Lymphatic Drainage Massage

What is Lymphatic Drainage Massage?

Lymphatic drainage massage, also known as Manual Lymphatic Drainage (MLD), is a specialised, gentle massage technique designed to stimulate the flow of lymph fluid throughout the body. The lymphatic system is crucial for immune function and waste removal, but unlike the circulatory system, it has no pump—it relies on muscle movement and manual stimulation.

Developed in the 1930s by Danish physiotherapists Dr. Emil Vodder and Estrid Vodder, MLD uses very light, rhythmic, circular movements to encourage lymph flow toward the lymph nodes where toxins and waste are filtered.

Understanding the Lymphatic System

• Lymph fluid - Clear fluid containing white blood cells and waste products
• Lymph vessels - Network of thin tubes throughout the body
• Lymph nodes - Filter stations that trap bacteria, viruses, and waste
• Key node areas - Neck, armpits, groin, and behind the knees
• Function - Immune defence, fluid balance, and waste removal

Benefits of Lymphatic Drainage Massage

• Reduced swelling (oedema) - Especially effective for post-surgical swelling
• Lymphoedema management - Essential treatment for this chronic condition
• Immune system support - Enhances lymphocyte production and circulation
• Detoxification - Accelerates removal of metabolic waste
• Reduced water retention - Helps with bloating and puffiness
• Faster healing - Supports recovery from surgery or injury
• Clearer skin - Can improve skin conditions like acne
• Deep relaxation - Very calming effect on the nervous system

Conditions That May Benefit

• Lymphoedema (primary and secondary)
• Post-surgical swelling (especially after cancer treatment)
• Sports injuries with swelling
• Chronic fatigue syndrome
• Fibromyalgia
• Sinus congestion
• Skin conditions (acne, rosacea)
• Pre and post cosmetic surgery
• Pregnancy-related swelling (with caution)

What to Expect During Your Session

• Sessions typically last 60-90 minutes
• The touch is extremely light—lighter than Swedish massage
• Rhythmic, wave-like movements in specific directions
• Treatment follows the natural flow of lymphatic pathways
• Usually begins at the neck and works outward
• Very relaxing—many clients fall asleep
• Drink plenty of water before and after treatment
• You may need to urinate more frequently afterward

The Technique

Lymphatic drainage uses specific, gentle techniques:

• Stationary circles - Light circular movements on the skin
• Pump technique - Oval-shaped strokes with the palm
• Rotary technique - Spiral movements using the whole hand
• Scoop technique - Twisting wrist movements

Pressure is extremely light—about 30-40 grams, similar to the weight of a 20-cent coin. This is because lymph vessels are superficial and too much pressure can collapse them.

Contraindications

Lymphatic drainage massage should be avoided if you have:

• Active infection or fever
• Blood clots or thrombosis
• Congestive heart failure
• Active cancer (consult oncologist first)
• Acute inflammation
• Kidney failure
• Untreated tuberculosis

Always consult your healthcare provider if you have any medical conditions.

Finding a Qualified Practitioner

For effective lymphatic drainage massage, seek a therapist who has:

• Specific training in Manual Lymphatic Drainage (MLD)
• Certification from recognised programs (Vodder, Földi, or Casley-Smith methods)
• Experience with your particular condition
• Understanding of contraindications and precautions