Chapter 21 Manual Lymphatic Drainage
OVERVIEW.
Manual lymphatic drainage (MLD) is a gentle manual technique that involves mild, suprafacially applied mechanical stretches of the lymphatic collectors’ walls to enhance activity in intact lymph vessels, improve lymph circulation, and treat lymphedema.1,2 MLD is viewed as one component in a comprehensive approach to address lymphedema.1 It is important to note that MDL does not involve kneading—it is not viewed as massage.3
SUMMARY: CONTRAINDICATIONS AND PRECAUTIONS.
Three sources cite a total of 29 concerns for MLD. The greatest proportion of concerns is contained under the procedural category (almost 30%) and they relate to force level and correct technique. Other prominent categories where MLD presents a concern are patients with circulatory, digestive, and endocrine problems. These latter concerns are generally local and depend on where the technique is applied (e.g., the neck area in carotid sinus hypersensitivity or thyroid conditions).
