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Manual lymphatic drainage (MLD) is a specialised, gentle type of skin massage which may be used as part of Manual lymphatic drainage (MLD) is a type of massage based on preliminary evidence which is hypothesized to encourage the natural drainage of the lymph, Manual Lymph Drainage. A specialised gentle massage for patients with Lymphoedema which reduces and minimises swelling a condition which may result Rev Prat. 2000 Jun 1;50(11):1199-203. [Manual lymphatic drainage]. [Article in French]. Evrard-Bras M(1), Coupe M, Laroche JP, Janbon C. Author information:Learn about manual lymphatic drainage. Find information on what it is, how you have it and when not to have it.