The lymphatic system

THE CLEAN UP CREW
The lymphatic system is a transport system that works as a clean up crew for the whole body. It gathers waste and toxins from our tissues and transports it to the bloodstream to be filtered and removed. It also works with the immune system to protect us from harmful pathogens by producing and transporting white blood cells, regulating inflammation, transporting nutrients and regulating fluid levels. Unlike the circulatory system, which is a closed circulatory system, the lymphatic system is an open circulatory system with no pump, and relies on internal pressure, muscle contractions, heart pulse and respiration to move the lymph through the vessels.

Within the lymphatic system there are around 600 small nodules that the lymph passes through called lymph nodes – with clusters situated in the neck, groins, armpits and behind the knees. The lymph nodes are where the white blood cells are produced and released. The nodes contain small blood vessels that continuously filter the lymph to remove waste and toxins. The lymph is also filtered in the upper chest where the lymphatic system merges with the two subclavicular veins. Once in the bloodstream the liver & kidneys filter and remove the waste.

When we inhale we increase pressure in the abdominal region and decrease pressure in the thoracic area. The increase in abdominal pressure draws lymph upwards towards the subclavicular veins, while the decrease in pressure in the thoracic region draws blood from the subclavicular vein to the heart (venous return) – giving the lymph waste an exit route. This increase in pressure is one the most efficient tools for keeping lymph flowing and is something that we can accentuate by deepening our breath in our yoga practice.

HOW YOGA CAN HELP 
All movement creates internal pressure, muscle contractions and increased heart rate – creating favourable conditions for lymph flow. But yoga includes the added benefits of focused deep breathing and the ability to direct the internal pressure and muscle contractions to specific areas of the body that will enhance lymph flow. Yoga poses that compress and release the areas where the lymph nodes cluster (neck, groins, armpits and behind the knees) stimulate the nodes with internal pressure. Similarly twists and backbends create this internal pressure. Mini flows, where you repeat two poses linked with the breath, creates internal pressure, stimulates muscle contractions, the respiratory system and increases heart rate. The lymph vessels are mainly found in the area between the skin and the muscles. Gentle MFR techniques like pinning and twisting the MFR balls on the surface of the skin or gentle rolling in the lymph node cluster areas are a very effective way to create internal pressure. The calves are considered to be a second heart and are the primary pump for lymph return from the lower extremities. Muscle contractions in the calves enhance this lymph return. Finally, inversions will help by both reversing gravity and creating an increase of heart rate.

EXPLORING THE LYMPHATIC SYSTEM IN YOUR PRACTICE
Throughout the sequence there are lots of opportunities to support lymphatic flow. For added benefits you could choose one or two of the poses and linger in them for a few breaths. This sequence starts with a row of mini flows that will create internal pressure on the lymph node clusters of the groins, armpit and behind the knees. In the first mini flow of the second row you will pump your fists open and closed three times on your inhale as indicated by the illustration. When your arms are extended behind you squeeze your arms to your body to compress the armpits. The next two mini flows will stimulate muscle contractions in the legs. Move slowly through these mini flows and link your breath with your movement. The four pose flow in row three breaks the inhale into three to create a longer inhale and generate internal pressure to optimise lymph exit. 

ALIGNMENT CUES
There is no specific peak pose in this lymphatic system sequence. As the breath is one of the methods for moving lymph, focus your attention on your breath and linking the breath with your movement as indicated by the sequence.

Have a read of the tips below and either print out the sequence or save it onto your device:

  • Use the breath guide in the sequence to help you link breath with movement in the flow. Inhale is indicated with a ‘+’, exhale is a ‘-”.

  • If there are specific poses that you would like to stay longer in, give yourself three deep breaths in those poses, and pick up the next pose with the allocated inhale or exhale as indicated by the sequence.

  • For a longer practice add in a Sun Salutations at the start of each mini flow or repeat each mini flow.

To save the images for personal use click and hold down the image until the ‘save image’ option appears; on Mac hold down ‘control’ and click the image to get the option box; on PC right click on the image to get the option box. Scroll down in the ‘option box’ and click ‘save image’.

Ruth Delahunty Yogaru

Yoga Therapeutics stress relief

YOGA THERAPEUTICS
Resolve pain, restore function & build strength

As a RYT500hr certified yoga teacher and a 300hr certified Yoga Medicine ® Therapeutic Specialist I offer private in person or online therapeutic programmes to students with ongoing conditions, injury recovery and injury prevention.

WHAT IS YOGA THERAPEUTICS?
Yoga Therapeutics uses a range of techniques and practises to create a prescriptive programme to support all aspects of physical and mental health. Each individualised programme includes a combination of movement practices, myofascial release, breath work and relaxation. It also looks at posture awareness in standing, sitting, while moving and balancing to help prevent recurrence of injuries or other issues arising. I work closely with students to support their progress as they integrate these holistic whole body practises into their everyday life to maintain and optimise their future health.

THE BENEFITS OF YOGA THERAPEUTICS
If you suffer from any of the following Yoga Therapeutics can help you:

- Chronic pain.
- Back pain.
- Neck & shoulder pain.
- Injury rehabilitation.
- Injury prevention.
- Sports performance.
- Balance & coordination.
- Poor posture.
- Stress & anxiety.
- Sleep management.
- Headaches & migraines.
- Menstrual & menopause symptoms.
- Supports nervous, respiratory, digestive, immune and circulatory system conditions.

