Manuel Lymphatic Drainage (MLD)

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Manual Lymphatic Drainage (MLD) is a gentle massage technique designed to stimulate the lymphatic system, which plays a crucial role in fluid and waste removal. It involves using light touch and slow, rhythmic movements to help move fluid and waste products from areas where they may be congested towards lymph nodes, where they can be processed and removed from the body.

What is MLD ?

  1. MLD is a Gentle and Superficial technique that uses very light pressure, never passing beyond the subcutaneous layer (fatty layer)
  2. Slow rhythmic hand movements, often in a circular or sweeping motion.
  3. The movements are directed toward the Lymph Nodes, which filter and remove waste from the lymphatic fluid.
  4. MLD is NOT a Massage. MLD is a type of manual therapy, it is not a traditional massage. The goal is to manipulate the skin and tissues to encourage lymph flow.
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How does it work?

  1. Stimulates Lymphatic System: MLD aims to stimulate the lymphatic vessels and nodes to improve the flow of lymphatic fluid.
  2. Reduces Swelling: By moving excess fluid and waste, MLD can help reduce swelling, especially in cases of lymphedema (a buildup of fluid in the lymphatic system).
  3. Improves Immune Function: The lymphatic system plays a role in the immune system, so stimulating it can potentially boost immunity.
  4. Reduces Stress: MLD is often described as relaxing and can help alleviate stress, thereby improving overall well-being.




When it might be used:

  1. Lymphedema: MLD is a common treatment for lymphedema, a condition causing swelling due to a buildup of lymphatic fluid.
  2. Post-Surgery: It can be used after surgery, particularly in cancer patients, to help reduce swelling and prevent complications.
  3. Edema: MLD may be beneficial for other types of edema (swelling) caused by various medical conditions.
  4. Pain and Stiffness: Some studies suggest MLD can help alleviate pain and stiffness.
  5. Other Uses: MLD is sometimes used for other purposes, such as improving circulation, reducing fatigue, and promoting relaxation.


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Important Considerations

  1. Qualified Practitioner: MLD should be performed by a trained and qualified therapist, preferably a certified lymphedema therapist (CLT).
  2. Not a Sole Treatment: MLD is often used in conjunction with other treatments, such as compression therapy and exercise, to manage swelling and other symptoms. (See Decongestive Therapy)
  3. Contraindications: MLD may not be suitable for certain individuals, such as those with advanced heart failure, blood clots, or active infections.