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Manual Lymphatic Drainage Client
Manual Lymphatic Drainage (MLD) is a VERY gentle, slow, repetitive and rhythmic massage that mimics the action of your body’s lymph system and helps to reduce swelling and pain. The Lymphatic System is a key part of your cardiovascular system; therefore, if you have certain heart conditions, it is not advisable to receive MLD treatment. It is critical that the heart and kidneys are functioning well enough to process the lymphatic return that is stimulated by the specialized massage. If your Lymphatic system itself (i.e. lymph node removal) is itself compromised, certain precautions need to be taken in the MLD treatment.  If you are being treated post surgery, all tubes need to be removed and no fluid will be drained from incision areas during your treatment.

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Client name *
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Client phone number *
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Why are you seeking Manual Lymphatic Drainage? (Condition – please be specific: location, etc.) *
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Is your visit due to a surgery? *
If your visit is due to a surgery, what was the date?
Date
Has your condition been diagnosed by a health care professional? (Do they know you are seeking MLD? Did they recommend you receive MLD?) *
If yes, please provide the name and phone number of the referring health practitioner.
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Do you or have you had any of the following?                                                                                                               *
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If YES, please explain.
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(4) What medications are you currently taking and for what condition are they prescribed? *
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What to Expect at Your Appointment                                                                                                                          
MLD is a light, skin stretching technique; it requires skin-on-skin contact to be performed effectively. Clients are asked to be completely undressed beneath the sheet and blanket. You will always be professionally draped to maintain your privacy, comfort and warmth. If you feel the need to leave your underwear on, of course, your decision will be respected. Your feeling of safety and comfort is first and foremost. In that case, please be sure that you are wearing briefs, rather than boxers or “boy shorts.”

The Lymphatic System has a specific direction of flow and pathway through the body. Clearing the areas “in front” of the focus area is a key part of the treatment. You can think of it like clearing the leaves and debris from gutters. You cannot ask the gutter to receive more debris, if it is already full. It’s the same with your Lymphatic System. MLD is facilitating greater movement of the lymph fluid and therefore we need to prime and clear the lymph nodes.


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