The downward and upward movement in diaphragmatic breathing is an important component for the sufficient return of lymphatic fluid back to the bloodstream. Patients affected by lymphedema of the leg benefit greatly from an exercise program including diaphragmatic breathing exercises. The movement of the diaphragm, combined with the outward and inward movements of the abdomen, rib cage, and lower back promotes general well-being, peristalsis and return of venous blood back to the heart. The Massage and Reflexology Students are taught this in our Programs as well..