There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
Osteopathic Manipulative Medicine (OMM) Lymphatic Techniques
The order of OMM lymphatic techniques is not explicitly stated in the provided studies. However, the techniques used in various studies can be listed as follows:
- Myofascial thoracic outlet release 1
- Doming of the diaphragm 1
- Pelvic diaphragm release 1
- Popliteal release 1
- Pedal pump (2-3 minutes of continuous pump) 1
- Thoracic pump 2
- Abdominal pump 2
Application of OMM Lymphatic Techniques
These techniques are applied in a specific sequence to improve lymphatic flow, as seen in the study by 1, which used a protocol including myofascial thoracic outlet release, doming of the diaphragm, pelvic diaphragm release, popliteal release, and pedal pump. The study by 2 used the thoracic pump and abdominal pump techniques to increase lymphatic flow in the thoracic duct.
Effects of OMM Lymphatic Techniques
The effects of these techniques include: