Lymphatic massage

Lymphatic massage for swelling relief

Swelling occurs when excess fluid accumulates in the tissues. Lymphatic massage is a gentle treatment method that uses light, pumping strokes to support the body’s natural lymphatic circulation and the drainage of fluid from the tissues.

The treatment involves working on the lymphatic vessels and lymph node areas, guiding interstitial fluid toward groups of lymph nodes. Lymph nodes are located in areas such as the neck, armpits, abdomen, groin, and the creases of the limbs.
Lymph nodes are part of the body’s immune system. They filter lymph and help remove substances that are harmful to the body. The lymph eventually returns to the bloodstream, and the kidneys eliminate excess fluid from the body via urine.

The goal of lymphatic massage is to support the body’s own fluid circulation and alleviate swelling. The treatment includes manual therapy, guidance on self-care for swelling, and lymphatic taping if necessary.

Lymphatic massage after surgery

Surgery causes tissue damage, and the body’s natural inflammatory response increases fluid accumulation in the tissues. Surgery can also temporarily disrupt normal lymphatic circulation in the area.

Gentle lymphatic massage can support lymphatic circulation, reduce swelling, and promote recovery from surgery.

Post-surgical lymphatic massage is always tailored to the recovery stage and the client’s individual situation. It is advisable to discuss the appropriate time to start treatment with the attending physician.

Lymphatic massage for relaxation

Lymphatic massage can have a calming effect on the nervous system. A light, slow, and rhythmic touch activates the parasympathetic nervous system—the system responsible for recovery. This can reduce hyperarousal and promote recovery.

Many people feel calm and relaxed after a lymphatic massage. The treatment can be a great way to pause amidst a busy schedule and give the body a chance to recover.

At Balancia, lymphatic massages are divided into four different areas;

  • face
  • upper limbs
  • lower limbs
  • full body

The treatment always starts with the neck area and then progresses towards the area to be treated. Finally, the procedure is reversed back to the neck area, where the treatment is also stopped.

Contraindications to treatment (cases in which treatment is not given):

  • Non-functioning lymph nodes in the vicinity of the treatment area
  • Lymphatic system diseases
  • Malignant tumors
  • Heart failure
  • Fever
  • Acute infection
  • Deep vein thrombosis
  • Pathogenic infections
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FAQ – Frequently Asked Questions

Lymphatic massage is a manual therapy in which a professional works on the lymphatic system to guide lymph fluid toward the lymph nodes.

The treatment is gentle and can be very relaxing; it is not uncommon for clients to fall asleep on the treatment table. After the session, clients often report a significant boost in metabolism—an effect that can last for several days. Many also experience improved sleep and a feeling of lightness.

People often seek lymphatic massage in connection with various surgeries, such as plastic surgery procedures. Post-traumatic conditions—such as ankle sprains—as well as rheumatic diseases, fibromyalgia, and symptoms associated with perimenopause and menopause, are also common reasons for seeking lymphatic massage.

A professional performing lymphatic massage is trained to treat a healthy lymphatic system. Such a professional cannot treat conditions like swelling caused by the removal of lymph nodes during cancer treatment, or diseases and disorders of the lymphatic system, as the lymphatic system functions differently in these cases.

Contraindications for treatment:
Non-functional lymph nodes near the treatment area
Diseases of the lymphatic system
Malignant tumors
Heart failure
Fever
Acute infection
Deep vein thrombosis
Pathogenic infections

It is recommended to undergo lymphatic massage once or twice before surgery to prevent swelling. If you already have swelling or a tendency towards it, having a couple of sessions prior to the procedure is advisable. This helps minimize post-operative swelling and bruising while accelerating recovery. Ideally, the session should take place no later than one week before surgery, or in accordance with your attending physician’s instructions.

After surgery, lymphatic massage is performed based on the attending physician’s orders; the timing may vary—ranging from one week post-op to two weeks or later. The condition of the scars is always taken into account, and the manual treatment is adjusted accordingly.

Lymphatic massage is most effective when administered as a series of treatments. Depending on the procedure and the extent of swelling, the series may consist of anywhere from 3 to 10 sessions. For instance, a 3-session series might suffice after knee or hip surgery, whereas extensive liposuction and fat grafting could require 8–10 sessions. While minor facial procedures may only require a few visits, recovery sometimes takes longer and involves more significant swelling, necessitating additional sessions.

Consistency is key to a successful outcome; sessions are typically scheduled once or twice a week, depending on the individual’s needs. In addition to professional lymphatic massage, the client’s own self-care plays a vital role and often accelerates the recovery process.

During the appointment, we discuss self-care methods for managing swelling that are appropriate for your specific situation. Not every method suits everyone; for instance, applying cold is not recommended after certain procedures.

General tips for managing swelling include:
Compression (compression stockings, support garments)
Movement
Elevation
Cold therapy
Swimming (hydrostatic pressure)
Good skin care
Hydration
Monitoring salt intake

You can also try dry brushing, gua sha massage, cupping, and vibration plates.
We will discuss these options during the appointment and create a comprehensive plan.