Evidence-Based Benefits of Manual Lymphatic Drainage
- Amanda Gebhardt Fitzgerald
- Aug 26
- 2 min read

Unlike traditional massage that focuses on muscles, MLD uses gentle, precise strokes to stimulate the lymphatic system — a key part of the body’s immune and fluid regulation systems. We’re proud to have a certified therapist on staff who performs this highly specialized technique!
What Does the Research Say?
Manual Lymphatic Drainage has been studied for decades, particularly in relation to post-surgical recovery, lymphedema management, and swelling reduction. Evidence shows:
Lymphedema: MLD is commonly used as part of Complete Decongestive Therapy (CDT) for people with lymphedema, often after breast cancer treatment. Research suggests MLD can help reduce swelling and discomfort when combined with compression therapy.
Post-Surgical Recovery: Studies indicate that MLD may help reduce swelling and bruising after procedures such as orthopedic surgeries or cosmetic surgeries (e.g., liposuction, facelift), potentially supporting faster recovery.
Chronic Venous Insufficiency: MLD has been shown to improve symptoms like swelling and heaviness in the legs by encouraging fluid movement.
Relaxation and Well-Being: While its primary purpose is medical, many patients also report improved relaxation and reduced pain perception after treatment.
It’s important to note that MLD is not a cure for underlying medical conditions, but it can be an effective supportive therapy when used appropriately.
How It Works
The lymphatic system is responsible for transporting excess fluid, immune cells, and waste products away from tissues and back into circulation. When the lymph system becomes sluggish or overloaded — such as after injury, surgery, or illness — fluid can build up, causing swelling.
Manual Lymphatic Drainage uses light, rhythmic hand movements to gently encourage the natural flow of lymph fluid. This technique targets superficial vessels just under the skin, helping to decongest tissues and support the body’s natural healing processes.
Who May Benefit?
Based on current evidence, MLD may be considered for:
Individuals with lymphedema
Survivors of certain types of cancers, particularly after lymph node removal
Patients recovering from surgery or trauma with swelling or bruising
People with chronic venous insufficiency or edema
Individuals with autoimmune disorders such as Fibromyalgia and Rheumatoid Arthritis
Those seeking supportive care for immune system function or general wellness
Why See a Certified Therapist?
Because MLD requires specialized training, it should only be performed by a provider certified
in the technique. Our massage therapist has completed certification in Manual Lymphatic
Drainage, ensuring treatment is performed safely and effectively. A review of your current and past medical conditions and prescribed medications will evaluate if MLD is a match for your health goals.
References for Further Reading:
International Society of Lymphology. The Diagnosis and Treatment of Peripheral Lymphedema: 2020 Consensus Document.
Ezzo J, et al. Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane Database of Systematic Reviews. 2015.
Vairo GL, et al. Efficacy of lymphatic drainage techniques in sports medicine and rehabilitation: A systematic review. J Sport Rehabil. 2009.
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