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Therapeutic Manual Lymphatic Drainage


Manual lymphatic drainage is a massage technique with the aim of stimulating the lymphatic system to work at a faster pace, taking the lymph to the lymph nodes. This process eliminates excess fluids and toxins.

Light pressures are applied, in a smooth and rhythmic movement, always towards the lymph nodes and does not use any type of cream and does not cause pain. With this technique we treat the retention of liquids between tissues, more frequent in postoperative (orthopedic , gynecological or oncological), in pregnancy and postpartum or associated with venous insufficiency.

Drenagem linfática manual
Edema Venoso Linfático

Physiotherapy in Venous and Lymphatic Edema


In the presence of edema, whatever its origin, an early start of therapeutic intervention is necessary so that the pathology is not aggravated, and in many cases it can become irreversible.

Therapeutic indications:
Venous Edema - Venous Insufficiency
Lymphatic Edema (lymphedema) - lymphatic system failure
Mixed Edema - insufficiency of the two systems, the venous and the lymphatic


It can be caused by increased pressure inside and outside the blood vessels or impairment of the blood vessel wall, making it difficult to maintain balance.

These mechanisms can be associated with:

  • Pregnancy

  • Medication (eg steroids, NSAIDs, estrogens)

  • Liver disease and/or kidney

  • Disease venous insufficiency

  • Cardiac insufficiency



The causes of Lymphatic Edema (Lymphedema) can be:

  • Surgical removal of lymph nodes

  • Radiotherapy

  • Traumas

  • Mycoses, interdigital parasites

  • Wounds, cuts, burns and insect bites

  • Lymphatic vessel sclerosis

LINFEDEMA often appears as a post-surgical complication for the treatment of various types of cancer, such as breast cancer or cancer of the urogynecological system, among others. seek help from your PHYSIOTHERAPIST.

In addition to venous and lymphatic edema, there are other clinical conditions in which your Physiotherapist can help, such as scar adhesion, breast edema and lymphatic thrombosis.

We are available to answer your questions and help you improve your clinical condition.



Intermittent Pneumatic Pressure, commonly known as Pressotherapy is a treatment method, which consists of the alternating and gradual compression of air. This is done using a "sleeve" for the upper limb or a "boot" for the lower limb, with several air chambers. The pressure gradient exerted is usually from distal to proximal, and the greater the number of air chambers, the more effective the pressure therapy.


  • Improves blood circulation

  • Improves lymphatic circulation

  • Reduces fluid retention

  • Relieves tension and reduces anxiety

  • Reduces inflammation and muscle pain



  • Signs of infection or wound in the area to be treated

  • Deep vein thrombosis

  • Thromboembolism

  • Cardiac or oncological pathology (in active phase)

  • Unconsolidated fractures

  • Pregnant women


After surgical procedures or in cases of cardiac pathology such as heart failure, arrhythmia or diabetes, pressotherapy should only be carried out after an assessment by a physiotherapist.

At Physiokinesis we have physiotherapists who specialise in manual lymphatic drainage and are experienced in handling the pressotherapy device, which can complement the drainage treatment.

1. Pressotherapy in post-surgical cases in the musculoskeletal context

After musculoskeletal surgery, physiotherapy is recommended in most cases, not only to restore muscle strength, but also joint range of movement. It is also important to assess and work on the scar and surrounding area, as in the vast majority of cases oedema can appear above and/or below the scar. Pressotherapy can therefore be an ally at an early stage of recovery, relieving the lymphatic and venous load and reducing the sensation of redness and heaviness.

2. Pressotherapy in Oncology

Pressotherapy is part of the physiotherapy intervention protocol in oncology.

After oncological treatment, patients who are recommended to start physiotherapy and who are in a stable (non-active) phase of the disease are eligible.

Together with pressotherapy, manual lymphatic drainage, skin care and elastic containment are the protocol for preventing and treating venous oedema or lymphoedema, especially when there is lymph node removal.


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