The lymphatic system removes tissue fluid, proteins and metabolic waste. If this drainage is disrupted – for example after surgery, after removal of lymph nodes, with lymphoedema or after injuries – fluid builds up in the tissue. Manual lymphatic drainage supports transport with very gentle, broad grips. Unlike a classic massage, hardly any pressure is applied: the skin is only lightly shifted, because the fine lymph vessels lie just beneath the surface. The treatment is relaxing and pain-free.
A session lasts 30 to 60 minutes depending on the affected body region. For pronounced lymphoedema, lymphatic drainage is part of 'complex decongestive therapy' and is combined with compression bandages or stockings, skin care and movement. Regularity is important: with chronic oedema, recurring treatments are needed to maintain the result.
Typical areas of application are lymphoedema (e.g. of the arm after breast cancer treatment), swelling after surgery or sports injuries, supportive treatment for lipoedema and swelling in pregnancy. Lymphatic drainage must not be used in cases such as acute infections, untreated heart failure or fresh thrombosis – here medical assessment is needed first.
With a medical prescription, basic insurance covers medical lymphatic drainage as part of physiotherapy. As a cosmetic or wellness application without medical indication you pay yourself; the guide price is roughly CHF 60 to 110 per session depending on duration (no guarantee).