Manual Lymphatic Drainage
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Description
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Manual Lymphatic Drainage [MLD] is an unique, gentle type of skin massage technique that promotes lymph to drain out of a limb into an area that drains normally. Many physical therapist used it for lymphoedema.
There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.
Indication
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- Primary or secondary lymphedema
- Lipedema
- Phlebo-lymphostatic edema
- Postoperative edema
- Posttraumatic edema Cite error: Invalid
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General Contraindication[edit | edit source]
Absolute Contraindication:
- Decompensated cardiac insufficiency
- Cardiac edema
- Congestive heart failure
- Acute inflammation caused by pathogenic germs (bacteria, fungi, viruses). The germs could be spread by the manual lymph drainage, with resulting blood poisoning (sepsis). [1]
Condition stated above must not be treated with manual lymph drainage.
Relative Contraindication:
- Malignant lymphedema caused by active cancer [2]
Clinical Presentation[edit | edit source]
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Key Evidence[edit | edit source]
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Resources[edit | edit source]
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Case Studies[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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In a study done by Zhang L. et al Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleto study the efficacy of self-manual lymph drainage (MLD) for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients after modified radical mastectomy, the authors concluded that combination of self-MLD and physical exercise is beneficial for breast cancer patients to prevent postmastectomy scar formation, upper limb lymphedema, and shoulder joint dysfunction.
References[edit | edit source]
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