Technique
Manual Lymphatic Drainage (MLD)
Manual lymphatic drainage uses gentle movements on the skin to improve lymphatic circulation, support a healthy immune system and help eliminate toxins.

The technique
What is Manual Lymphatic Drainage (MLD)?
MLD is a physiotherapy technique using light, rhythmic movements on the skin to stimulate the flow of lymph, a fluid essential to the proper functioning of the immune system and the removal of cellular waste.
In Switzerland, physiotherapists specialising in manual lymphatic drainage complete specific recognised training, such as the Vodder method and the Leduc method, the main approaches used to treat lymphatic disorders. Our physiotherapists have completed this training and apply these techniques according to each patient’s specific needs.
Who is it for?
Indications and contraindications
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Indications
When is MLD recommended?
MLD may be prescribed in a number of situations, including:
- Oedema and swelling (post-operative, post-traumatic or related to a lymphatic condition).
- Lymphoedema (build-up of lymph, particularly after breast cancer treatment).
- Circulatory disorders (venous insufficiency, heavy legs).
- Recovery after surgery (reduction of post-operative oedema).
- Skin conditions (post-operative scars, fibrosis, stretch marks, cellulite).
- Stress and fatigue management (soothing, relaxing effect on the nervous system).
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Contraindications
When is Manual Lymphatic Drainage not recommended?
MLD is a gentle technique, but it is contraindicated in certain cases, such as:
- Acute infections (ongoing bacterial or viral infections).
- Deep vein thrombosis (risk of embolism).
- Severe heart failure (risk of overloading the circulatory system).
- Certain active cancers (unless there is a specific medical indication).
For manual lymphatic drainage sessions to be covered by your health or accident insurance, a specific medical prescription is required.
The benefits
Manual Lymphatic Drainage in physiotherapy
Non-invasive approach: a gentle technique that requires neither medication nor surgery.
Reduced oedema and swelling: helps eliminate excess fluid and improve circulation.
Detoxification and a stronger immune system: stimulates lymphatic circulation and helps eliminate toxins.
Relaxing and soothing effect: helps reduce stress, promotes relaxation and improves overall well-being.

At start.physio, our specialised physiotherapists apply the Vodder and Leduc techniques, recognised in Switzerland for their effectiveness in treating lymphatic disorders. Each session is tailored to your condition to optimise your recovery.
Our practices
Where can you get Manual Lymphatic Drainage?
Manual lymphatic drainage is available at the following start.physio practices:
Techniques and equipment
We use a range of treatment techniques and specialised equipment to speed up recovery.
We’ll call you back
Book an appointment today and start.physio tomorrow.
Leave your name and number: our team will contact you within 24 hours (excluding weekends) to book your appointment at the practice of your choice.
Your questions
Answers to the questions you ask us most often.
Do I need a prescription?
Yes. For your sessions to be covered by your health or accident insurance, you need a medical prescription.
Does my insurance cover the sessions?
Illness: basic health insurance (LAMal). Accident: accident insurance (LAA). In some cases: disability insurance (LAI) or military insurance (LAM).
Do you offer home visits?
Yes, for people whose health prevents them from coming to a practice, and in nursing homes (EMS). A specific prescription for home physiotherapy is required: the doctor must write “at home” on it.
Can I cancel or reschedule an appointment?
Yes, but please let us know at least 24 hours in advance. Appointments missed without notice may be charged.
