Benefits of Manual lymphatic drainage MLD after orthopaedic surgery and related lymhoedema

In this blog, we explore the benefits of Manual Lymphatic Drainage MLD after orthopaedic surgery. Let´s have a closer look…

What is orthopaedic surgery?

It’s a specialised surgery that focuses on treating and repairing musculoskeletal conditions that involve bones, joints, ligaments, tendons, muscles, and in some cases peripheral nerves, for example:

  • Joint replacements (hip, knee, shoulder)
  • Arthroscopy (minimally invasive joint repair)
  • Fracture fixation 
  • Corrective surgeries (for deformities)

What are the most common causes of orthopaedic surgeries?

Orthopaedic surgery is usually indicated when conservative treatments (medications, physiotherapy, injections) fail or due to severe trauma that need surgery. Some common causes are:

  1. Trauma/accidents/fails
    Fractures, dislocations, ligament/tendon tears.
  2. Degenerative Diseases
    Osteoarthritis, rheumatoid arthritis, degenerative disc disease.
  3. Genetic conditions or overtime developed deformities
    Hip dysplasia, scoliosis, limb deformities.
  4. Sports Injuries
    Meniscus tears, ligament ruptures, rotator cuff injuries.
  5. Overuse
    Tendinitis, bursitis, repetitive strain injuries.
  6. Bone and Joint Infections or tumors
    Osteomyelitis, benign or malignant bone tumors.

What causes post-orthopaedic lymphoedema?

Lymphoedema after orthopaedic surgery is produced by damage in the lymphatic system (nodes, vessels) nearest to the treated area, causing obstruction (fluid has no way to drain out) as a result there is painful build up of fluid.

What is Lymphatic drainage massage

Lymphatic drainage massage is a gentle, specialised massage technique designed to stimulate the proper function of your lymphatic system (lymph circulation, drainage and expel), promoting the removal of excess fluids and waste from the body. It has gained recognition for its potential benefits in managing post-orthopaedic lymphoedema which is swelling caused by lymphatic fluid buildup after surgery.

What are the benefits of MLD after orthopaedic surgery and related lymphoedema?

MLD is a extremely light treatment although it may feels uncomfortable during the first week or not (according to the type surgery) after the procedure as the area might be very sensitive to touch. It is based on scientific knowledge of the anatomy and physiology of the Lymphatic System. MLD is prescribed as a post-op treatment all over the world because it helps to:

  • Treat lymphoedema.
  • Reduce swelling, bruising and water retention.
  • Avoid or treat seromas and fibrosis (hard lumps).
  • Reduce stress and anxiety after surgery.
  • Speed up the recovery process.
  • Reduce pain.
  • Stimulates kidney functions (improving waste flush).
  • It’s useful for the treatment of blood circulation problems (venous insufficiency after surgery).
  • Reduce or treat  lymphatic problems.
  • Stimulates the immune system, increasing the body’s own defenses.
  • Helps to protect your body against bacteria and viruses as it works in conjunction with the immune system.
  • It has a calming effect on the autonomic nervous system.
  • Its direct effect on the parasympathetic system generates a relaxing effect.
  • Tones the intestine, which helps fight constipation.
  • Regulates the body’s water balance.
  • Lowers blood pressure.
  • And the list continues, know more benefits click here (link benefits of MLD after surgery)

Findings 

Scientific studies show that Manual Lymphatic Drainage (MLD) may help reduce the incidence and severity of lymphoedema in different types of surgeries like orthopaedic surgeries, but studies have focused on those related to cancer where lymphoedema is more common. However, what can be seen in all lymphoedema patients is that the effectiveness can vary depending on the severity of lymphoedema and whether it is combined with other treatments like complex decongestive therapy (if prescribed). Many patients in and out of the records report significant limb volume reduction, symptom relief and better quality of life. On the other hand, it is clear that to see these and more benefits it is necessary to individualise each treatment plan and further research.

Who performs lymphatic drainage for lymphoedema?

To maximise the benefits and safety of manual lymphatic drainage massage, it is important to work with a certified  lymphoedema therapist who has specialised in the different manual lymphatic drainage techniques. A professional therapist understands you as patient and person, the anatomy and physiology of the lymphatic system; she/he can tailor the treatment to your needs and treats you better. Many licensed therapists are affiliated with recognised organizations, and it is advisable to check credentials and seek referrals or reviews before booking sessions.

Benefits of MLD after orthopaedic surgery and related lymphoedema: A final word

  • Lymphoedema after orthopaedic surgery is a common side effect when the lymphatic system is affected by trauma during the procedure.
  • MLD has many benefits before and after orthopaedic surgery (and others), and it also is useful to treat and alleviate other conditions.
  • For best results book with a certified lymphoedema therapist who treats you better.
  • There is scientific evidence of the pivotal role of MLD in treating lymphoedema, but further research in different fields and types of surgeries is needed.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/32803533/

https://pubmed.ncbi.nlm.nih.gov/38300246/

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