Medical & Lifestyle Physiotherapists

Physiotherapy Practice established 1983

Manual Lymphatic Drainage (MLD)


MLD is a type of gentle massage which is intended to encourage the natural drainage of the lymph from the tissues space body. The lymph system depends on intrinsic contractions of the smooth muscle cells in the walls of lymph vessels (peristalsis) and the movement of skeletal muscles to propel lymph through the vessels to lymph nodes and then beyond the lymph nodes to the lymph ducts which return lymph to the cardiovascular system. Manual lymph drainage uses a specific amount of pressure and rhythmic circular movements to stimulate lymph flow.


What is Lymphoedema?

Lymphoedema is the abnormal swelling of the skin and underlying tissue. It can occur anywhere in the body, but is most commonly found in the arms and legs. It is a result of under development, obstruction or damage to the lymphatic vessels or nodes, resulting in the accumulation of large amounts of lymph fluid in the area.


Source: Klose Training & Consulting LLC

How is Lymphoedema treated?

Lymphoedema is an ongoing condition that requires the correct management in order to control it. The treatment consists of:


  • Manual lymph drainage: a specialised, gentle massage technique
  • Compression bandaging and or the wearing of compression garments
  • Exercise based on a a specific, simple programme to encourage lymph drainage
  • Home programme consisting of daily self-drainage compression, exercise, skin care precautions and a healthy diet

Managing Physiotherapist: Bryony Krikler   |   © 2019 Rosebank Physiotherapy