YOGA THERAPEUTICS V’S PHYSIOTHERAPY
Yoga Therapeutics and Physiotherapy are complementary and have a shared goal of helping you on your road to full health. Physiotherapy focuses on the physical body whereas Yoga Therapeutics looks at the body and mind. While physiotherapy is your first port of call if you have an acute injury, studies have shown that a combination of Physiotherapy and Yoga Therapeutics significantly improves the recovery outcome.

HOW DOES YOGA THERAPEUTICS WORK?
The process starts with an intake evaluation to identify areas of concern and set goals. An individualised therapeutic programme is then created from this intake information. This prescriptive programme is built specifically for your needs and is checked regularly to ensure you are getting the best out of it. Each session includes a private class and a small home self practice to continue your progress between sessions.

EXPLORING YOGA THERAPEUTICS IN YOUR PRACTICE
While Yoga Therapeutics are delivered as a one to one personalised programme this sequence, dealing with stress, gives you a small sample of my Yoga Therapeutics multi faceted approach. It uses movement practices, myofascial release, breath work and relaxation. You will start off with myofascial release or MFR on your feet, as detailed below, then you will move through a series of gentle mini flows, linking breath with movement, to ease physical and mental tension. You can repeat the standing flow on row three as many times as you like to lengthen your practice or you can leave it out for a more soothing grounding practice. You will end with a lovely restorative twist and a supported Savasana, with the option of a 4 inhale, 6 exhale, stress reduction breath work. 

ALIGNMENT CUES
There is no specific peak pose in this sequence. Move slowly with the breath cues and be guided by your energy levels. Spend longer in the movement or in the relaxation part of the practice depending on what you need. Yoga Therapeutics is all about focusing on what is best for you as an individual.

Have a read of the tips below and either print out the sequence or save it onto your device:

  • Use the breath guide in the sequence to help you link breath with movement in the flow. Inhale is indicated with a ‘+’, exhale is a ‘-”.

  • If there are specific poses that you would like to stay longer in, give yourself three deep breaths in those poses, and pick up the next pose with the allocated inhale or exhale as indicated by the sequence.

  • For a longer practice repeat the standing pose flow in row three.

MFR & RESTORATIVE POSE ALIGNMENT CUES
The props you’ll need for the restorative poses are:
2 x MFR balls - or 2 tennis balls.
1 x bolster - or 2 towels, wrapped around a horizontally rolled pillow and tied to secure.
1 x yoga bricks - or 1 thick similar sized dictionary.
2 x yoga blankets - or any wool, thick cotton or fleece blanket with density.

MFR FEET
Compression - from standing or seated, place 1 x ball at position No.1, gently press down with an inhale and release on the exhale x 5 breaths and move on to No.2. Continue to No.5. 
Roll & cross fibre - with the toes on the ground place 1 x ball at No.5, roll the ball across your heel x 5. Place 1 x ball at No.6, roll the ball across the knuckles of your toes x 5. Place 1 x ball at No.6, roll in one direction from toes to heel x 5. 
Scribble - roll and scribble across the sole of the foot. Repeat all steps on the other foot.

No.1 - MFR SHOULDERS
Compression - from supine with knees bent, place 2 x balls in the centre of each upper shoulder, gently press down with an inhale and release on the exhale x 5 breaths. 
Sheer - slowly circle arms overhead and back to the ground x 5. 

No.2 - MFR BACK OF SKULL 
Lie on your back and place a brick on its lowest high just below the curve at the back of your skull (occipital ridge). Extend your legs out, arms slightly away from your body, palms facing up. Legs slightly apart and feet fall out to the side, soften your shoulder, back of the neck long. Gently roll your head from side to side to ease out tension in the muscles at the back of the skull. Roll your head mid way to your right, pause and make small circles, repeat on the left side. Remove the brick, soften the muscles across your forehead, your temples, the back of your skull. Let the whole body become heavy and melt into the support of the ground.

No.3 - PRONE TWIST
Place your bolster vertically along the top centre of your mat. Sit with your right hip up against the short end of the bolster. Place a folded blanket between your legs. Place your hands either side of the bolster. With an inhale lengthen through the whole spine and on your exhale gently place your front spine along the length of the bolster. Place your right cheek on the folded blanket and let your arms gently hang either side of the bolster. Repeat on the left side.

No.4 - MOUNTAIN BROOK
Half roll a four fold blanket and place it at the top of your mat. Accordion fold the other blanket and place it below your top blanket where your shoulder blades will lie. Place the bolster towards the bottom of your mat where your knees will be. Lie supine on your back, nestle the rolled part of the top blanket in the curve of your neck, place the accordion folded blanket under the lower tips of your shoulder blades and the bolster under the creases of your knees. Legs and arms extended, palms facing up, feet fall out to the side. Feel the rise and fall of the props supporting your back body.

To save the images for personal use click and hold down the image until the ‘save image’ option appears; on Mac hold down ‘control’ and click the image to get the option box; on PC right click on the image to get the option box. Scroll down in the ‘option box’ and click ‘save image’.
Ruth Delahunty Yogaru