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Lymphatic drainage

Manual lymphatic drainage (MLD) is a specific therapeutic manual technique that acts on the lymphatic system and the surrounding tissues through gentle, rhythmic and targeted movements. The treatment promotes the drainage of lymph and the management of fluid buildup in the tissues, helping to reduce edema and improve the condition of the treated tissues. In Switzerland, MLD is part of the training and professional skills of a medical massage therapist with a federal professional diploma.

Manual lymphatic drainage treatment

How it works

Slow, rhythmic and specific manual movements are performed, generally with gentle pressure. The techniques follow the physiological pathway of lymphatic circulation and are adapted to the area and the situation.

The treatment can be applied to:

  • Legs and feet
  • Arms and hands
  • Abdomen
  • Torso
  • Neck and face

What to expect

The treatment is characterized by gentle, slow, rhythmic movements.

During the session you may feel:

  • Relaxation
  • Lightness
  • A slight sensation of movement
  • Reduced tension associated with edema

Benefits

With an appropriate indication, it can help to:

  • Promote the drainage of interstitial fluids
  • Reduce tissue congestion
  • Manage edema
  • Improve the condition of the tissues
  • Promote a feeling of lightness

Indications

  • Lymphedema
  • Edema and swelling of the limbs
  • Some post‑surgical conditions
  • Recovery after certain traumas or surgery
  • Complex decongestive therapy programs

Professional approach

The treatment considers the location of the edema, any previous surgery or conditions, and the therapeutic goals.

  • After surgery → it can be included in some post‑operative pathways; timing and methods depend on the type of surgery, the healing phase and medical instructions
  • Complex decongestive therapy → in the presence of lymphedema or other lymphological conditions, MLD can be included, when indicated, within a broader complex decongestive therapy program

Sudden, significant, painful or unevaluated swelling requires proper medical evaluation first.

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