Manual Lymphatic Drainage (MLD) is a gentle, skin-stretching massage technique designed to encourage the movement of lymphatic fluid out of swollen or congested areas of the body. Unlike traditional massage, MLD uses very light pressure and slow, rhythmic movements to specifically stimulate the lymphatic vessels and support healthy lymph flow.

Treatment begins by addressing unaffected areas first, allowing lymphatic fluid to clear existing pathways before the swollen region is treated. This creates space within the lymphatic system and helps fluid move away from congested areas more efficiently. MLD supports the function of remaining lymph collectors, assisting with the transport of protein and fluid while increasing the overall speed of lymphatic flow.

Diaphragmatic (deep) breathing is performed at the beginning and end of each session. This breathing technique helps activate deep lymphatic pathways, promotes fluid movement toward the heart, and provides a calming, restorative effect on the nervous system.

The overall aim of lymphatic drainage is to:

• Enhance the natural rhythmic contractions of the lymphatic system

• Stimulate lymph nodes

• Redirect stagnant lymphatic fluid

MLD can be used both preventatively and as part of post-operative or injury rehabilitation to manage swelling and support tissue healing.

Manual Lymphatic Drainage is a core component of Complete Decongestive Therapy (CDT) and achieves the best outcomes when combined with other CDT elements, including compression bandaging, compression garments, exercise, and patient education.

During your lymphatic drainage session, you can expect the following:

• Treatment is typically performed with the patient lying comfortably down

• Sessions begin and end with diaphragmatic breathing

• Unaffected lymph nodes and body regions are treated first

• Techniques progress from proximal to distal areas to assist drainage from affected regions

• Movements are slow, rhythmic, and repetitive

• Very gentle pressure is used throughout the treatment

• The session concludes with deep breathing

• Gentle limb mobilisation exercises are often performed following treatment