Lymphatic Massage
The lymph system is one of the body’s protective mechanisms against potentially harmful materials, abnormal cells or pathogens as well as produces white blood cells which are part of the body’s immune system. Movement is required for lymph fluid circulation. Lymphatic massage is a technique that gently pushes the lymph fluids, helping with its circulation, This can improve filtration and removal of toxins and wastes, reduce inflammation and boost the immune system.
Manual lymphatic drainage (MLD), is a technique used to manage lymphedema, a common issue for cancer patients and those undergoing cancer treatments.
How lymphatic Massage Works
MLD aims to move fluid from swollen areas to places where the lymphatic system functions normally. This is achieved through specialized skin movements performed by a trained therapist. The technique involves light, slow, and rhythmic movements that help stimulate lymph flow and drainage. The process usually involves two steps: clearing and reabsorption. Clearing involves releasing lymph fluid from tissues, while reabsorption moves the fluid into lymph nodes.
Lymphedema management: Manual lymph drainage for lower extremities
Types of Manual Lymphatic Drainage (MLD)
Several types of manual lymphatic drainage techniques are commonly used:
- Vodder Technique: Utilizes various sweeping motions around the treatment area.
- Földi Technique: Alternates between circular hand motions and relaxation.
- Casley-Smith Technique: Involves circular hand motions using the sides and palms of the hands.
- Leduc Technique: Employs hand motions to collect and redirect lymph fluid.
Effectiveness of MLD in Reducing Lymphedema
Clinical Evidence:
- A systematic review noted that MLD can be effective in sports medicine and rehabilitation for reducing edema but highlighted the need for more high-quality randomized controlled trials (RCTs) to establish its efficacy in different contexts.
- A 2023 meta-analysis of RCTs specifically focused on post-mastectomy lymphedema found that MLD significantly reduced upper extremity volume when the treatment course exceeded 20 sessions or lasted more than two weeks. This suggests that the duration and frequency of MLD sessions are crucial for its effectiveness.
Safety and Precautions
While generally safe, MLD should only be performed by specially trained therapists. There are certain conditions where MLD is not recommended, including:
- Infection or inflammation in the swollen area
- Blood clots
- Heart problems
- Active cancer in the treated area