Lymphatic Drainage
Manual lymphatic drainage (MLD) is
a type of gentle massage which is
intended by proponents 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.
Lymphatic drainage massage is a profound technique to help
increase lymph flow. With an increase of lymph flow immune
function is increased. Harmful substances are removed from
the tissues and neutralized in the nodes. It has also been
shown that an increase in lymph flow stimulates an increased
production of lymphocytes- enhancing immune function.
Patients that have extreme amounts of oedema should work
with a group of healthcare practitioner trained in lymph
drainage, bandaging and other modalities. However, with a
proper understanding of contraindications and some basic
training, massage therapists can enhance the health of their
clients and reduce minor cases of oedema.
Lymphatic drainage massage is also useful when working with
clients who have sports injuries. After the initial inflammatory
stage has passed, lymphatic work can be applied after Sports
or Neuromuscular massage has been completed. This will help
to clear the tissue of debris, and help to reduce the minor
oedema that sometimes occurs after deep massage. Continued
applications of lymphatic drainage while the client is healing
can help to enhance the tissue regeneration process by keep
the tissue as healthy as possible.
Not only is lymphatic drainage useful for sports injuries, but it
can also help scars. (Godart, S., "Lymphatic regeneration after
second degree burn," Progress in Lymphology, 1975/
Hutzshenreuter, P.O. and Brummer, H., "Manual Lymph
Drainage used for Scar Healing," University of Ulm). Lymph
work has been shown to help the scarring process by
enhancing circulation and immunity. As the lymph flow around
the scar is increased, lymph vessels that have been damaged
are stimulated to heal, and the increased lymph flow also
draws away toxins, improving the health of the tissues.
Beyond its application for injuries, Aestheticians have been
using lymph drainage massage for years to enhance the quality
of the skin, especially on the face. When the lymph is flowing,
the cells are being bathed in fresh fluid, causing the skin to
look fresh and alive. We have all experienced having minor
oedema in our faces- that puffy feeling and baggy eyes when
we first wake in the morning after a long night. Usually after a
few minutes of being vertical the lymph system starts to drain
the face. A great way to see the power of lymph drainage is to
apply a few strokes on one of those mornings, and watch in
just a few minutes the tissues drain right before your eyes-
leaving you looking vibrant and healthy.
Another common use for lymph drainage massage is with
women who have had breast cancer and had some axillary
lymph nodes removed. Sometimes these people develop
oedema in their arm. If there is a great deal of swelling, then
this is out of the scope of practice for a most massage
therapists due to the need for bandaging. If the swelling is
minor however, then a fully trained lymphatic drainage
therapist working in conjunction with medical supervision can
do a great amount of good.
Stefan Rippel’s
Directed Care Back Pain Clinic