What does fact checked mean?
At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
How to Massage Leg Edema
According to the National Institutes of Health, edema is unnatural swelling of a body part 2. Usually occurring in the feet and legs, it is caused by fluid buildup in the tissues. Causes range from high sodium intake to liver disease, cancer and heart failure. A specific form of massage known as lymphatic drainage can help reduce this swelling.
Obtain medical permission. Edema should be massaged only by therapists who have specific training in working with such patients. Edema is usually a symptom of a much more serious medical condition, and improperly applying massage therapy to the affected region can increase swelling.
What Are the Treatments for Foot Lymphedema?
Learn More
Apply the techniques of manual lymphatic drainage massage. According to Massage and Bodywork magazine, these techniques are designed to remove fluid by re-creating the normal functions of the lymphatic system 1.
Using a very gentle touch, massage the leg in the direction of lymph flow (toward the heart). Such techniques can be so light that only a finger is necessary to apply the touch. Start by working the area closest to the trunk. Perform short, fluid strokes throughout the area.
Causes of Only One Lower Leg Swelling With Pain
Learn More
Move downward on the limb and repeat these light, fluid strokes. Always move the stroke in the direction of the heart. These strokes encourage the accumulated fluid to drain using the normal pathways of the lymphatic system.
Repeat the steps numerous times. When performing a session of lymphatic massage, it is not rare to spend an entire hour methodically repeating the steps on the affected limb.
Tips
A patient with edema might be under a number of stresses that relate to his underlying condition. Consider performing gentle massage strokes to other areas of the body to help increase overall relaxation.
Warnings
If you do not have proper training, refer the client to someone who specializes in lymphatic drainage massage. If the touch is too firm, or if the massage therapist performs the strokes in the improper direction, swelling can increase and become more difficult to reverse.
Related Articles
References
- Massage and Bodywork Magazine
- National Institues of Health
- Ezzo J, Manheimer E, McNeely ML, et al. Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane Database Syst Rev. 2015 May 21;(5):CD003475. doi10.1002/14651858.CD003475.pub2
- Crisóstomo RSS, Armada-da-Silva PAS. 8. Manual lymphatic drainage. In: Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease. Updated February 15, 2017.
- Gradalski T, Ochalek K, Kurpiewska J. Complex decongestive lymphatic therapy with or without Vodder II manual lymph drainage in more severe chronic postmastectomy upper limb lymphedema: A randomized noninferiority prospective study. J Pain Symptom Manage. 2015 Dec;50(6):750-7. doi:10.1016/j.jpainsymman.2015.06.017
- Gradalski T, Ochalek K, Kurpiewska J. Complex decongestive lymphatic therapy with or without Vodder II manual lymph drainage in more severe chronic postmastectomy upper limb lymphedema: A randomized noninferiority prospective study. J Pain Symptom Manage. 2015 Dec;50(6):750-7. doi:10.1016/j.jpainsymman.2015.06.017
- Pichonnaz C, Bassin JP, Lécureux E, et al. Effect of manual lymphatic drainage after total knee arthroplasty: A randomized controlled trial. Arch Phys Med Rehabil. 2016 May;97(5):674-82. doi:10.1016/j.apmr.2016.01.006
- Bouta EM, Bell RD, Rahimi H, et al. Targeting lymphatic function as a novel therapeutic intervention for rheumatoid arthritis. Nat Rev Rheumatol. 2018;14(2):94-106. doi:10.1038/nrrheum.2017.205
- Schwartz N, Chalasani MLS, Li TM, Feng Z, Shipman WD, Lu TT. Lymphatic function in autoimmune diseases. Front Immunol. 2019;10:519. doi:10.3389/fimmu.2019.00519
- Crisóstomo RS, Candeias MS, Armada-da-silva PA. Venous flow during manual lymphatic drainage applied to different regions of the lower extremity in people with and without chronic venous insufficiency: A cross-sectional study. Physiotherapy. 2017;103(1):81-9. doi:10.1016/j.physio.2015.12.005
- Yuan SL, Matsutani LA, Marques AP. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Man Ther. 2015 Apr;20(2):257-64. doi:10.1016/j.math.2014.09.003
Writer Bio
James Mulcahy is a New York City-based licensed massage therapist with more than 1,500 hours of training in anatomy, myology and pathology. He currently works as a freelance writer and has contributed to Huffington Post, New York Press, British Airway’s High Life, Metromix and many other publications.