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A Massage-Like Technique for Lymphedema Manual Lymphatic Drainage What is Manual Lymphatic Drainage? Manual lymphatic drainage (MLD) is a type of gentle massage which is believed by proponents to encourage the natural circulation of the lymph through the body. The lymph system depends on peristalsis and the movement of skeletal muscles to squeeze fluid through lymph ducts and vessels. Manual Lymphatic Drainage was pioneered by Dr. Emil Vodder in the 1930s for the treatment of chronic sinusitis and other immune disorders, and is now recognized as a primary tool in Lymphedema management. Therapists can today receive certification through special classes conducted by various organizations specializing in MLD. MLD consists of gentle, rhythmic massaging of the skin to stimulate the lymph nodes to open and drain. The treatment is very comfortable and nonaggressive. A typical session will involve drainage of the neck, abdomen, trunk, and extremities and lasts approximately 40 to 60 minutes. National Lymphedema Network Exercise presents seveal considerations for those individuals with lymphedema and those at risk for lymphedema. Lymphedema Prevention All Things Considered American Cancer Society and lymphedema
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