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Silent Waves: Theory and Practice of Lymph Drainage Therapy 3rd Edition (SW)
Silent Waves: Theory and Practice of Lymph Drainage Therapy 3rd Edition (SW)

In Silent Waves, Dr. Bruno Chikly offers the first comprehensive examinations of lymphatic drainage and lymph pathologies, including lymphedema, in North America. There are over 460 pages, 50 pages of scientific references, and more than 300 illustrations. This book is a softcover copy.



Charlotte Michael Versagi’s review of Dr. Bruno Chikly’s definitive text, Silent Waves.

Extract from In Review: Silent Waves-Theory and Practice of Lymph Drainage Therapy” by Charlotte Michael Versagi, Massage Magazine, July/August 2002.


<<For those therapists and physicians interested in lymphology and lymphedema, there are, unfortunately, only a hand full of respected texts to turn to for reference and treatment.  Bruno Chikly’s Silent Waves should be counted as an invaluable text (…)

As a lymphedema therapist myself, I knew the minute a saw the author of this book that it would be invaluable.  Chikly’s reputation in the research and treatment of lymphedema is inestimable.  He does not disappoint.  In fact, he may bring just a little too much to the table (…)

Recently published information on manual lymphatic mapping has been muddy and frustrating: the illustrations in this book on human bodies, and the text explaining this intricate technique, are the best I have seen (…)

It truly is “everything you ever wanted to know about lymphedema or lymphology” in one place.  And, it is exquisitely well researched.  The extensive bibliography at the end of each chapter alone makes the book worth owning (…)

He gives thorough examples of treatments for pre- and post-surgical applications; chronic venous insufficiency; breast care; cosmetic and esthetic applications; orthopedics and sports medicine; and chronic and subacute infectious diseases, including HIV, rheumatology, neurology and more. (…)

…if you are studying or practicing in this field, your library is not complete without Silent Waves.>>


<<This is the first comprehensive book on the lymphatic system and lymphedema in North America. With this book the lymphatic system has finally been accorded its deserved "place of honor" among the systems of the body. Bruno Chikly's Lymph Drainage Therapy is a breakthrough in the field of manual therapies, and this book is an important and long-waited addition to medical/osteopathic literature.>>

 Jean Pierre Barral, D.O., M.R.O.F.

Developer of the Visceral Manipulation curriculum


<<Silent Waves is the bible in the field of lymph drainage therapy. Author Bruno Chikly, MD, is a skilled physician and true healer, and he is the Einstein of this rapidly developing field. This book is a treasure not only for healthcare professionals but also anyone who whishes to learn more about one of the most neglected systems of the human body.>>

Larry Dossey, MD, Executive Director, Alternative Therapies in Health and Medicine,

Author of nine books including Healing beyond the Body, Reinventing Medicine and Healing Words.


<<Bruno Chikly's book is an incredible resource for patients, their caregivers and health professionals. The extent of the information you make available to therapists and physicians is a gift we can all utilize in our practice and work.>>

 Bernie Siegel, MD, Surgeon and author of Love, Medicine and Miracles; Prescription for Living and other Books.


Book detailed content:


Part 1: The Lymphatic System and the Lymphoid Organs

Chapter I- History

1. The Discovery of the Lymphatic System

2. Development of Manual Technique for the Lymphatic System

Chapter II- Phylogeny: The Evolution of the Lymphatic System in Animals

Chapter III- Embryology / Ontogeny: The Evolution of the Lymphatic System in the Human Stages of Development

Chapter IV- The Cardiovascular System

Chapter V- The Lymphatic System

Chapter VI- Composition of Lymph

Chapter VII- Organization of the Lymphatic Pathways

1. The Pre‑Lymphatic Pathways and the Interstitial Tissue

2. Lymphatic Capillaries or Initial Lymphatics

3. Pre‑Collectors

4. Collectors

5. Lymph Trunks and Ducts

6. Lymph Nodes

Chapter VIII- The Immune System & The Lymphoid Organs

Chapter IX- Lymph Circulation

Chapter VIII- Anatomy of The Lymphatic System & Lymph Drainage Therapy Techniques

