1. Lymphatic Drainage Products
2. Manual Lymphatic Drainage Self Massage
3. Manual Lymphatic Drainage Classes

1. Lymphedema is a common complication of axillary dissection for breast cancer. We investigated whether manual lymphatic drainage (MLD) could prevent or manage limb edema in women after breast-cancer surgery.
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Lymphedema is defined as persistent tissue swelling caused by the blockage or absence of lymph drainage [1]. Lymphedema is a major concern for patients undergoing axillary lymph-node dissection for the treatment of breast cancer. The incidence of lymphedema at 12 months after breast surgery ranges from 12% to 26% [2, 3]. Lymphedema may result in cosmetic deformity, loss of function, physical discomfort, recurrent episodes of erysipelas ,and psychological distress [4, 5]. Thus, an effective treatment for lymphedema is necessary.

Previous surgical techniques for the treatment of lymphedema aimed to reduce limb volume using a debulking resection approach. With the advent of microsurgery, use of multiple lymphatic-venous anastomoses has become the most common surgical treatment [6]. However, convincing evidence of the success of lymphatic-venous anastomoses has not been demonstrated. Thus, most patients with lymphedema choose non-surgical treatments, such as the use of elastic stockings, especially in early stages of lymphedema [7].

Complex decongestive physiotherapy (CDP) is likely to reduce upper limb lymphedema in patients with breast cancer. Evidence of the efficacy of other physiotherapy methods is limited [8, 9, 10]. Compression bandaging, manual lymphatic drainage (MLD), physical exercise to maintain lymphatic flow, and skin care are combined in CDP [11, 12]. In MLD, specialized rhythmic pumping techniques are used to massage the affected area and enhance the lymph flow. Gentle skin massage is thought to cause superficial lymphatic contraction, thereby increasing lymph drainage [13].Vodder originally suggested the use of range-of-motion exercises to relieve various types of chronic edema, such as sinus congestion and catarrh [14], and the use of MLD has become a common treatment for lymphedema worldwide, especially in European hospitals and clinics.

To date, several studies have been published investigating the effects of MLD in preventing and treating lymphedema after breast-cancer surgery [15, 16, 17, 18]. However, these studies have been inconclusive, probably because of small sample sizes. Therefore, we conducted a systematic literature review and meta-analysis of randomized controlled trials (RCTs) to evaluate the effectiveness of MLD in the prevention and treatment of breast-cancer-related lymphedema.

Lymphatic Drainage Products

Lymphedema is defined as persistent tissue swelling caused by the blockage or absence of lymph drainage [1]. Lymphedema is a major concern for patients undergoing axillary lymph-node dissection for the treatment of breast cancer. The incidence of lymphedema at 12 months after breast surgery ranges from 12% to 26% [2, 3]. Lymphedema may result in cosmetic deformity, loss of function, physical discomfort, recurrent episodes of erysipelas ,and psychological distress [4, 5]. Thus, an effective treatment for lymphedema is necessary.

Previous surgical techniques for the treatment of lymphedema aimed to reduce limb volume using a debulking resection approach. With the advent of microsurgery, use of multiple lymphatic-venous anastomoses has become the most common surgical treatment [6]. However, convincing evidence of the success of lymphatic-venous anastomoses has not been demonstrated. Thus, most patients with lymphedema choose non-surgical treatments, such as the use of elastic stockings, especially in early stages of lymphedema [7].

Manual Lymphatic Drainage Self Massage

Complex decongestive physiotherapy (CDP) is likely to reduce upper limb lymphedema in patients with breast cancer. Evidence of the efficacy of other physiotherapy methods is limited [8, 9, 10]. Compression bandaging, manual lymphatic drainage (MLD), physical exercise to maintain lymphatic flow, and skin care are combined in CDP [11, 12]. In MLD, specialized rhythmic pumping techniques are used to massage the affected area and enhance the lymph flow. Gentle skin massage is thought to cause superficial lymphatic contraction, thereby increasing lymph drainage [13].Vodder originally suggested the use of range-of-motion exercises to relieve various types of chronic edema, such as sinus congestion and catarrh [14], and the use of MLD has become a common treatment for lymphedema worldwide, especially in European hospitals and clinics.

Manual Lymphatic Drainage Classes

To date, several studies have been published investigating the effects of MLD in preventing and treating lymphedema after breast-cancer surgery [15, 16, 17, 18]. However, these studies have been inconclusive, probably because of small sample sizes. Therefore, we conducted a systematic literature review and meta-analysis of randomized controlled trials (RCTs) to evaluate the effectiveness of MLD in the prevention and treatment of breast-cancer-related lymphedema.