Manual Lymphatic Drainage (MLD) is a very gentle and precise skin treatment that is rhythmic and relaxing. While MLD is more widely known for it’s important role in the treatment for lymphedema, MLD also improves blood flow, reduces pain and inflammation and can offer a number of additional benefits due to it’s multi-system therapeutic effects. Recommended frequency and duration of MLD treatments is dependent on a number of factors including your diagnosis, stage of your condition or symptoms.

Combined Decongestive Therapy (CDT) consists of MLD treatments, compression bandaging, therapeutic exercises, patient education, skin care and proper compression garments for a maintenance program as needed. Some or all of these components may be included in treatment for lymphedema, CVI or lipedema depending on the indication and stage of condition.

An intensive therapy phase involving multiple treatments per week of CDT may be recommended if necessary. The purpose of an intensive therapy phase is to significantly reduce edema, remove fibrosis if present, reduce discomfort or pain, improve range of motion and skin health, and build tools to improve long-term management of lymphedema. Fitting for appropriate compression garments, education on risk factors and preventative measures as well as building healthy routines in order to maintain quality results following an intensive CDT phase are also important components of an intensive CDT phase.

Additional indications for Manual Lymphatic Drainage (MLD):

• Chronic venous insufficiency/ CVI
• Complex Regional Pain Syndrome (CRPS)
• Rheumatoid arthritis (RA)
• Lipedema
• Lymphedema
• Chronic inflammation and chronic pain
• Symptoms associated with neurodegenerative diseases
• Post operative edema
• Intracranial swelling (TBI, Stroke or Concussion)
• Chronic sinusitis
• Frozen shoulder
• Fibromyalgia
• Ménière’s disease
• and more..

* Click our Research on MLD page to view references and research articles on the efficacy of MLD in treating a variety of different conditions in addition to lymphedema.

FAQ’s:
Q: What is involved in the initial evaluation?:
A: Swelling can occur due a variety of different reasons. During your initial evaluation your certified lymphedema therapist (CLT) will gather a detailed medical history and conduct a physical assessment, as well as gather detailed information about symptoms you experience including how your daily activities are affected by your symptoms. Your therapist will create a treatment plan with you that aligns with your unique needs and goals and offer opportunities for you to ask any questions you may have.

For additional FAQ’s and information go to our FAQ’s page or contact our office at 310-437-0932 to request a discovery call with Shaunna, Doctor of Occupational Therapy and CLT.