What is Manual Lymphatic Drainage?
Manual Lymphatic Drainage (MLD) is a specialized therapeutic technique developed specifically to stimulate the lymphatic system. Using very light, rhythmic hand movements, a trained therapist can help move lymph fluid from areas of swelling to healthy lymph nodes where it can be properly processed.
MLD is a cornerstone of lymphedema treatment and is particularly effective when combined with other components of Complete Decongestive Therapy.
How MLD Works
The lymphatic system doesn’t have its own pump like the circulatory system has the heart. Instead, it relies on muscle movement, breathing, and external stimulation to move fluid through the vessels. When the lymphatic system is compromised, fluid accumulates and causes swelling.
MLD uses specific hand techniques to:
- Stimulate the contraction of lymphatic vessels
- Open lymphatic pathways in healthy areas first
- Redirect fluid from congested areas to functioning lymph nodes
- Soften fibrotic (hardened) tissue over time
What to Expect During MLD
Before Your Session
- Wear comfortable, loose-fitting clothing
- Stay well-hydrated
- Remove jewelry from affected areas
- Inform your therapist of any changes in your condition
During Treatment
MLD sessions typically last 45-60 minutes. You’ll lie comfortably while your therapist performs gentle, rhythmic strokes on your skin. The pressure is very light—much lighter than traditional massage.
The treatment follows a specific sequence:
- Opening drainage pathways in healthy areas
- Working progressively toward the swollen area
- Gently moving fluid toward functioning lymph nodes
After Your Session
Many patients notice a decrease in swelling and a feeling of lightness after treatment. You may also experience:
- Increased urination (as fluid is processed)
- Temporary fatigue
- Improved range of motion
Benefits of MLD
- Reduces swelling and fluid retention
- Improves tissue health
- Promotes relaxation
- Supports immune function
- Can help with scar tissue
- Gentle and non-invasive
Conditions Treated with MLD
MLD is effective for various conditions, including:
- Primary and secondary lymphedema
- Post-surgical swelling
- Lipedema
- Chronic venous insufficiency
- Post-traumatic edema
- Pregnancy-related swelling
Self-MLD Training
Learning to perform MLD on yourself is an essential skill for managing lymphedema. Your therapist will teach you:
- Proper hand techniques
- The correct sequence for your specific condition
- How often to perform self-treatment
- Signs that indicate you should seek professional help
Self-MLD helps you maintain the benefits of professional treatment and gives you control over your condition between appointments.