Manual Lymphatic Drainage.

What it is

Manual lymphatic drainage (MLD) is a very gentle massage that encourages lymph to flow. The lymphatic system carries extra fluid, waste and immune cells from the tissues back toward the blood. It has no pump of its own, so it relies on movement and muscle action. MLD uses light, rhythmic strokes that follow the lymph vessels toward working lymph nodes.

The pressure is much lighter than a regular massage. MLD is a standard part of lymphedema care and is also used for swelling after surgery, puffiness and simple relaxation.

What happens at a visit

1. Lie comfortably while the therapist uses very light touch.
2. Slow, rhythmic strokes that follow the lymph pathways.
3. Work around the lymph nodes in the neck, armpits, abdomen and groin.
4. Strokes that guide fluid toward working lymph nodes.
5. A gentle, wave-like rhythm on the skin.
6. Deep relaxation; some people fall asleep.

Who it is for

• People after surgery, especially after lymph node removal
• People with lymphedema or ongoing swelling
• Cancer patients and survivors, with their oncologist's okay
• People with puffiness or fluid retention
• Anyone who wants very gentle, relaxing bodywork

Evidence and safety

MLD is well established in lymphedema care, usually combined with compression and exercise, where it can reduce swelling and improve quality of life. Evidence for other uses is earlier. With a certified MLD therapist it is very safe. Skip it during an active infection, and check with a clinician first if you have a blood clot, heart failure or another heart condition, kidney disease or active cancer.

How Gabriel helps