Manual Lymphatic Drainage Massage (MLD)
If you've found your way here, you've probably heard of Manual Lymphatic Drainage (MLD) but might not have a clear idea of what the experience is like. Maybe you've seen videos ranging from people in visible pain during aggressive massages to chaotic self-drainage using dry brushes. It’s understandable if you're confused.
Here’s the truth: MLD is gentle. It’s a light, relaxing technique designed to help move lymphatic fluid through the body. While you may have some sensitivity to touch due to swelling or other factors, MLD is generally pain-free and calming. If someone is causing extreme pain during your MLD session, they are not performing MLD properly.
At Lymph Laugh Love, we use the Vodder style MLD, trained through Klose, but not all therapists practice the same way. While there are many ways to do things, always verify that your massage therapist is licensed and trained in MLD before booking a session. Some techniques are suited for wellness, not health issues.
Before Your Lymphatic Drainage Massage
Once you’ve made your appointment, you’ll fill out an intake form online or in person. If it’s your first time, be sure to arrive a little early to complete any necessary paperwork if you did not online.
A tip: It’s always a good idea to use the bathroom before your MLD massage. MLD moves fluid through your lymphatic system, and your body will eventually eliminate it through urine, so emptying your bladder before the session ensures there’s “room” for the fluid movement we’re about to encourage.
Starting Your MLD session
Your licensed massage therapist (LMT) will greet you and guide you to the treatment room. The session begins with a verbal intake to discuss your goals, concerns, and any relevant medical history. It’s important to inform your LMT of any health conditions, surgeries, or anything else that could impact the massage.
Once the intake is complete, your LMT will leave the room to allow you to undress to your level of comfort. MLD works best with skin-to-skin contact, so undressing is recommended, but your comfort is the priority. You may choose to remove undergarments to allow full access to the areas we’ll be working on. If you prefer to keep some clothing or compression wear on, that's completely fine.
You’ll be draped appropriately at all times, with only the areas being worked on exposed. Your privacy and comfort are paramount.
During the Lymphatic Drainage Massage
Your LMT will knock and re-enter the room when you're ready. They should adjust the bolsters, lighting, music, and temperature to ensure you’re as comfortable as possible. Before we begin, we ask for your consent to proceed.
MLD always starts with light strokes on the neck and abdomen—key areas for encouraging lymphatic drainage. We may also incorporate deep belly breathing at the beginning of the session to activate the diaphragm, which helps stimulate lymph flow, and stomach massage.
The strokes are gentle, rhythmic, and slow, often inducing a state of relaxation or even sleep. You can choose to chat, relax quietly, or drift off during the session—it’s entirely up to you.
Depending on your needs and the areas being addressed, we may work on your armpits, chest, legs, or other areas where lymph nodes are concentrated. If we need to adjust your position, we will assist you in turning over, keeping you covered and comfortable at all times. Some clients choose to stand and adjust positions themselves, while others prefer to remain on the table while we create a draped tent for privacy.
Ending the Massage
Once the massage is complete, the LMT will leave the room to give you privacy to get dressed. They will return to check in on how you’re feeling, answer any questions, and handle any rescheduling or payments.
Pre and Post Manual Lymphatic Drainage Massage Tips
Before Your MLD Massage:
Hydrate: Drink plenty of water before your session to support your lymphatic system.
Eat a Light Snack: Having a small snack beforehand can help keep your energy up during the massage.
Let Us Know If It’s Your First Massage: We love hearing when it’s someone’s first massage, and are happy to answer any questions you may have.
Clearance from Your Doctor: If you are post-op or under the care of a physician, always get clearance before receiving MLD.
After Your MLD Massage:
Bathroom Break: You’ll likely need to use the bathroom soon after your session—this is a good sign that your body is moving fluid!
Stay Hydrated: Drinking water after your massage is crucial for continuing the lymphatic drainage process.
Take It Easy: Some clients feel tired or “off” for 24-48 hours following MLD, which can be a sign that stagnant fluid is clearing from the system. Listen to your body—if you feel the need to rest or take a nap, honor that.
Light Movement: Gentle walking or stretching can help keep things moving post-massage, but avoid any strenuous activity for about 24 hours.
Emotional Release: MLD can sometimes trigger emotional responses that may surface later. This is normal, and it’s important to acknowledge and process any feelings that arise.
If you have any questions or concerns after your MLD session, don’t hesitate to reach out. We’re here to ensure your comfort and support your healing journey.
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