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Manual Lymphatic Drainage

Manual lymphatic drainage is a light-pressure, rhythmic massage technique used in lymphedema and edematous conditions.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Geleneksel ve Tamamlayıcı Tıp department. Book Appointment →

What is Manual Lymphatic Drainage?

Manual lymphatic drainage (MLD) is a physical therapy technique consisting of light-pressure, directional movements applied to the skin to facilitate lymphatic flow. It is one of the basic steps of complex decongestive therapy (CDT).

There is evidence for its use in arm lymphedema after breast cancer surgery, lower extremity lymphedema and primary lymphedema. It is applied together with bandaging, exercise and skin care.

In Turkiye it should be performed by a certified physiotherapist or a CAM-authorized (GETAT) physician. It may be contraindicated in heart failure and active infection.

Symptoms

Arm lymphedema after breast cancer surgery
Lower extremity lymphedema
Primary lymphedema
Edema after trauma
Chronic venous insufficiency (supportive)
Postoperative edema management

Risk Factors

Congestive heart failure
Active cellulitis and erysipelas
Deep vein thrombosis
Untreated active cancer in the local area
Acute kidney failure
Widespread skin infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Consult a physician when signs of lymphedema are noticed
  • Sudden swelling and pain in a limb should be evaluated for thromboembolism
  • Patients with skin infection should not undergo MLD without treatment
  • The treatment plan must be designed carefully in heart and kidney failure

Treatment Methods

01
MLD + bandaging + exercise + skin care within CDT
02
Application by a certified physiotherapist or authorized physician
03
Session length of 45–60 minutes
04
Self-MLD training as a home program
05
Use of compression garments
06
Regular medical follow-up

Which Department to Visit?

You can visit our Geleneksel ve Tamamlayıcı Tıp department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Geleneksel ve Tamamlayıcı Tıp Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.