The Role of Lymphatic Drainage in Breast Cancer Recovery

After breast cancer treatment, whether surgery, lymph node removal, or radiotherapy, many women notice swelling, heaviness, or discomfort in the arm, breast, or chest wall. This can be a sign of lymphedema, a common side effect caused by changes in the lymphatic system.

One of the most effective ways to manage these symptoms is Manual Lymphatic Drainage (MLD), a specialised physiotherapy technique designed to stimulate lymph flow and reduce swelling.

What Is Manual Lymphatic Drainage?

Manual Lymphatic Drainage (MLD) is a gentle, rhythmic massage technique that helps move lymph fluid from congested areas into parts of the body where the lymph system is still working.

Unlike regular massage, MLD uses very light pressure and precise movements to follow the natural direction of lymph vessels.

Why Is It Important After Breast Cancer?

During breast cancer treatment, the lymphatic system can be disrupted by:

  • Surgery (lymph node removal)

  • Radiotherapy (fibrosis or scarring of lymph vessels)

  • Scar tissue restricting drainage

When this happens, fluid can build up, leading to swelling, heaviness, or even pain. Over time, untreated lymphedema can harden tissues and increase the risk of infection.

👉 MLD helps restore balance by supporting fluid movement and reducing pressure on tissues.

Benefits of Lymphatic Drainage in Recovery

  • Reduces swelling and heaviness in the arm, breast, or chest wall

  • Improves mobility by relieving tightness around scars or joints

  • Decreases discomfort and risk of infections (like cellulitis)

  • Enhances healing by stimulating circulation and tissue health

  • Boosts confidence by making the body feel lighter and more comfortable

What the Evidence Says

  • Research shows that MLD, when combined with compression therapy and exercise, is effective in managing lymphedema.

  • Early physiotherapy interventions (including MLD) may reduce the severity and long-term progression of swelling.

  • While MLD alone is not a cure, it is a key part of Complete Decongestive Therapy (CDT), the gold standard for lymphedema management.

How Physiotherapists Use MLD

A physiotherapist trained in oncology and lymphedema care may include:

  • MLD sessions adapted to your needs and stage of recovery

  • Compression garments or bandaging to maintain results

  • Exercise and breathing techniques to promote lymph flow

  • Education on skin care and self-massage for long-term self-management

Lymphatic drainage is more than a massage, it’s a specialised therapy that supports healing, comfort, and quality of life after breast cancer. When guided by a trained physiotherapist, it can make recovery smoother, reduce complications, and help women feel more in control of their bodies.

Experiencing swelling or heaviness after breast cancer treatment? Book a consultation with our physiotherapists at Renard Clinic for safe, evidence-based lymphatic care.

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Living with Lymphedema: Tips for Daily Comfort and Self-Care

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How Physiotherapy Helps Arm Mobility After Mastectomy or Radiotherapy