Physical Therapy & Manual Lymphatic Drainage (MLD)
Manual Lymphatic Drainage (MLD) is a specialized gentle massage technique used in physical therapy to promote lymphatic flow, reduce swelling, and improve circulation. It is commonly recommended for lymphedema, post-surgical swelling, and cancer-related lymphatic complications.
- What Is Manual Lymphatic Drainage (MLD)?
MLD is a light, rhythmic massage technique that stimulates the lymphatic system, helping move excess fluid from swollen areas back into circulation. Unlike deep tissue massage, MLD uses gentle, skin-stretching motions to facilitate drainage. MLD is performed by Certified Lymphedema Therapists (CLT) or trained physical therapists as part of Complete Decongestive Therapy (CDT) for lymphedema management.
- Conditions Treated with MLD in Physical Therapy
Lymphedema (Primary or Secondary) – Often occurs after cancer treatments (breast, gynecologic, prostate) due to lymph node removal or radiation.
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Post-Surgical & Post-Radiation Swelling:
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Reduces fluid retention after mastectomy, lumpectomy, or reconstructive surgery
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Chronic Venous Insufficiency (CVI):
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Helps manage fluid buildup in the legs
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Post-Injury or Trauma Edema:
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Speeds up healing by improving fluid movement
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Fibrosis & Scar Tissue Management:Improves tissue mobility after radiation or surgery.
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- How Physical Therapists Use MLD
MLD is often combined with other physical therapy techniques, such as:
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Compression Therapy:Applying bandages or garments after MLD to maintain fluid reduction.
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Therapeutic Exercises:
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Gentle movement improves lymphatic flow
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Stretching & strength training may be added for long-term maintenance
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Skin Care Education:
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Prevents infections (cellulitis) in lymphedema-prone areas.
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Breathing & Postural Training:
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Diaphragmatic breathing enhances lymphatic drainage.
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MLD should always be performed by a Certified Lymphedema Therapist (CLT) or trained physical therapist to ensure safe and effective results.