Tri-Cities Manual Therapy

Manual Lymphatic Drainage for Lymphedema

Supporting Lymphatic Health with Gentle, Therapeutic Touch

What Is Lymphedema?

Lymphedema is a chronic condition characterized by swelling, typically in the arms or legs, resulting from a compromised lymphatic system. This can occur due to surgery, radiation, trauma, infection, or congenital factors. The accumulation of lymphatic fluid can lead to discomfort, reduced mobility, and changes in skin health.

If you’re living with lymphedema, you know how it can affect both your physical well-being and your quality of life. Fortunately, there are supportive therapies that can help manage the condition, alleviate symptoms, and prevent progression. One of the most recognized treatments is Complete Decongestive Therapy (CDT), which includes Manual Lymphatic Drainage (MLD) as a core component.

What Is Complete Decongestive Therapy (CDT)?

CDT is considered the gold standard for lymphedema treatment, combining multiple therapeutic approaches to reduce swelling and maintain lymphatic health. physio-pedia.com

The Two Phases of CDT

  1. Reduction Phase (Phase I):
    This initial intensive phase focuses on decreasing swelling and softening fibrotic tissue. It involves:

  2. Maintenance Phase (Phase II):
    Following the reduction of swelling, this phase aims to preserve the progress achieved. It includes:

    • Self-MLD: Patients are taught to perform MLD techniques at home.

    • Compression Garments: Wearing specially fitted garments to maintain limb size.

    • Continued Exercise: Regular physical activity to support lymph flow.

    • Ongoing Skin Care: Continued attention to skin health to prevent complications.

CDT not only addresses the physical aspects of lymphedema but also empowers patients with self-care strategies to manage their condition effectively.

How Manual Lymphatic Drainage (MLD) Supports CDT

MLD is a specialized manual therapy technique integral to CDT. It involves light, rhythmic strokes that stimulate the lymphatic system, encouraging the movement of lymph fluid away from swollen areas.

Benefits of MLD:

  • Reduces Swelling: Promotes the drainage of excess lymph fluid.

  • Eases Discomfort: Alleviates the feeling of heaviness and tightness.

  • Enhances Mobility: Improves range of motion in affected limbs.

  • Supports Skin Health: Decreases the risk of infections by maintaining skin integrity.

MLD should only be performed by a certified lymphedema therapist and is taught to patients for self-administration during the maintenance phase of CDT.

What to Expect in a Session

During a lymphedema massage, you can expect:

  • Light, rhythmic strokes: The technique is slow and gentle, always working in the direction of lymph flow.

  • Focus on specific pathways: Treatment is targeted and guided by your body’s lymphatic map—not just the area that appears swollen.

  • Individualized care: Sessions are tailored to your specific condition, medical history, and any current treatments you may be undergoing.

This is a medically-informed treatment, and it’s important to work with a therapist who is certified in MLD or lymphedema care.

Is It Safe for You?

Massage for lymphedema is generally safe, but not everyone is a candidate. Contraindications may include:

  • Active infections (e.g., cellulitis)

  • Untreated heart or kidney issues

  • Recent blood clots or deep vein thrombosis

Before beginning any manual therapy, we recommend getting clearance from your physician.

Supporting Your Healing 

Lymphedema is a lifelong, chronic condition—but you don’t have to manage it alone. MLD can be a powerful part of your care plan. If you or a loved one is dealing with lymphedema, we’re here to support you. Give us a call to learn how MLD can complement your medical care and bring relief, gently and naturally.