Benefits of Manual Lymphatic Drainage

MLD is a specific massage technique with gentle, skin-stretching movements. These movements transport the lymphatic fluid from swollen areas toward regions that are draining well. This is called ‘decongesting.’

MLD starts in the areas of the non-swollen parts of your body to open the well-working lymph collectors, make the lymph flow faster, and induce a suction effect. Your therapist will continue with MLD in your swollen body parts to direct the fluid to the open lymph collectors. The gentle, rhythmic motions on your skin can also help to soften any hardened (fibrotic) tissue.

Deep breathing enhances the positive effects of MLD. So-called ‘diaphragmatic breathing’ helps to open deep-seated lymph collectors. Therefore, MLD usually starts and ends with deep breathing exercises. By the way, laughing is a deep breathing technique as well! Besides its effect on the lymphatic flow, it can also relieve stress, anxiety, or even depression.

Only certified therapists should perform MLD. They are trained on the recognized techniques and have a profound knowledge of the disease. MLD is not suitable for everyone, and there are situations, such as infections, where MLD must not be applied. Always refer to your Healthcare Professional first to make sure that MLD is right for you.

You can also learn how you can do lymphatic drainage by yourself. Simple hand movements can move the lymph fluid out of the affected area as well. This is called Simple Lymphatic Drainage (SLD). Your therapist can show you, or your relatives, how to do it.

Mechanical Lymphatic Drainage can support lymphoedema therapy, if applicable. Whereas MLD is performed with the hands, Mechanical Lymphatic Drainage is performed with specific devices.

One example of such a device is the “intermittent pneumatic compression” device – an electronic pump that fills sleeves, gloves, or boots with air fitted to the affected part of your body. The device applies a certain amount of pressure over a certain time to transport the lymphatic fluid to the centre of your body and reduce the swelling of the affected body parts.

MLD and SLD are key elements of Complex/Complete Decongestive Therapy, together with compression therapy, exercise, and skin care. MLD can cause relief in all stages of lymphoedema, and also helps to soften fibrotic (hard) tissue that may appear in the later lymphoedema stages. SLD is one of the self-management techniques in the treatment of lymphoedema.