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Manual lymphatic drainage (MLD), a type of hands-on therapy, is frequently used for BCRL and often as part of complex decongestive therapy (CDT). CDT is a Learn about manual lymphatic drainage. Find information on what it is, how you have it and when not to have it.Lymphology. 2012 Sep;45(3):103-12. Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Zimmermann Developed in France in 1932 by Emil and Estrid Vodder MLD has grown to be the most well known manual technique to assist lymph flow and aid in drainage of The light touch utilized in Manual Lymph Drainage is designed to move the skin in specific directions in order to stretch and stimulate the opening of the initial