What is Manual Lymphatic Drainage?
Manual Lymphatic Drainage (MLD), also known as lymphatic massage, is the gold standard for treatment for many medical conditions such as lymphedema, lipedema, edema and pre-operative preparation and post-surgical recovery. Some clients find it useful to help manage symptoms of fibromyalgia, Lyme Disease, rheumatoid arthritis, and multiple sclerosis. MLD is also a modality that is well-indicated for individuals who may not be able to tolerate standard massage, like the elderly and those in palliative or hospice care. Almost anyone's immune system can benefit from this relaxing modality that works with the body's own rhythm to enhance lymphatic function. The pressure used during the application of MLD is lighter than what you may be used to when receiving other hands-on treatments and self-care techniques can be taught for home use.
What is the lymphatic system and what does it do?
The lymphatic system is one of the key components of our immune system. Its primary functions are to balance the fluid load in the body, facilitate the removal of toxins and waste, and stimulate white cell production.
Who would benefit from manual lymphatic drainage?
While this technique may benefit almost everyone, it is especially helpful for those dealing with or at risk of lymphedema (swelling caused by lymphatic system blockage or damage), lipedema, medical conditions, or postoperative side effects and can be helpful for those dealing with auto-immune diseases.
What is lymphedema?
Lymphedema is a condition that can occur when there is a disruption or damage to lymphatic structures such as lymph nodes and lymph vessels. Protein rich fluid that is usually cleaned, filtered, and processed via the lymphatic and cardiovascular systems can back up and become stagnant. In mild cases, this fluid back up may result in swelling, tightness, and discomfort. In extreme cases, it can result in fibrosis (hardening) of the tissue, loss of skin integrity (open wounds), and loss of limb function.
Manual Lymphatic Drainage along with proper self-care education can be an important part of reducing your risk of lymphedema and, if necessary, managing symptoms to reduce discomfort and keep the condition from progressing.
Who offers Manual Lymphatic Drainage therapy?
Manual lymphatic drainage should only be provided by a trained practitioner who has received training in the specifics of lymphatics and lymphatic drainage therapies.
I am a Certified Lymphedema Therapist (CLT), certified through a Lymphology Association of North America (LANA) approved school and have completed more than 135 hours of training and hands-on practical work in lymphatic studies. In addition, I am an RN, BSN with many years of experience working as a nurse in various capacities.
What is the difference between Manual Lymphatic Drainage (MLD) and Complete Decongestive Therapy (CDT)?
As a Licensed Massage and Bodywork Therapist (LMBT) and Certified Lymphedema Therapist (CLT), I perform a hands-on bodywork technique called Manual Lymphatic Drainage Therapy as described above. This is one component of a larger treatment protocol called Complete Decongestive Therapy (CDT) that is often required for people living with lymphedema.
If you are living with a lymphedema diagnosis you may need a combination of practitioners to meet all of your ongoing needs.
Regardless of who you choose to see and work with it is important to confirm their credentials, training, and experience. The Lymphedema Education & Research Network (LE&RN) has many wonderful resources around lymphedema education along with this article on how to find a qualified therapist near you.
Where will my massage or bodywork session take place?
Your massage or bodywork session will take place in a warm, comfortable, quiet room. Soft music may be played to help you relax. You will lie on a table especially designed for your comfort.
Must I be completely undressed?
Most massage and bodywork techniques are traditionally performed with the client unclothed; however, it is entirely up to you what you want to wear. You should undress to your level of comfort. You will be properly draped during the entire session.
Will the practitioner be present when I disrobe?
The practitioner will leave the room while you undress, relax onto the table, and cover yourself with a clean sheet and blanket.
Will I be covered during the session?
You will be properly draped at all times to keep you warm and comfortable. Only the area being worked on will be exposed.
What parts of my body will be treated?
A typical full-body session will include work on your neck, abdomen, arms, legs, back and head.
What should I do during the massage or bodywork session?
Prior to the massage, feel free to ask the practitioner any questions about the technique or the upcoming session. During the massage, make yourself comfortable. The practitioner will either gently move you or tell you what is needed throughout the session (such as lifting your arm). Many people just close their eyes and completely relax, communicating if/when they need more or less pressure, another blanket, or anything else relevant to the session. If you have any questions regarding the session or about the particular technique you are receiving, feel free to ask.
How will I feel after the MLD session?
Most people feel very relaxed. After an initial period of feeling slowed down, people often experience increased energy, heightened awareness, and greater productivity which can last for days.
Are there any medical conditions that would make massage or bodywork inadvisable?
Yes. That's why it's imperative that, before you begin your session, the practitioner asks general health questions. It is very important that you inform the practitioner of any health problems or medications you are taking. If you are under a doctor's care, it is strongly advised that you receive a written recommendation for massage or bodywork prior to any session. Depending on the condition, approval from your doctor may be required.