Manual lymphatic drainage (MLD) is a type of gentle massage that is intended to stimulate the lymphatic system and encourage the natural drainage of lymph fluid. It is often used to treat lymphedema, a condition in which fluid builds up and causes swelling in the arms or legs. MLD may also be used to help reduce swelling after surgery. It is typically performed by a trained therapist and involves very light, gentle strokes that are applied in a specific pattern to encourage the flow of lymph fluid. If you are providing MLD services at home after surgery, it is important to follow your therapist’s instructions carefully and to be gentle in your touch.
There are various techniques for MLD including the Vodder, Földi, Leduc, or Casley-Smith methods.
MLD is recommended as a component of CDT but is often used in combination with other treatments[2]. MLD in isolation is effective but a combination of the parts of CDT is optimal[2]. CDT has been shown to be effective in reducing lymphedema volume and improving the quality of life patient mobility[2].