Manual Lymphatic Drainage (MLD)

Manual Lymphatic Drainage (MLD) is a specialised treatment designed to support clients with lymphoedema. Lymphoedema is the accumulation of lymph fluid in the connective tissue, which presents as swelling beneath the skin, most commonly in the limbs.

Lymph is a clear fluid that normally circulates through the lymphatic vessels. It contains excess water and substances that the body cannot process or that are too large to pass through the capillaries. These are typically transported to the kidneys and eliminated through the bladder. Lymphoedema can develop due to various health conditions, including hereditary factors, or as a result of events such as injury or surgery.

MLD is particularly effective for stage 1 and 2 lymphoedema, for example when swelling appears after prolonged standing or walking and reduces after rest with elevated limbs or following treatment. In cases of hereditary lymphoedema, regular MLD sessions may help slow progression to more advanced stages (3 and 4), which are more severe, often irreversible, and can significantly affect mobility and daily life.

Lymphoedema most commonly appears in the legs due to gravity, but it can also affect the arms, face, and other areas. MLD may provide immediate relief; even after one session, clients often report feeling lighter, less restricted, and in some cases visibly less swollen. For lasting results, regular treatment is recommended.

There are different approaches to MLD. The technique used here is based on the method developed by Hungarian specialist Prof. Dr. Judit Daróczy.

MLD is not suitable for all medical conditions. If you are unsure whether this treatment is appropriate for you, please consult your therapist before booking.

For an official diagnosis or medical advice, please consult your GP or a dermatologist. You can find more information about lymphoedema at St. Margaret’s Hospice or the British Lymphology Society.

MLD aftercare recommendations:

After your treatment, it is recommended to avoid strenuous work or intense exercise if possible. For best results, it is preferable to schedule this type of treatment in the second half of the day.

If you are also receiving a regular massage treatment, the MLD session should be carried out afterwards.

Drink plenty of water following your treatment and do not be concerned if you need to use the toilet more frequently—this is a normal sign that your body is processing and eliminating fluid effectively.

To help relieve the sensation of heavy legs, gently stretch your legs and keep them elevated or supported when sitting or lying down.

For the best results, a comprehensive approach is recommended. This may include regular MLD treatments, gentle exercise, a suitable diet, skincare, and, in some cases, the use of compression garments or stockings.

MLD Lifestyle recommendations:

Avoid wearing tight clothing or shoes, as these can restrict lymph flow. Tight jewellery, belts, and watches are also not recommended. Opt for comfortable, loose-fitting clothing and footwear.

Engage in light exercise several times a day, such as yoga, Pilates, short walks, cycling, or swimming. A sedentary lifestyle may worsen lymphoedema, while prolonged standing or lifting heavy objects should be avoided where possible.

Drink plenty of still water throughout the day.

A protein-rich diet is recommended, along with maintaining good hydration at all times.

Keep your skin well moisturised to support skin health.

Sunbathing, tanning, saunas, hot baths, and thermal baths are not recommended.

For long-term management, regular MLD treatments are advised. You may also benefit from learning self-massage techniques or following a guided MLD exercise programme if you are interested.

Treatments:

Face & neck 15-30 min.

Upper body 60 min.

Lower body 60 min.

Full body 90 min.