Visceral Lymphatic Balancing (VLB1)

Prerequisite: VM2

At the request of Jean-Pierre Barral, DO, MRO(F), RPT, this course was developed by Dr. Kerry D’Ambrogio, DOM, AP, PT, DO-MTP to specifically complement Visceral Manipulation treatment.

Visceral Lymphatic Balancing is an effective manual therapy treatment to relieve congestion and remove accumulated waste and edema in the organs to decrease pain, restore full function and allow for optimal healing. The VLB procedure involves both short and long lever manual pumping and drainage techniques to simulate gentle, specific wave-like movements that stimulate fluid motion and aid in the re-circulation of the venous and lymphatic flow. These subtle manual techniques not only activate lymph and interstitial fluid circulation, but also stimulate the immune system and help balance the autonomic nervous system.

For the visceral system to maintain health and homeostasis, each organ must receive unobstructed blood flow, balanced nervous system input, and unrestricted energy flow. However, the overall health of an organ is not only dependent on its inflow, but also, more importantly, on its outflow. This concept is based on the understanding of an important principle of manual therapy, Drainage Precedes Supply.

Specifically applied to the Visceral System, this means that all organs need a healthy inflow of oxygenated and nutrient rich blood for cellular homeostasis and repair. However, for organs to receive this healthy circulatory inflow, there must first be properly functioning transverse diaphragms, autonomic nervous system and lymphatic outflow to drain the organ tissue. If lymph circulation stagnates due to injury, infection, surgery or bad diet, organs become congested and the ability of the organ tissue cells to receive healthy blood is compromised. This leads to an accumulation of cellular waste products in the tissues causing pain, tension, and edema. To prevent damage and promote healing, this accumulated waste and edema must be promptly removed.  **Please note that this foundational course includes instruction on how to identify barriers to visceral health and how to remove these barriers to improve visceral lymphatic flow in the thoracic, abdominal, and pelvic cavities.

Course Highlights:

In the VLB1 introductory course, the instructor will present a Six Step Local Treatment Approach to eliminate visceral congestion in the ventral cavity (thoracic, abdominal, and pelvic cavities). Within this Six Step Treatment Approach, each student will learn how to do the following:
  • Perform a Visceral Lymphatic Balancing Evaluation.
  • Evaluate and balance the Transverse Diaphragms and Autonomic Nervous System to remove barriers to the flow of vital structures (arteries, veins, nerves, lymphatics, and energy) and improve microcirculation.
  • Perform and apply Lymphatic Balancing Specific Techniques to release lines of tension and eliminate congestion within the visceral cavities.
  • Perform and apply Lymphatic Balancing Supportive Techniques (Active Lymphatic Pumping Exercises) to extend and maintain the treatment effect beyond the current session.

"This is a missing link in my practice. This will greatly enhance my treatment results."
M. Binenstock

"So important to integrate all different branches of treatment for a whole body approach."
T. Hodges

"Visceral Lymphatic Balancing is significant for Visceral Manual Therapy!"  
J. Giacalone

Feedback from the Virtual VLB Course:

"This course exceeded my expectations for online learning. The material was well organized with an exceptional presentation by Kerry D'Ambrogio. The breakout rooms provided the opportunity for individual feedback on techniques. And, while we were not able to have our hands specifically tested for depth of palpation or specific level of listening, the Teaching Assistants were able to make sure our hand placement and techniques looked correct. We had plenty of opportunities to ask questions and verify techniques."