This is a medical massage that manually pushes the fluid out of the tissues. It should be provided by a qualified Lymphoedema Practitioner who understands your condition fully. MLD is offered at Pioneer clinics by qualified Lymphoedema Practitioners. Manual Lymphatic Drainage (MLD) is a specialised massage technique designed to stimulate the lymphatic system and promote the movement of lymph fluid, which helps reduce swelling and support overall lymphatic function. It involves gentle, rhythmic, and precise hand movements performed by trained professionals. MLD can be particularly beneficial during the decongestive phase of lymphoedema treatment to enhance swelling reduction and may also be used as part of ongoing maintenance to prevent fluid build-up.
Currently, MLD for limb lymphoedema is not commissioned by the NHS in most areas. However, it is available privately through Pioneer clinics for those who wish to include it in their care plan.
While MLD can be an effective component of lymphoedema treatment, it is typically most beneficial when combined with other therapies such as compression garments, skin care, and self-lymphatic drainage exercises