Manual Lymphatic Drainage

Manual Lymphatic Drainage is a gentle, rhythmic technique used to promote drainage within the lymphatic system which can help reduce swelling, inflammation, chronic pain, and more.

** by appointment only **

Manual lymphatic drainage is a gentle and rhythmic bodywork technique that enhances functioning of our lymphatic system by removing tissue waste and enhancing immune function.

The lymphatic system is a vital part of the human body which consists of several organs and lymph vessels that lie beneath the skin. These vessels carry fluid (containing proteins, water, cells, waste products, and fat) to our lymph nodes which is later filtered back into the cardiovascular system.

Our lymphatic system provides immune system surveillance by recognizing and responding to foreign cells, microbes, viruses, and cancer cells. Lymph fluid is full of disease-fighting white blood cells. All of our body's cells rely on lymph fluid to boost immunity and transport waste products.

In addition to supporting the cardiovascular and immune systems, the lymphatic system helps our bodies absorb necessary proteins and fat through our intestinal system.

There is no heart-like pump for the lymphatic system. Instead, as you breathe and move your body, the lymph fluid continuously gets pushed toward the heart. Our bodies naturally support this process. However, when congestion or blockages to the lymphatic system occur, manual lymphatic drainage performed by a certified MLD therapist can help move lymph fluid through those disruptions.

Almost anyone can benefit from receiving manual lymphatic drainage. It provides a soothing effect to our parasympathetic nervous system which is more commonly described as our "rest and digest" state. MLD is also a natural analgesic, meaning clients may experience pain relief as a positive side effect. Other clients report stress relief and improved sleep patterns.

The most common sign of a compromised lymphatic system is swelling (formally referred to as edema). Like the blood that is part of our circulatory system, lymph fluid is constantly moving. If it stops, it can build up and create swelling. As a result, you may also experience feelings of pain, heaviness, numbness, or tingling.

Many times, lymphatic vessels become congested as a result of surgery, infection, trauma, or diseases like cancer. MLD is clinically proven to help reduce swelling and may be especially helpful in relieving symptoms associated with:

- injuries such as sprains and whiplash

- fibromyalgia

- post surgical swelling

- lipedema (where abnormal fat accumulates in your body)

- cancer

- chronic venous insufficiency

- long Covid

- removal of lymph nodes

- migraines and other traumatic brain disorders

- diabetes

- Lyme disease

- certain autoimmune disorders like rheumatoid arthritis or hypothyroidism

- lymphedema

- pregnancy swelling

- tinnitus

- fibrocystic breast disease

- inflammation

- chronic fatigue syndrome

- complex regional pain syndrome (CRPS)

- hematoma

- palliative care / hospice

Manual lymphatic drainage follows a specific sequence, starting with the main drains in the body where large clusters of lymph nodes are found, particularly in the neck, groin, and armpits. A certified MLD therapist will apply light pressure to these areas in a rhythmic and repetitive manner in order to mobilize the lymphatic system which lies directly beneath the skin. Most sessions also include deep diaphragmatic breathing to support flow through the lymphatic system's largest vessel, the thoracic duct (running directly through the abdomen).

The duration of a MLD session varies according to each client's goals. Some clients may require full MLD sessions as long as 60 or 90 minutes. Other clients may tolerate shorter MLD sessions lasting only 30 minutes or incorporated into an integrative massage.

Clients are always encouraged to undress to their comfort level, but MLD is most effective when applied via skin-to-skin contact between the therapist's hands and client.

MLD sessions may be full body or focus specifically on an area of concern. Many clients describe their MLD session as soothing and relaxing and, often times, fall asleep.

If you are suffering from a diagnosed illness or experiencing severe symptoms, it is always important to talk to your doctor before beginning any lymphatic drainage or bodywork.

Manual lymphatic drainage may not be appropriate for all clients. Below is a list of common conditions in which MLD should not be performed:

- acute cellulitis

- untreated congestive heart failure

- acute untreated deep vein thrombosis (DVT)

- fever

It is important to disclose your health history to your therapist in its entirety. This will help determine if MLD can be performed, if a certain body area should be avoided, or if MLD is not an approved method of bodywork for that condition.

Most clients can expect a general sense of relaxation and relief after receiving MLD. However, it is important to note that this work is affecting many systems throughout the body, and the lymphatic system is responsible for transporting tissue waste. As a result, it is possible that clients may experience some temporary negative side effects such as headache, nausea, and fatigue. Clients should always consult with their certified MLD therapist as well as a physician should negative symptoms persist.