Manual Lymphatic Drainage (MLD)

• MLD is a manual therapy technique that affects primarily superficial lymphatic circulation.

• MLD provides a stretch to the skin that enhances lymph capillary activity.

Fig. 1: Manual lymphatic drainage on LE.

Effects of MLD:

• Increase the frequency of lymphangion contractions

• Improve lymph transport capacity

• Redirect lymph flow toward collateral vessels, anastomoses, uninvolved lymph region

• Mobilize excessive lymph fluid.

Indication of MLD:

• Lymphedema

• Edema from chronic venous insufficiency (CVI)

• Sports injury

• Neurological injury

• Post-operative swelling

Contraindications of MLD

• Cardiac related edema

• Pulmonary edema

• Renal related edema