
VITALTERM generates in the tissues for which they are produced.
The factors that have a bearing in the forces of exchange of liquid
between capillaries and interstitial are:
• Increase of the hydrostatic pressure of the capillary (PHc).
All that which increases the arterial pressure and the veinous pressure,
will increase the PHc. The most frequent causes:
a. Disorders of the veinous circulation, by giving badly the veinous
return or for any of the alterations of the veins. The edemas are
usually presented in a single extremity (asymetric).
b. Right cardiac insufficience not compensated. A bad functioning,
not compensated, of the right side of the heart prevents the correct
collection of veinous blood and its expulsion to the lung to be
oxygenated. The edema that are produced in the legs are symmetrical,
the skin is shown cianotic (bluish) and rather redenned.
• Reduction of the Oncotic pressure of the capillary (Poc).
All that which makes it have low levels of proteins in blood will
reduce the Poc. The most frequent causes are:
a. Very low or null ingestion of proteins.
b. Renal alteration (if the kidney has an alteration that makes
it lose plasmatic proteins through the urine in great quantity,
the Poc reduces).
c. Hepatic alteration (the liver produces less proteins, fundamentally
albuimine, than it should).
d. Intestinal alterations (for alteration of the lymphatics that
pick up the intestinal quilo).
• Increase of the permeability of the blood capillaries.
If this permeability increases, there will be a greater quantity
of liquid that can leave through the capillaries to the interstitial.
The most frequent cause is for an inflammation (reaction of the
microcirculation to an injury, infection or allergic response that
is manifested by displacement of liquid, leucocites and citoquines
towards the extravascular behaviour). The substances that are liberated
in the inflammatory focus, coming from the plasma of the circulating
blood cells, as well as the endotelio, act over the vessels modifying
their permeability and their calibre. That outlet of liquid, proteins
and blood cells to the interstitial tissues or the cavities of the
organism is denominated exudation.
• Disorders of the lymphatic flow (drainage). These edemas
are denominated specifically lymphoedema or lymphostatic edemas.
• Other causes.
Amongst these can indicate:
• The deposits of fat, as happens in cellulitis.
• Pregnancy, by compressing the foetus abdominal vessels,
for the loss of proteins in the urine, etc.
• Menstruation, by giving hormonal changes that can have a
bearing on any of the factors commented before.
Knowing the variables for which the organism retains liquid, you
can provide a better professional assessment to the client and contribute
positively not only to the consequence of the alteration, but also
to its cause. The treatment can be completed, for this reason, with
the stimulation of the points of podal reflexology or organs of
reference with which the disorder of the edema is linked. For example,
if you want to paliate the consecutive lymphoedema to the fat deposits,
an application of AUTOMATIC VITALTERM in the surfaces with presence
of cellulitis before proceding to the DLDC. Another example would
be the treatment of the renal zone, of the point of reflex acupuncture
or of podal reflexology in those people that present a reduction
of the oncotic pressure of the capillary, in order to regulate the
altered metabolism. The greater result and, therefore, the better
success of the treatment will depend on the personalization of this
information to the treatment that we are performing.
Treatment of lymphoedema or lymphostatic
edema
A lymphoedema or lymphostatic edema is that edema caused by the obstruction
of the lymphatic flow of the flow and excessive accumulation of
lymph. These types of edema, caused by alterations in the lymphatic
drainage, can be due to different causes:
1. Functional Defects: when the system of lymphatic vessels doesn’t
function. It is the case of:
• Spasms of the lymphatic angions
• Paralysis of the linfangiones
• Increase of the permeability of the lymphaic vessels
• Non-functional or little active valves
2. Organic defects that can be appreciated in:
• The prelymphatic canals, that can be blocked by an accumulation
of fibrine.
• The filaments of subjection of the lymphatic capillaries.
• The great trunks, vessels and lymphatic ganglia. These can
be injured, estenosados or obstructed.
The veinous stasis is produced fundamentally in the extremities,
for which the treatment will begin in this zone, although it can
be extended to the whole body.
The AUTOMATIC VITALTERM exercises a decongestive and draining effect
in the treatment of the veinous stasis (see lymphatic Drainage Treatment).
In people with tendancy to suffer these disorders it is recommended
the application of DLDC and general periodic massage, that will
improve the general circulatory state and the mechanisms of exchange
at tissue level.