1. Terminal Pathways:

2. The Head and Neck

3. The Upper Extremity and Chest

4. Lower Extremity

5. The Abdominopelvic Area: Vessels and Nodes of the Viscera


Part 2 Lymphatic Drainage Therapy (LDT) & its Applications

- Manual Lymphatic Mapping (MLM)

Chapter I) Main Functions of the Lymphatic System & Actions of Manual Lymphatic Therapy (MLT)

Chapter II) Indications for Lymph Drainage Therapy

Chapter III) Contraindications And Precautions for Lymph Drainage Therapy

Chapter IV) Ten Points for The Therapist to Observe for Optimal Results

1. Rhythm And Frequency of Movements

2. Hand Pressure

3. Direction of Flow - Manual Lymphatic Mapping (MLM)

4. Hand Techniques

5. Duration of Movements

6. Sequence of Movements

7-9. Duration of a Session, duration of a Treatment and General Mistakes

10. Contraindications and Precautions of Drainage

Chapter V) Practical Tips for Therapists

Chapter VI) Manual Lymphatic Mapping (MLM)


Part 3 Edema - Lymphedema

Chapter I- Edema

Chapter I- Transport of Substances – Microcirculation

Chapter III- Pathophysiology and Etiology of Edema

Chapter IV- Lymphedema an Overview

Chapter V- Primary Lymphedema

Chapter VI- Secondary Lymphedema

Chapter VII- Diagnosis of Lymphedema

Chapter VIII- Evolution of Lymphedema: Complex Lymphedema

Chapter IX- Complications of Lymphedema

Chapter X- Psycho‑Social Dimensions of Lymphedema


Part 4 Management of Lymphedema

Chapter I- Brief History of Complex Decongestive Physiotherapy (CDP)

Chapter II- General Principles of All Forms of CDP

Chapter III- Evaluation & Documentation of Lymphedema

Chapter IV- Precautionary Measures for Lymphedema

Chapter V- Hands-On Procedure: Manual Lymphatic Therapy (Mlt)

1. Lymphatic Watersheds and Lymphotomes

2. Four Phases in The Drainage of Pathologic Pathways

3- Shunt / Reroutes / Alternative Pathways

4. Treatment of Fibrotic Tissue and Scars

5. Treatments of Side Effects of Radiation Therapy

6. Self-Drainage

Chapter VI- External Medical Compression

Chapter VII- Compression Therapy / Pump

Chapter VIII- Other Therapeutic Modalities For Lymphedema

Chapter IX- Exercise Under Medical External Compression & Diet

Chapter X- Medication

Chapter XI- Surgery

Chapter XII- U.S. Insurance Issues


Part 5 Current applications of LDT and other possibilities to be investigated

Chapter I- Pre & Post Surgery, Burns, Tissue Regeneration

Chapter II- Chronic Venous Insufficiency (Cvi) and Wound Care

Chapter III- Gynecology: Lymphatic Breast Care and Other Applications

LDT Applications for Mastopathy (Breast Problems) and Gynecology

Chapter IV- Dermatology: Esthetic and Cosmetic Applications

Chapter V- Orthopedics ‑ Sports Medicine

Chapter VI- Chronic and Subacute Infectious Diseases - HIV

Chapter VII- Rheumatology

Chapter VIII- Neurology - Central Nervous System

Chapter IX- Ophthalmology

Chapter X- Otorhinolaryngology: Ear-Nose-Throat

Chapter XI- Bariatrics: Obesity / “Cellulite”

Chapter XII- Dentistry, Orthodontics

Chapter XIII- Veterinary Medicine


Part 6 General Overview - The Water Element, the Cell And Body Tissues

Chapter I- Life

Chapter II- The Water Element

Chapter III- The Cell & Organic Compounds

Chapter IV- Body Tissues / Connective Tissue

1. Epithelial Tissue

2. Muscle Tissue

3. Nervous Tissue

4. Connective Tissue

Resource List




Bruno Chikly MD, DO

460 Pages

Weight: 3.7 lb

Product Dimensions:  11 x 8 x 1 inches

A great educational tool for all ages.