Drenaje linfático manual y presoterapia

Abstract

Manual Lymph Drainage (MLD) is a specific message therapy that consists of applying soft-pressure massage. Its main objective is to stimulate drainage of lymph and interstitial fluids from the affected area. There are different schools of MLD, however, all of them have the basic aspects in common and indicate MLD for Stage I and II lymphedema according to the Classification of the International Society of Lymphology (ISL). Pressotherapy is a technique that uses external compression created by a pneumatic pump through an air/pump chamber. This procedure creates intermittent pressure on the affected area or limb. There are many studies that support its indication for venous conditions. However, its use in the treatment of lymphadema is controversial and using it alone is not recommended because of the long-term risk of developing fibrosis, which would therefore worsen the condition. Although sufficient methodological studies do not exist in order to demonstrate the efficacy of MLD and pneumatic compression, there are several articles that include both procedures as part of the first stage of Decongestive Physical Therapy for the treatment of lymphedema, along with elastic compression garments, exercises and skin care.