July 30th, 2025

Lipedema is a chronic and often painful fat disorder that primarily affects women, characterized by a symmetrical buildup of fatty tissue, usually in the legs, hips, and sometimes the arms. It is frequently misdiagnosed or misunderstood, and many women live for years without proper treatment. One effective therapy that is gaining recognition in the management of lipedema is Manual Lymphatic Drainage (MLD).
MLD is a specialized form of gentle massage that stimulates the flow of lymph fluid throughout the body. Since lipedema often leads to or coexists with lymphatic dysfunction (known as lipolymphedema), MLD can provide critical support in reducing symptoms, improving quality of life, and managing progression.

Understanding Lipedema
Before exploring MLD's benefits, it's crucial to understand what lipedema is:
Key Characteristics:

• Affects approximately 11% of women, usually starting or worsening at puberty, pregnancy, or menopause.
• Disproportionate fat distribution, especially in the lower body.
• Pain, tenderness, and easy bruising in affected areas.
• Resistant to diet and exercise.
• Frequently misdiagnosed as obesity or lymphedema.
• May lead to reduced mobility and psychosocial distress.

What Is Manual Lymphatic Drainage (MLD)?
MLD is a gentle, rhythmic massage technique developed in the 1930s by Emil Vodder. It stimulates the lymphatic system to:

• Promote the movement of lymph fluid.
• Reduce swelling and fluid retention.
• Enhance immune function.
• Support detoxification processes.

Key Principles of MLD:

• Gentle pressure: Unlike deep tissue massage, MLD uses light, rhythmic movements.
• Directional strokes: Movements follow the anatomical flow of lymph vessels.
• Systematic progression: Typically begins near the neck (where lymph drains into the bloodstream) and moves toward affected areas.

How MLD Helps Women With Lipedema
MLD is not a cure for lipedema, but it is a powerful supportive therapy. Here's how it can help:
1. Reduces Swelling and Fluid Retention
Lipedema often causes fluid buildup in tissues, especially when it progresses to lipolymphedema.

• MLD promotes lymphatic circulation, helping to remove excess fluid.
• Reduces edema (swelling) in legs, ankles, and arms.
• Can help soften fibrotic tissues, making fat deposits feel less rigid.

2. Improves Pain and TendernessPain is a hallmark of lipedema, and MLD can provide much-needed relief.

• Gentle strokes help calm nerve endings in the skin and tissues.
• Improves oxygenation and nutrient delivery to affected tissues.
• Reduces inflammatory mediators, helping with chronic pain.

3. Prevents Progression to Lipolymphedema
MLD may help slow or prevent the onset of lymphedema (lymphatic system failure), a common progression in later stages of lipedema.

• Maintains lymphatic health and prevents overload of lymph nodes.
• Encourages early intervention, which can delay disease progression.

4. Enhances Mobility
Lipedema can significantly restrict movement due to swelling and pain.

• MLD reduces tightness in limbs, allowing for easier walking and physical activity.
• Makes compression therapy (which is often used in conjunction with MLD) more effective.

5. Boosts Psychological Wellbeing
Living with lipedema often takes a toll on mental health.

• Regular MLD sessions promote relaxation, reduce stress, and improve body image.
• Patients often report feeling more in control of their condition.
• The routine and touch therapy element of MLD can offer emotional support and connection.

6. Supports Post-Surgical Recovery
Many women with lipedema opt for liposuction or water-assisted fat removal (WAL) as a treatment. MLD is often recommended post-op.

• Reduces post-surgical swelling and speeds healing.
• Helps prevent scar tissue formation.
• Maintains surgical results by supporting lymphatic drainage.

What to Expect During an MLD Session
Here at Newark Therapeutic we will tailor the session to your individual needs. Here’s a general overview:
The Session May Include:

• A consultation to assess symptoms and progression.
• Gentle, rhythmic massage starting from the neck and chest.
• Gradual movement toward affected limbs.
• Sessions typically last 30–75 minutes, with frequency based on severity.

Comfort and Safety:

• MLD is non-invasive and pain-free.
• Should always be performed by a qualified professional with experience in treating lipedema.
• MLD can be part of Complete Decongestive Therapy (CDT), which includes:
  • Compression therapy
  • Skin care
  • Exercise
  • Patient education

Who Should Consider MLD?
​MLD is appropriate for women with all stages of lipedema, but especially beneficial if:

• You have noticeable swelling in the legs or arms.
• You're experiencing daily pain or heaviness.
• You've been diagnosed with lipolymphedema.
• You're planning or recovering from lipedema surgery.
• You're seeking non-surgical symptom management.

Complementary Therapies That Work Well With MLD
To maximize MLD’s benefits, it is often paired with:
Compression Therapy:

• Compression garments support lymph flow and prevent fluid reaccumulation after MLD.

Exercise:

• Low-impact activities like walking, swimming, or rebounding help activate lymphatic flow.

Anti-inflammatory Diet:

• Reducing processed foods, sugars, and allergens can minimize inflammation and fluid retention.

Psychotherapy or Support Groups:

• Dealing with a chronic condition can be isolating. Support networks offer emotional relief and coping tools.

Limitations and Considerations
While MLD is beneficial, it’s not a standalone treatment or a cure.
Important Considerations:

• Consistency is key: One session offers temporary relief; regular sessions have cumulative benefits.
• MLD should be part of a holistic treatment plan.
• Some cases may require medical intervention or surgery in addition to MLD.

Contraindications:

• MLD is generally safe but may not be suitable if you have:
  • Acute infections
  • Untreated congestive heart failure
  • Blood clots or thrombosis
  • Active cancer (unless cleared by an oncologist)

Always consult a qualified healthcare provider before beginning MLD treatment.


If you or someone you love is struggling with the challenges of lipedema, MLD could be a game-changing addition to your care plan. As awareness and understanding of lipedema grow, so too do the options for compassionate, effective management—and MLD stands at the forefront of that shift.

If you would like to book an MLD session at Newark Therapeutic you may do so by booking online or if you have any questions please let us know.