Techniques
of Manual Lymph Drainage (MLD®)
The very gentle technique of MLD is
a key component for prevention
and treatment of lymphedema. MLD requires time and repetition, yet, when properly
applied, it is very powerful in its effect. MLD increases the volume of lymph
flow, and with careful manual technique, can redirect flow around obstructed
areas, preventing or reducing swelling and returning healthy skin. Proper care
of lymphedema using MLD can help flush tissues of waste, and prevent incidences
of cellulitis.
Emil Vodder, Ph.D., and his wife Estrid, natives of Denmark, developed Manual
Lymph Drainage in the 1930s in France. The precise technique is a result of extensive
research conducted by medical doctors and research scientists to understand the
structure and function of the lymphatic system and the causes of edema.
The lymphatic system consists of a network of delicate capillary-like vessels
that parallel the venous capillaries. These initial lymph vessels join to form
larger vessels, continuing to parallel the veins, and traveling from the superficial
layers of the skin, to deeper tissue. Lymph vessels are segmented, separated
by one-way valves. The walls of the lymph vessels have stretch receptors, which
are stimulated to propel the lymph fluid as it accumulates, much like the peristaltic
action of the intestines. The lymphatic system is designed to process a normal
daily volume of fluid (averaging about 2 liters in adults) but the system is
very resilient and can carry up to 10 times its normal volume when need arises
from injury or infection.
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