Manual lymphatic drainage is a manual technique rooted in the science of the anatomy and physiology of the body’s lymphatic system, which consists of a network of organs, vessels and tissues that move lymph fluid back to the circulatory system. Lymph fluid is extra fluid from cells and tissues in the body that contains proteins, minerals, fat, damaged or cancer cells and germs. It also transports white-blood cells. The lymphatic system is a vital part of the immune system, with various roles to protect the body from infection & keep other systems within the body functioning appropriately. A congested or disrupted lymphatic system can compromise the immune system and/or cause lymph fluid to collect in certain areas, resulting in swelling.

During a lymphatic drainage massage, the massage therapist uses very light, precise manipulations to specific areas of the body, stretching the skin in the direction they want the lymph to move. There are approximately 600 lymph nodes in the body, with 300 in the deep abdomen alone. The massage typically starts around the abdomen, working outwards towards the extremities, including the neck and face, arms, and legs. Deep breathing is incorporated, primarily at the beginning and end of the treatment, to encourage the opening of deep lymphatic pathways thus increasing the movement of fluid towards the heart.

This technique is commonly used for lymphedema patients however, it has shown positive effects in sports medicine, as well as orthopedic and cosmetic surgery recoveries.

Indications for lymphatic drainage massage include:

• Edema & bruising from surgery or trauma
• Chronic pain & fatigue from auto immune/rheumatic disorders
• Leg swelling due to aging veins
• Lymphedema post oncology care
• Lipedema (fat & fluid disorders)

Manual lymphatic drainage can be done by itself or in conjunction with a massage tailored for your needs. The recommended frequency of manual lymphatic drainage varies and is dependent on each individual’s needs.