LIPODEMIA – manual lymphatic drainage (MLD) can help.

What is manual lymphatic drainage?

A gentle but very specific type of massage that improves the transport of fluids and toxins in the body through the lymphatic system. The lymphatic system removes excess fluids and metabolic waste products from tissues, deals with inflammation and infections, and transports fats and proteins in the body. During manual lymphatic drainage, the therapist uses light, rhythmic hand movements on the skin to stimulate the lymph nodes and numerous lymphatic vessels. MLD may also include breathing movements.

How often might I need manual lymphatic drainage?

This depends on your individual situation. Regular lymphatic drainage is definitely more effective than a one-time treatment. Sometimes MLD is used several times a week in combination with compression garments or bandaging, for example to reduce swelling in people with lymphedema. For lipedema, MLD can be effective as a weekly treatment, and some people find that treatment once a month or less is sufficient to get the lymphatic system back on track.

What effects can MLD have on people with lipedema?

In a person with lipedema, the lymphatic system may not drain enlarged areas of fatty tissue effectively, causing fluid to accumulate. Fluid accumulates in areas where there is inflammation, causing even more inflammation and altering fat cells. MLD can help reduce fluid buildup and inflammation, reducing symptoms such as heaviness, swelling, and discomfort. After treatment, you may feel lighter, and your gait and other movements may improve. An added benefit is that MLD affects the nervous system (including the brain), relaxing you and relieving pain. Some people find the therapy very relaxing and sleep-inducing, while others feel energized. Because it helps the body remove fluids, MLD can cause you to urinate a lot. MLD in the abdominal area improves the lymphatic system in the intestines (where they collect fat from digested food). MLD can also help relieve constipation!

How can I help myself?

Any care, such as regular moisturizing and protecting the skin from damage, is important. It is also often advisable to wear compression garments before and after MLD. Some people learn self-massage, but this requires strength and precision. It may be easier if you have MLD treatment first so that you know what it should feel like. You can use dry brushing, but it is important to use a very soft brush so as not to damage the epidermis. Sometimes exercises such as swimming, walking, stretching, and Pilates help lymph flow, but start with low-intensity exercise and observe your body, as exercise can sometimes increase swelling. Home lymphatic drainage devices, or pressotherapy devices, are becoming increasingly popular among patients with lymphedema or lipedema.

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