Manual Lymphatic Drainage (MLD) is a gentle, light-pressure skin massage that stimulates the lymphatic system to move lymph fluid and reduce swelling. It is not the same as deep tissue massage and is often used to treat lymphedema and swelling, especially after surgery or medical treatments. MLD involves rhythmic, light-stretching movements of the skin in specific directions to clear the lymph nodes first, followed by the congested area.  

• MLD uses very gentle, light pressure to stretch the skin, not to knead it like a traditional massage, which can block fluid flow.
• The goal is to move excess fluid from swollen areas to functioning lymph nodes where it can be reabsorbed.
• A trained therapist will first treat unaffected areas to prepare the “drainage pathways” before working on the swollen area.
• Deep breathing exercises are often incorporated at the beginning and end of a session to help stimulate the deep lymphatic pathways.

• Light and rhythmic movements: The therapist will use their hands with light, rhythmic stretching movements to move the skin.
• Focus on different areas: The therapist will first work on the lymph nodes in areas like the neck, armpits, and groin to clear them.
• Gentle pressure: You should not feel a deep pressure or muscle manipulation. If the therapist is pressing hard enough to be felt on the muscles, they are pressing too hard.

• People with swelling caused by conditions like lymphedema, which can occur after lymph node removal, radiation, or other medical treatments.
• It can also support the body in fighting infection and reducing inflammation.

Service currently offered only by Barbara Vadovicova, RMT

MLD is not recommended for people with certain conditions like congestive heart failure, a history of blood clots, a current infection, or liver/kidney problems