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Lymphatic drainage: what is it actually?

Manual lymphatic drainage is a gentle yet highly effective therapy used to decongest tissue and stimulate the lymphatic system. Especially beneficial for lymphoedema, post-surgical swelling, and chronic fluid retention, it provides noticeable relief – when performed professionally. In this article, you’ll learn what MLD is, when it’s useful, and what to expect during treatment.

Manual Lymphatic Drainage – What Is It?

Manual lymphatic drainage (MLD) is a specialised manual therapy technique performed by trained therapists. It activates the lymphatic system, an essential part of the immune system, and supports the removal of lymph fluid from the tissue. This type of physical therapy differs significantly from a classic massage. It is not focused on muscle relaxation but rather on decongesting tissue affected by swelling or lymphoedema.

What Exactly Happens During Lymphatic Drainage?

During manual lymphatic drainage, the treating therapist uses specific techniques involving gentle, rhythmic, and circular motions. These grips stimulate the flow of lymphatic fluid, which can accumulate in the tissue due to impaired lymphatic function. The movements are extremely gentle—unlike the firm strokes of a classic massage—and follow the natural lymphatic pathways, focusing on affected areas of the body.

MLD is often performed daily, especially during the initial phase of treatment, to achieve the best therapeutic outcome.

What Is the Goal of Lymphatic Drainage?

The main goal of manual lymphatic drainage is to stimulate the lymphatic flow, reduce swelling, and relieve pressure in the tissue. In people with lymphoedema, a chronic condition where fluid is not drained properly, MLD plays a critical role. Additionally, it can relieve pain and promote circulation, which enhances wound healing.

MLD is a central component of complex physical decongestive therapy (CPD), which also includes compression therapy, skin care, and movement therapy.

When Do You Need Lymphatic Drainage?

Manual lymphatic drainage is used in a variety of medical contexts. Common indications include:

  • Primary or secondary lymphoedema (e.g., after cancer treatment or radiation)

  • Post-surgical swelling (e.g., after orthopaedic surgery)

  • Chronic venous insufficiency

  • Lipedema

  • Sports injuries involving fluid retention or damaged tissue

MLD is also used in plastic and aesthetic surgery to reduce swelling and support healing. It’s often combined with compression using compression stockings or bandages for sustained results.

What Happens in the Body After a Lymphatic Drainage?

After a session, many people report a feeling of lightness, as trapped fluid has been moved out of the tissues. The lymph flow is stimulated, and the treated body area often shows a visible reduction in swelling. The immune system may also benefit as detoxification processes are supported.

In the maintenance phase, long-term results are supported through regular treatments, wearing compression garments, and specific exercises.

Lymphatic Drainage – What Is It Good For?

Manual lymphatic drainage is ideal for anyone experiencing fluid retention in the body. In addition to treating lymphoedema and other conditions, it is also used for prevention and wellness. It’s a highly effective method for decongesting, post-operative recovery, and boosting the body’s detox process.

MLD is often prescribed as part of a complex physical decongestive therapy, especially when compression therapy is also required. Depending on the case, sessions may be scheduled once or twice weekly or more frequently.

Who Should Not Receive Lymphatic Drainage?

Despite its many benefits, there are also contraindications where lymphatic drainage should be avoided. These include:

  • Acute thrombosis

  • Heart failure

  • Serious infections or fever

  • Unexplained skin conditions

  • Malignant tumours (only with medical clearance)

That’s why it’s essential that MLD be performed only by professionals with the appropriate additional certification and clinical experience. Our Zurich-based therapists are fully certified and medically trained.

What Does a Lymphatic Drainage Massage Cost?

At our Zurich clinics, manual lymphatic drainage starts at CHF 144 for 60 minutes. All treatments are performed by qualified therapists with recognised specialised training. Longer sessions are also available based on your individual needs and goals. You can find a detailed overview of all locations and prices here. We offer lymphatic drainage at almost all our locations throughout Switzerland.

We’re happy to advise you personally and recommend a treatment plan tailored to your situation—whether you’re recovering from surgery, managing lymphoedema, or looking to support general decongestion.

Conclusion

Manual lymphatic drainage is more than just a gentle massage – it is a targeted therapeutic approach that supports your tissues and boosts your body’s own healing abilities. Whether you’re managing a condition, seeking recovery support, or investing in your long-term wellness, MLD offers a proven and effective path to relief.

If you’re affected by lymphoedema or struggling with post-operative swelling, this treatment can make a real difference. Book your appointment with one of our Zurich clinics today – we look forward to supporting you professionally!