Manual lymphatic drainage (MLD) is a treatment technique that uses a series of rhythmic light strokes to reduce swelling and improve the return of lymph to the circulatory system. It is intended to encourage fluid away from congested areas by increasing activity of normal lymphatics and bypassing ineffective or obliterated lymph vessels. MLD is an integral component of complete decongestive therapy and is widely advocated based on clinical expertise, but little research data conclusively support its stand-alone use. The most appropriate techniques, optimal frequency, indications for MLD, and benefits of treatment remain to be clarified. Performing MLD is a specialized skill that requires regular practice to maintain competence. Deep, heavy-handed massage should be avoided because it may damage tissues and exacerbate edema by increasing capillary filtration.

Badger, C., Preston, N., Seers, K. & Mortimer, P. (2004). Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database of Systematic Reviews, 4, CD003141.

Woods, M. (2003). The experience of manual lymph drainage as an aspect of treatment for lymphoedema. International Journal of Palliative Nursing, 9(4), 336-342.