What is the arm drainage sequence in the Vodder approach?

• A. Drain distal to proximal along the arm
• B. Begin with drainage to the hand first, then the arm
• C. Treat the arm from distal to proximal
• D. Supraclavicular and axillary nodes first, then treat the arm proximal-to-distal

Answer: (D)

In Vodder Manual Lymph Drainage, establishing a clear route toward central circulation is essential. By first stimulating the proximal lymph nodes—the supraclavicular and axillary nodes—you open the main drainage channels that carry lymph from the arm toward the chest. After those proximal routes are prepared, you then guide lymph along the arm from proximal to distal, starting near the shoulder and moving toward the hand. This proximal-to-distal sequence ensures lymph can flow toward the central veins and reduces the risk of stasis in the distal segments. Draining the hand first or moving distal-to-proximal would bypass or overwhelm the newly opened pathways, making the treatment less effective. Therefore, begin with the supraclavicular and axillary areas, then drain the arm from proximal to distal.