Questions that a Manual Lymphatic Drainage Practitioner Should Ask a Surgeon Prior to Practicing MLD

Questions that a Manual Lymphatic Drainage Practitioner Should Ask a Surgeon Prior to Practicing MLD

Manual lymphatic drainage (MLD) is used to reduce swelling, which can result in pain relief, increased range of motion, physical function restoration and more.  It is often performed post-surgery to help prevent secondary injury and increase healing times and outcomes.  The two most common post-surgical MLD treatment requests are for cosmetic and orthopedic surgeries.

MLD practitioners must have post-surgical MLD training when working with post-surgical clients.  They must also communicate with the surgeon to ascertain each MLD client's specific requirements for their post-surgical treatment and healing processes.  The following are some suggested questions a MLD practitioner can ask a surgeon when providing post-surgical MLD.

Practitioners can request this information in the form of a treatment prescription if desired.  It is always best to request treatment directions in writing:

  1. Would an increase of circulation be harmful to this client?
  2. When can I start MLD appointments for this client?
  3. Does the client have any surgical drains, implants, injectables or joint replacements?
  4. Does the client have any areas I should not touch? If yes, where?
  5. Can I work around the client’s stitches and if yes, how far of a distance should be maintained between my hand and the client‘s stitches (Practitioners can add: I will use only the weight of my hand to manipulate the skin to create drainage).
  6. Do you want me to wear gloves when working on the client’s skin, or are well sanitized hands acceptable? Follow-up: If I must wear gloves, when would it be acceptable to use well sanitized bare hands?
  7. Is there anything that could happen with the client where or when I should not administer MLD? (Practitioner can add: I do not work with active bleeding, fevers or any sign of infection).
  8. How long of an appointment and how frequently can MLD be provided?
  9. Are there any special directions that should be followed or considerations to be made?
  10. Practitioners should add any other questions that seem appropriate and useful.

    Practicing MLD is a wonderful nonpharmacological benefit for clients seeking a reduction of swelling and pain after surgical procedures.  To learn more, please register for training with us at:  https://ceinstitute.com/collections/lymphatics

     #orthopedics #orthopedicsurgery #MLD #manuallymphaticdrainage #lymphaticdrainage #bodywork #bodyworker #massage #massagetherapist #mt #LMT #lymphedema #postsurgical #cosmeticsurgery #plasticsurgery #swelling #edema #chronicswelling #incisiondrainage #pressotherapy

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    • Michael J Weirsky - February 07, 2026

      Good day viewers, I wish to share my testimony with all of you. I have daily 9 to 5 jobs, but while I work, I try my luck at playing instant Lotto. On this particular day I decided to seek help online regarding tips for winning the lottery and I saw many individuals testifying about Priest Meduza spells. I reached out to him and informed him that I needed help to win the lottery and he clarified the process to me stating that after he casts the spell, it will take 48 hours for him to provide me the winning numbers which I accepted. I followed all his instructions and he provided me with the numbers to enter the Lottery. After the draw the following morning I received a notification on the Lottery app on my phone indicating that I was the lucky winner of $273 million on the New Jersey Lottery. I’m here to extend my heartfelt gratitude and praise to Priest Meduza. If you seek help in your life, Whats_App +18077983042 or Email: lordmeduzatemple@hotmail.com or visit: lordmeduzatemple.com

    • Carrie Kilman - November 24, 2025

      Hello, my name is Carrie Kilman from Birmingham, UK. Last month, my fiancé broke up with me, leaving me devastated. I spent weeks agonizing, crying, and feeling guilty, sinking into the lowest point of my life. I was so overwhelmed by stress and depression that I feared for my health. Desperate for a solution, I searched online and discovered a powerful spell caster named Dr. Peter, known for solving relationship problems. After reaching out to him and explaining my situation, he assured me that my fiancé would return within 24 hours. To my amazement, my fiancé called, apologized, and wanted us to be together again. Thanks to Dr. Peter, we’re now happily reunited. If you need help, contact Dr. Peter at drpeterspellcaster21@gmail.com or WhatsApp +2348162247974

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    • Tonya Brooks - July 31, 2023

      Thanks for your blog. I am a CMLDT and license massage therapist. I am interested in advanced MLD coursework and was wondering if you have any online courses or in person classes.

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