Manual Lymphatic Drainage

Manual Lymphatic Drainage or MLD, is a very gentle manual treatment that improves the function of the lymphatic system throughout the body. It is a specific, light, skin-stretching massage technique based on the methods developed by Dr. Emil Vodder. MLD enhances lymph formation and promotes drainage within the superficial and deep lymphatic networks, helping to re-route lymph flow around blocked or “congested” areas and into healthy lymph vessels. It is a key component of Complete Decongestive Therapy (CDT) for treating lymphedema, and is also effective for other conditions involving edema, such as post-surgical swelling and post-traumatic injuries.

MLD can help:

  • Reduce Swelling and Edema

  • Support Immune Function

  • Promote Stress Reduction and Relaxation

  • Support pre/post op procedures including cosmetic surgery

  • Promote Recover of accidents such as MVA, whiplash, falls, etc.

  • Chronic Pain management

  • Regulates Nervous System that may affect PTSD, anxiety, and insomnia

  • Reduce Headaches and Migraines

MLD Contraindications

When is MLD not a suitable treatment for you

NOTE: If you need a provider to help you with lymphedema, you will need to find a lymphedema specialist such as a Certified Lymphedema Therapist (CLT). Please use the link down below to find one near or suited for you.

Therapist Directory - Klose Training

  • These conditions must be strictly avoided when considering MLD:

    • Acute Infections: Any active infection caused by bacteria, viruses, or fungi can worsen with MLD

    • Malignant Tumors: MLD may risk spreading cancer cells.

    • Thrombosis: Conditions like deep vein thrombosis (DVT) pose a risk of embolism.

    • Untreated Congested Heart Failure (CHF): MLD can increase pressure in the veins, worsening heart conditions.

    • Severe Inflammation: Acute inflammatory conditions can lead to complications if treated with MLD.

  • These conditions require caution and may need medical consultation before proceeding with MLD:

    • Kidney Problems: MLD may not be effective and could overtax the kidneys.

    • Bronchial Asthma: MLD can potentially trigger an asthma attack.

    • Thyroid Issues: Treatment around the thyroid area should be approached with caution.

    • Pregnancy: Especially in the first trimester or if complications are present.


    • Cardiac Arrythmia

    • Hyperthyroidism

    • Hypersensitivity of carotid sinus

    • Caution in clients over 60+

    • Pregnancy

    • Menstruation

    • Ulcerative colitis

    • Diverticulitis

    • History of deep pelvic vein thrombosis

    • Abdominal Aortic Aneurysm (AAA)

    • Crohn's disease

    • Radiation colitis

    • Radiation cystitis

    • Any other inflammatory conditions in the abdominal cavity

    • Undetermined pain and others