lymfedrainage

Lymfedrainage, often referred to as lymph drainage or manual lymph drainage (MLD) in clinical contexts, is a therapeutic technique aimed at stimulating the lymphatic system to promote drainage of interstitial fluid and reduce edema. In many health systems it is a component of complete decongestive therapy for lymphedema and related fluid-retention conditions. The term is commonly used in German-speaking countries as Lymphdrainage.

The core method involves gentle, rhythmic, light-pressure massage motions directed along specific pathways to encourage lymph flow toward regional lymph nodes. Breathing techniques and patient education are typically integrated to support lymph movement. Lymfedrainage is usually performed by trained therapists, and may be combined with compression bandaging or garments, skin care, and prescribed exercise. In some programs, pneumatic compression devices are used as a supplement or alternative.

Indications include primary lymphedema and secondary lymphedema (such as edema following cancer treatment, surgery, or radiation), chronic venous insufficiency, post-traumatic or inflammatory edema, and lipedema. It is often part of a broader management plan intended to reduce swelling, decrease infection risk, and improve range of motion and comfort. It may be adapted for home use after professional instruction.

Contraindications and safety considerations include acute infections with fever, active deep vein thrombosis, and certain unstable medical conditions. Caution or avoidance may be advised in some cancer-related cases without physician guidance. Pregnant individuals or those with other medical concerns should consult a healthcare professional before beginning lymfedrainage.

Evidence on effectiveness varies; lymfedrainage is typically not curative but can contribute to edema reduction and symptom relief when used as part of a comprehensive treatment program, often with compression therapy and exercise.