How can manual lymph drainage help before and after total knee replacement surgery?

The Danish doctors Emil Vodder and Estrid Vodder noticed in the 1930s that people with chronic sinus problems and similar disorders have swollen lymph nodes. They originally developed manual lymphatic drainage to address those issues, although there is no evidence that it is effective in treating them. Their technique involved using light, rhythmic pressure on lymph nodes. 


Manual lymphatic drainage is now used to treat lymphedema, swelling due to problems with the lymphatic system, especially...

The Danish doctors Emil Vodder and Estrid Vodder noticed in the 1930s that people with chronic sinus problems and similar disorders have swollen lymph nodes. They originally developed manual lymphatic drainage to address those issues, although there is no evidence that it is effective in treating them. Their technique involved using light, rhythmic pressure on lymph nodes. 


Manual lymphatic drainage is now used to treat lymphedema, swelling due to problems with the lymphatic system, especially in cancer patients. It is an accepted therapy only for lymphedema and more research still needs to be done to show its effectiveness.


Currently, there are no definitive studies proving the efficacy of manual lymphatic drainage in sports medicine and thus no evidence that it will be helpful either before or after total knee replacement. Although there is some anecdotal evidence that it may reduce edema, Vairo et al. conclude a survey of existing studies by stating:



However, based on CEBM standards for ranking the levels of evidence, there is currently an insufficient and inconsistent ensemble of evidence to support a grade of recommendation on which to establish clinical practice guidelines for the use of MLDTs in rehabilitating athletic injuries.


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