Manual Lymphatic Drainage. Manual lymphatic drainage is the application of light, flowing strokes of massage in specific patterns with the goal of alleviating lymph edema after lymph node resection or radiation therapy. Manual Lymphatic Drainage (MLD) is a technique that is very specific in direction, stroke, and pressure in order to effectively move fluid out of a swollen area. Lymphatic Massage implies that the therapist glides over the skin with oil. True Manual Lymphatic Drainage actually stretches skin gently and does not use any type of lubricant. Dr. Vodder's Manual Lymph Drainage (MLD)— Indications. Manual Lymph Drainage is indicated for a variety of conditions as it both affects and acts upon the diverse physiological functions of the human body. It is an alternative or key supplement to the many forms of physical therapies available today. Manual lymphatic drainage encourages the movement of the lymphatic system, which reduces swelling and puffiness, induces relaxation, and improves the skin's tone and texture. Manual lymphatic drainage was originally developed by Emil and Estrid Vodder, both physical therapists in the 1930s. Manual lymphatic drainage (MLD) is a type of massage based on preliminary evidence which is hypothesized to encourage the natural drainage of the lymph, which carries waste products away from the KEYWORDS: Edema, Lymphatic Pump Techniques, Lymphatic Therapy, Manual Lymph Drainage, Manual Therapy Evidence-based practice is a common agenda in medical and allied health sciences, which serves to optimize rendering of health care services through the investigation of treatment interventions that Manual lymphatic drainage (MLD) is a type of gentle massage intended to encourage natural drainage of the lymph, which carries waste products away from the tissues back toward the heart.Who Can Benefit from MLD?Lymph massage with a SPEAR Massage Therapist can benefit just about everyone. If you're feeling fatigued or lacking energy,