Manual Lymph Drainage
Manual Lymph Drainage (MLD) increases lymph flow through the application of precise, gentle, and rhythmic movements applied according to the flow of the lymphatic vessels.
The Lymphatic System
The lymphatic system is a network of lymph vessels and lymph nodes that serves several essential functions within the body. It is responsible for the collection and transport of lymphatic fluid and plays a key role in immune function and tissue health.
Unlike the cardiovascular system, which relies on the heart to circulate blood, the lymphatic system does not have its own pump. Movement of lymph fluid depends on external pressure, muscular activity, and the motion of surrounding tissues. Under normal conditions, the body is able to manage typical fluctuations in fluid volume.
When injury, surgery, or an underlying systemic condition is present, the lymphatic system may become overloaded and its ability to compensate can decrease. In these situations, swelling—also referred to as edema—may develop. Depending on the cause, this swelling may be temporary or longer-lasting.
Manual Lymph Drainage (MLD) is used to support lymphatic function by encouraging the movement of excess fluid through the lymphatic pathways. The goal of this approach is to help limit further fluid accumulation and assist the body in restoring fluid balance.
Because the technique is very gentle and non-invasive, it can support recovery processes and overall tissue health, including in the early stages following injury or surgery, when clinically indicated.
Indications For Manual Lymph Drainage
Lymphedema following cancer treatment (surgery/radiation)
Post-operative edema (cosmetic, diagnostic, medical treatment)
Traumatic edema (falls/accidents)
Wound and scar management (burns, scar tissue, fibrosis)
Pain modulation (reduction of discomfort and sensitivity)
Fluid regulation (restoration of equilibrium within the tissue)
Nervous system calming (relaxation and anxiety reduction)
Lymphatic support (strengthening lymphatic function)
How Manual Lymph Drainage Is Provided
Manual Lymph Drainage is performed using light, rhythmic movements applied to the skin in specific sequences. The technique works with superficial lymphatic vessels and surrounding tissues, encouraging the movement of lymph fluid toward functioning lymphatic pathways.
MLD is a superficial technique and is most effective when minimal pressure is applied. Because the work is light and does not involve deep tissue manipulation, it is generally well tolerated and may also have a pain-relieving effect for some individuals. This makes the approach appropriate to consider even in situations involving recent injury or surgery, when clinically indicated.
The technique is performed with precision and care. Sessions are structured to support lymphatic flow while maintaining tissue safety and client comfort throughout, and are adjusted according to each client’s needs and stage of recovery.
Combined Decongestive Therapy
Combined Decongestive Therapy (CDT) is a structured therapeutic approach commonly used in the management of lymphedema, particularly when it develops following cancer treatment. The goal of CDT is to help reduce and manage swelling, support lymphatic function, and assist individuals in maintaining tissue health over time.
CDT incorporates several coordinated components, including Manual Lymph Drainage (MLD), compression therapy, therapeutic exercise, and skin care education. Each element plays a specific role in supporting lymphatic flow, managing fluid accumulation, and reducing the risk of complications associated with lymphedema.
Treatment is adapted to the individual and may vary depending on the stage and presentation of lymphedema, overall health considerations, and tolerance to care. CDT may be provided as part of an initial intensive phase and may also include guidance for ongoing self-management strategies as appropriate.
This approach emphasizes consistency, education, and gradual progress, with care structured to support both short- and long-term management needs.