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Manual Lymphatic Drainage


Manual lymphatic drainage is a therapeutic method in which the therapist applies gentle hand pressure to specific points, which helps to release the lymph. This technique is suitable for several indications such as post-surgical joint conditions from day 12, after cancer treatment, gynaecological problems or against cellulite. Manual lymphatic drainage helps to release the lymph, which then travels from the interstitial space through capillaries, lymph vessels and nodes, and is eventually sucked into the bloodstream. To achieve the best effects it is a good idea to combine this manual technique with the ENDO-Balancer, which highly influences the flow and circulation of lymph through the tissues and promotes its movement in the main lymphatic trunk (thoracic lymphatic duct).


How to perform manual lymphatic drainage correctly

Before starting any lymphatic drainage therapy, it is necessary to open the lymph nodes. If this opening is not done, unpleasant side effects such as headaches, rapid fatigue, vomiting, opening of the lymphatic vessels and even worsening or new swelling (lymphoedema) may occur. The therapist uses gentle but sufficiently strong pressure with the palms and fingers to avoid sliding on the skin and at the same time the pressure does not damage the subcutaneous tissue (muscle, bone...). Manual strokes are guided over the lymphatic vessels towards the lymph nodes to stimulate the movement of lymph towards the right clavicle, where the main lymphatic duct enters the superior vena cava and the lymph flows into the bloodstream.


For whom the therapy is suitable?

  • After joint surgery from day 12 (the wound must be healed)

  • After cancer (if K-markers in blood tests are already negative)

  • For gynaecological problems such as painful menstruation, functional sterility, etc...

  • In chronic venous insufficiency (varicose veins, thrombophlebitis, atherosclerosis, venous inflammation...)

  • As a prevention of inflammation of the deep venous system before and after elective surgery

  • As a therapy for tibial ulcers

  • For athletes for whom lymphatic drainage promotes faster breakdown of catabolites (waste products) of cell metabolism and supports regeneration of muscles and other tissues

  • To improve neuropathies, angiopathies in diabetics

  • In the treatment of arthritis of the hip, knee and ankle joints or any swelling of the lower limbs caused by functional wear and tear of the joints

  • In primary and secondary lymphoedema (elephantiasis,...)

  • For oncological indications, but only after cure of the cancer and metastases (ablation of the mamma, resection of nodes, after radiotherapy...)

  • For chronic venous insufficiency and prevention of deep venous inflammation (before and after surgery)

  • For pain of vascular origin (atherosclerosis of the arteries, venous thrombosis, varicose veins, lymphatic blockage...)

  • In circulatory disorders (Raynaud's disease, acrocyanosis)

  • Under extreme muscle loading

  • For cellulite - lymphatic drainage serves as a supporting method, e.g. in cellulite shock wave therapy, ENDO-balancer

  • For liposuction after surgical and non-invasive procedures.


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