A Brief History of Manual Lymph Drainage

Since the creation of the manual lymphatic drainage technique by the Danish biologist Emil Vodder and his wife Estrid Vodder in 1936, many followers have spread it, making it one of the mainstays in the treatment of lymphedema1-5. This technique was based on the long experience gained by Emil Vodder and his wife with massage techniques in Cannes, on the French Riviera. They observed that many people had chronic colds in which an increase in lymph nodes in the cervical region was detected. They were able to improve these conditions with certain types of physical stimulation movement (massage) performed on the area involved. Based on these observations, the technique of manual lymphatic drainage was developed, with the systematization of certain types of movements and the orientation of the direction of drainage.

In 1936, the technique was published in Paris and, from this dissemination, various groups assimilated these concepts, which are still used today. Initially, the technique was disseminated at aesthetics congresses, and was performed by aestheticians, biologists and other professionals who were adept at it. In recent years, with the incorporation of manual lymphatic drainage as an important part of the treatment of lymphedema, doctors have begun to encourage physiotherapists and other related professionals, such as occupational therapists and nurses, to practice it. Among the doctors who began using the technique, Asdonk's work in 1963 stands out, as he incorporated lymphatic drainage as part of medical treatment, initiating a series of contributions to the procedure6. In mid-1967, the Society for Manual Lymphatic Drainage was created, which, from 1976, was incorporated into the German Lymphology Society6. Among the main groups using the technique are: Földi, Leduc, Casley-Smith, Nieto, Ciucci, Beltramino, Mayall and others. We should point out that these groups have added their own individual contributions, especially in the treatment of patients with lymphedema, but have maintained the principles advocated by Vodder. Among the main contributions is that of Földi, who advocated the combination of lymphatic drainage, bandages and hygienic care. This technique became known as Földi's complex physical therapy3.   

 What are the benefits of manual lymphatic drainage?

• Helps combat and prevent swelling and fluid retention;
• Prevents the formation of cellulite;
• Eliminates toxins from the body;
• It helps in the healing process of injuries and in recovery from plastic surgery;
• Improves blood, venous and lymphatic circulation;
• Contributes to better oxygenation of the body.

Contraindications and Special Care

In some cases, lymphatic drainage can worsen a health problem. That's why it's important to always be aware of contraindications and, if in doubt, talk to a doctor about it. Check out the situations in which drainage is not recommended:

• People who have severe acne on their skin should avoid lymphatic drainage, as the movement of the massage can worsen the lesions;
• Bruises or open wounds can also develop into inflammation if the person undergoes drainage treatment.

The procedure can be a great ally in recovery after surgical procedures, but it is essential to have a medical opinion that tells you the right time to start the sessions without risking anything.

Women who have had their lymph nodes removed after a breast cancer diagnosis can also have drainage, but in these cases you need to be careful and check with your doctor how the procedure can be carried out, as a poorly applied technique can be extremely harmful to the patient.

Proper lymphatic drainage can play a restorative role in the body's functions, eliminating toxins, preventing swelling and significantly improving the appearance of the skin. The important thing is to have the procedure carried out by qualified professionals who guarantee safety and the desired results. 

The Criteria for Training in Manual Lymphatic Drainage;

Any professional who wants to learn the technique, as well as therapists.               

FINAL EXAM :

Test of theoretical knowledge and presentation of a clinical case with diagnosis and treatment.

Objective of the Manual Lymphatic Drainage Course 

Provide students with knowledge of the anatomy and physiology of the lymphatic and circulatory systems, as well as how to use the manual lymphatic drainage technique correctly on their patients without harming them.

This helps improve edema and the autoimmune system.

It is used in various fields, both at hospital level, for example in the treatment of post-surgical oedema, and at aesthetic level due to its recognized decongestant and anti-dematous properties.

This way, trained students will have opportunities in a variety of fields in the very competitive job market.