The cutaneous needs of the therapy with AUTOMATIC VITALTERM consist
of favouring the veinous return circulation and preventing sanguine
stasis and the formation of edema. Within the protocol of the treatment
of the edema, a previous study of the client must be performed The
edema are produced when the equilibrium of forces that allows the
exchange of liquids between the capillaries and the interstitial
is broken. The causes can be various: cardiac alterations of the
veinous circulation, renals, hepatics, intestinals, of the lymphatic
of the system (lymphoedemas), for which medical diagnosis and treatment
are required. In some cases, they are produced by disorders in the
feminine hormones, during the pregnancy or associated to cellulitis.
In all these cases, aesthetic treatment can be performed under medical
supervision. For this reason, the veinous and lymphatic will be
favoured through the application of the DLDC.
Lymphatic drainage treatment as consequence
of the extirpation of the lymphatic ganglia in specific areas of
the body (arms...)
The therapy of DLDC is very indicated in those people that present edema
as result of an extirpation of the lymphatic axiliar ganglia. It
concerns an extended affection amongst the feminine public that
has been intervened of extirpation of the breasts by neoformations.
Besides the sensation of discomfort and heaviness that it originates,
this edema can cause limitations in the quality of life of the person
that suffers it. The application of the technique of AUTOMATIC VITALTERM
in the form of Lymphatic Drainage of the upper extremities is a
good treatment therapy.
Protocol of common treatment
The treatment protocol for the treatments of lymphatic drainage
as consequence of the extirpation of the lymphatic ganglia in specific
areas of the body (arms...), edema, lymphoedema or superficial veinous
extasy is the same for the four. The aesthetic cares are performed
with priority with AUTOMATIC VITALTERM in its application of Lymphatic
Drainage (DLDC), but it can also be improved through centripedal
massages with manoeuvres of bombarding and frictions, presotherapy,
sequential electrostimulators and bandages impregnated in refrigerating
liquids that, in contact with the skin, make the temperature reduce
and vasoconstriction is given.
The treatment of the lymphatic and circulatory alterations can
be performed in a general or localized form. In the treatment of
the localized alterations, the active and passive plates must be
placed with the intention of stimulating the circulatory and lymphatic
circuit. For this reason, must be situated above all these points
and apply the plates in such a way that the passage of the current
stimulates its return direction. The active plate must be placed
in the zone where the problem begins (normally the most distal zone),
while the passive plate is placed close to the lymphatic ganglia
or excretory organs. It must always be remembered that the current
flows from the active plate (emitter of current) to the passive
plate (receiver of the current).
Treatment of DLDC in the lower extremities
The active plate: in the sole of the foot or in the internal part of
the ankle.
The passive plate:
OPTIONS
• In the renal zone (if it is wished to stimulate the filtrate
of the urine, the better functioning of the kidney and a more active
diuresis).
• In the ovarian zone (if you want to stimulate the elimination
of toxins of the points of drainage of the low abdomen).
• In the inguinal region (zone of the abductor muscle, if
it is wished to desembozar the inguinal lymphatic ganglia).
Treatment of DLDC in the upper extremities
For the treatments of lymphatic drainage in the upper extremities, the
active plate is placed in the palm of the hand (or in the lower
region of the forearm, close to the wrist) and the passive plate
in the internal region of the forearm (in the zone closest to the
lymphatic axilar ganglia).
If it is observed that the adaptation of the active plate to the
limb is not correct, it is recommended to use some gel covers which
substitute the blue protective cover of the active plate. In this
way a total adaptation of the treatment surface to the current.
The standard of treatment is of 2 to 3 sessions per week for 5
to 25 sessions, according to the cronicity of the retention. The
duration of each session is of half an hour. In this type of treatments,
the time of therapy must be prolonged since it is worked with a
situation of the plates in distal form, which makes the treatment
time increase. The power applicable must be medium (50) or medium-high
with its gel covers (80-90), since the thermal sensation reduces.
A session of maintenance is recommended every fortnight after the
treatment.
This treatment must be performed as a minimum with an apparatus
that has two pairs of active plates (model 2016) in order to be
able to apply the treatment of drainage simultaneously in the two
extremities.
LYMPHATIC DRAINAGE TREATMENT THROUGH THE
AUTOMATIC VITALTERM SYSTEM
 
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