Cristina Krebs
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Manual Lymphatic Drainage

What is it and how does it work

Manual lymphatic drainage has a relaxing effect, relieves pain, promotes healing after operations or injuries (incl. sport injuries) and supports well-being.

Manual lymphatic drainage (MLD) is a complex physical therapy that is used to improve lymphatic flow and thereby dissolves fluid congestion in the lymphatic vessels.

What are the benefits of MLD

Alongside the bloodstream, the lymphatic system is the most important transport system in the body and an important part of the immune system. The lymph flowing in it, a light-yellow liquid, is responsible for the removal of pathogens, foreign substances, and excess liquids.

If there is a disruption in the lymph flow, for example due to inflammation, surgical interventions or functional disorders, the lymph can no longer be transported away sufficiently. As a result, a liquid build-up occurs. This accumulation of fluids in the lymphatic system is called lymphedema. The affected areas such as arms or legs etc. swell visibly.

Below, I share with my client’s permission, some before and after pictures. These images were taken 60 minutes apart.

Four scientifically confirmed benefits are attributed to MLD

Decongesting effect: the grip technique leads to an increased flow rate and the accumulated liquid decreases.
Calming effect: thanks to the rhythmic sequence of movements, patients feel more relaxed.
Pain-relieving effect: the body’s own pain-inhibiting system is activated.
Tone-reducing effect: the lymphatic drainage leads to muscle relaxation thanks to the soothing grip techniques.

In addition, MLD strengthens the body’s own defenses due to an increased flow rate in the lymphatic system.

What to expect

A lymphatic drainage treatment usually lasts between 30 and 60 minutes. After the treatment, a compression bandage is usually applied to the arms or legs, or the patient puts on orthopedic stockings, if indicated.

For whom is MLD suitable

It can be helpful for anyone who has fluid build-up in tissues and therefore swollen areas in the body, such as the arms or legs. It is very often used after operations, as the incisions made during the operation can cut through the lymphatic system and disrupt the drainage of the lymphatic fluid. For example MLD is highly supportive in the healing process after surgery. The lymphatic drainage helps to alleviate oedema and promotes the formation of new lymphatic vessels in the severed tissue. Lymphatic drainage is also recommended after surgical removal of lymph nodes.

MLD also helps with other diseases or complaints:

    • Swelling after sports injuries, strains or surgery

    • After intense training or sports competitions

    • Lipedema

    • Migraines

    • Lactation problems

    • Rheumatic disease

    • Immune System Support

    • Cellulite (however, the effect has not been scientifically confirmed)

For whom is MLD not suitable?

In some cases, lymphatic drainage can have negative effect and should be avoided if you have the following diagnosis:

    • Thrombosis

    • Heart failure

    • Acute inflammation

    • Leg vein disease

    • Acute allergic reactions

In general, treatment with lymphatic drainage should be discussed with a doctor first if you have physical ailments, symptoms, or illnesses.

How often should you perform lymphatic drainage?

The intervals at which the lymphatic drainage should take place depends on the severity of the swelling. In case of acute swelling, the massage should be carried out daily. Once the swelling has subsided, one or two treatments are sufficient per week and can then be further reduced.

How much does lymphatic drainage cost?

60 minute treatment @ R800.00
30 minute treatment @ R400.00

Who is allowed to perform lymphatic drainage?

MLD may only be carried out by trained therapists.,

  • Reflexology
  • Cranio-Sacral Therapy
  • SCIO Biofeedback
  • Manual Lymphatic Drainage
  • Dorn-Breuss Holistic Back Balance
  • Massage Therapies
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Menu

  • Home
  • About Us
  • Therapies
  • Get in Touch

Therapies

  • Reflexology
  • Cranio-Sacral Therapy
  • SCIO Biofeedback
  • Manual Lymphatic Drainage
  • Dorn-Breuss Holistic Back Balance
  • Massage Therapies

Contact information

082 975 0406
info@cnkrebs.com
Monday to Friday: 10am - 6pm
Rouge Day Spa, 2 Hemyock Street, Plumstead Cape Town, South Africa
© 2023, Cristina Krebs

Booking Info & Payments

Session Cost

45 Minutes R 650
60 Minutes R 850

Initial Sessions are usually
75 minutes R 950

Fees will be reviewed in November 2026

 

Please note: In the treatment times included is a preliminary case history and an anamnesis.

You can consider your appointment as confirmed upon receiving written confirmation. Please note that we have a 24-hour cancellation policy. A missed appointment will be charged at 50% of the booked treatment rate.

Payments can be made via EFT, cash or Payfast for international clients (see link below). Payment should be made on or before the appointment. Invoices can be made and emailed on request.

Currently I am not registered with South African Medical Aid but am about to become EMR certified and will be registered with Swiss Health Insurers.

Please keep in mind that I am not licensed to handle medical and / or psychological emergencies. I consider my practice to be a wellbeing consultancy and not geared to replace medical professionals. By using my website or visiting my practice you indemnify me or anyone else working in the same premises against all claims suits and demands, actions, liabilities cost and expenses.