The Lymphatic System

The Lymphatic System is a network of organs that transport lymph.  Lymph is a collection of fluid in the body made up of water, fat cells, degenerated tissue cells, protein molecules and bacteria.  The role of the Lymphatic System in the body is to remove excess fluid, bacteria, viruses and waste products from body tissues and the space around the cells.

The Lymphatic system is important for overall blood circulation, immune responses, blood filtration, homeostasis, tissue healing, and digestion.  Specific lymph drainage patterns exist throughout the body, though the system is reliant on other physiological processes to propel fluid through it.  Injury or stress to the system can lead to a blockage of lymph pathways, reducing the ability of the lymphatic system to return fluid to the blood stream.  This creates a backup of fluid which begins to collect and may present visually as swelling.  This is called Lymphedema.  When left untreated, there are skin changes, discomfort and an increased risk of infection and skin ulceration.

Manual Lymphatic Drainage

Manual lymphatic drainage (MLD) is a gentle massage technique specifically focused on the treatment of lymph vessels, lymph pathways, and lymph nodes.  Treatment is designed to assist in the movement of lymph for both rehabilitative and preventative reasons.

Current treatment techniques, based on the original principles designed by Dr. Emil Vodder in the 1930’s, require specialized training.  The massage techniques are gentle in pressure so as not to close down the vessels, but involve a twist in the stroke in order to promote opening of the valves of the lymphatic system.  The patient will feel some tension and gentle pulling, but should not feel pain.

What Conditions Can MLD Treat?

  • Swelling & pain from injury (sprains/fractures/etc.)
  • Headaches/migraines
  • Constipation
  • Arthritis
  • Pre and post-surgical pain & swelling
  • Scarring
  • Sinusitis
  • Bronchitis
  • Burns
  • Primary & secondary lymphedema
  • Pre & Post partum
  • Post cancer treatment
  • Post dental surgery
  • Whiplash

When Should I Avoid MLD Massage?

The National Lymphedema Network lists some circumstances under which MLD should be avoided:

  • When patients who have developed lymphedema after surgery experience a sudden, marked increase in localized swelling.  In this case, the patient should see their physician for evaluation before continuing with further MLD treatment.
  • Patients with a sudden onset of lymphangitis (an infection)
  • Patients with congestive heart failure can have MLD massage, but should be monitored closely to avoid strain on the heart

Who Can Treat Me Using MLD?

At MiltonBackDoc, our newest RMT, Julianne Dainard, is trained and certified to provide Manual Lymphatic Drainage.

References

Toronto Lymphocare Centre – www.torontolymphocare.com

National Lymphedema Network – www.lymphnet.org

Lymphovenous Association of Ontario – www.lymphontario.org