Manual Lymphatic Drainage
Manual lymphatic drainage is a specialized massage technique that regulates the lymphatic system, reduces edema, and supports the body's immune function.

Manual lymphatic drainage (MLD) is a gentle massage technique that aims to regulate the flow of lymphatic fluid and accelerate the removal of waste products from the body. Developed by Emil and Estrid Vodder in the 1930s, this method is widely applied in edema treatment, post-surgical recovery, and detoxification processes today.
What is the Lymphatic System?
The lymphatic system is a network that runs parallel to the circulatory system and plays a vital role in the body's defense mechanism. Lymph vessels carry excess fluid, proteins, and waste products from tissues back to the bloodstream. Lymph nodes filter harmful substances and produce immune cells. When this system doesn't work properly, fluid accumulation (edema) occurs in tissues.
How is Manual Lymphatic Drainage Applied?
Manual lymphatic drainage differs from classical massage with its light, rhythmic, and gentle touch. The technique is applied with circular and pumping movements, following the direction of lymph flow. The therapy begins with the neck region where lymph nodes are concentrated, then continues toward problem areas.
- •Stationary circles: Circular movements applied without skin slippage
- •Pump technique: Pumping movements to accelerate lymph flow
- •Scoop technique: Scooping movements to direct accumulated fluid
- •Rotational technique: Spiral movements applied on large areas
Scientific Background
Manual lymphatic drainage has been scientifically proven particularly in lymphedema treatment. Studies have shown MLD to be effective in edema reduction, pain relief, and functional improvement. The technique is included in guidelines as part of complex decongestive therapy (CDT).
When is Manual Lymphatic Drainage Applied?
- Primary lymphedema
- Secondary lymphedema (post-cancer treatment)
- Post-surgical edema
- Lipedema
- Chronic venous insufficiency
- Fibromyalgia
- Migraines and chronic headaches
- Sports injuries
- Post-cosmetic surgery recovery
- Detoxification support
Treatment Process
Detailed Assessment
The cause and severity of edema is evaluated with medical history and physical examination.
Measurement and Documentation
Circumference measurements are taken to monitor edema severity and progress is recorded.
MLD Application
Light and rhythmic massage is applied appropriate to the problem area.
Compression Therapy
When necessary, it is combined with bandaging or compression garments.
Benefits
- Edema reduction
- Pain relief
- Strengthened immune system
- Accelerated detoxification
- Improved skin quality
- Relaxing effect
Frequently Asked Questions
Is manual lymphatic drainage painful?
After which surgeries is lymphatic drainage applied?
How long does treatment take?
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