Lymphatic drainage massage has gained popularity as a purported bloating and weight loss support method, but there’s no proof that the procedure will decrease body fat.

Lymphatic drainage massage uses specialized hand techniques to stimulate the lymphatic system and help move stagnant lymph fluid out of your body. This type of massage can benefit certain medical conditions that cause a buildup of lymph fluid.

Although lymphatic drainage massage has valid uses in a medical setting, weight loss is not a scientifically established benefit of this procedure. Nevertheless, some people still advertise this type of massage as a method of weight management.

In some cases, a doctor might recommend lymphatic massages for bloating and edema associated with a specific medical condition. Even when used in medical settings, though, the procedure can still carry certain risks that you should discuss with a doctor ahead of time.

This article examines the different types of lymphatic drainage massage along with their benefits, uses, and precautions.

Lymphatic drainage massage is a form of clinical massage that can be classified under the broad umbrella term of “massage therapy.”

Lymphatic drainage is different from the more common types of massage therapy you might see advertised at a wellness clinic, such as Swedish or sports massage. Rather than treating pain, lymphatic massages help to increase the flow of lymph throughout the body.

There are four main types of lymphatic drainage massage:

  • Manual lymphatic drainage (MLD): This is the most commonly used method to improve lymph flow, and it’s typically performed by a medical professional. The exact techniques with MLD are individualized and usually involve conservative light massaging to help prevent lymph stagnation from progressing into clinical lymphedema
  • Decongestive lymphedema therapy (DLT): Unlike MLD, DLT is intended for moderate and severe forms of lymphedema. In addition to increased lymph flow, DLT also helps to minimize associated fibrosclerotic tissues
  • Simple lymphatic drainage: While similar in principle and purpose to MLD, simple lymphatic drainage is performed by yourself without a doctor or medical practitioner. The process may take about 20 minutes at a time, and is based on specific steps as recommended by your healthcare professional
  • Mechanical compression pump: A doctor might prescribe this device as a way to mimic the effects of MLD. A mechanical compression pump is available in a sleeve-like device that you wear over one of your limbs to help move lymph out of the affected area

When considering lymphatic drainage massage as a possible approach to reducing bloating or weight, it’s important to know that most practitioners refer to MLD. These two terms are often used interchangeably.

Some people also perform simple lymphatic drainage on themselves at home, but you should only do so if a doctor recommends this option.

Skin tape is another form of self-lymphatic drainage you might consider discussing with a doctor. As the name suggests, skin tape is placed on specific areas of your skin and stays in place. This method may also encourage lymph drainage.

Researchers are still investigating the exact mechanisms behind common lymphatic drainage procedures like MLD. Some common theories claim that MLD can:

  • increase the reuptake of lymph
  • ease lymph transportation thanks to increased contractions from the massage
  • help decrease lymphatic pressure to prevent accumulations of lymph
  • improve the lymphatic system more generally
  • help enhance your autonomic nervous system

In theory, lymph buildup around the abdomen might be improved with MLD, but any evidence supporting MLD as an effective weight loss treatment is inconclusive. However, there is some emerging research behind some of the possible effects of MLD on obesity prevention.

As one 2023 study reported, MLD may have positive effects on the metabolism of carbohydrates and lipids, as well as overall cytokine levels. These effects were found in participants within both normal and overweight categories.

With that said, the researchers noted that MLD may be best used alongside exercise and other weight management techniques to help prevent the onset of insulin resistance and obesity. It’s not clear whether MLD can actually treat these conditions.

Lymphatic drainage massage is primarily used as a treatment for lymphedema. While some massage therapists may promote MLD for other purposes, weight loss is not a scientifically proven use.

Primary and secondary lymphedema

A doctor might recommend lymphatic drainage massage as a complementary therapy for lymphedema. This chronic condition leads to lymphatic fluid buildup in the body, along with subsequent swelling and discomfort.

While lymphedema can affect any part of your body, it’s most common in the:

  • face
  • neck
  • chest
  • arms
  • genitals
  • legs

Lymphedema may also be classified as primary or secondary. Primary lymphedema is a rare congenital condition, while secondary cases can develop after infections, certain cancers, and cancer treatments such as lymph node removal or radiation therapy.

Cosmetic surgery

MLD is also sometimes used to improve lymph flow and treat acute lymphedema associated with cosmetic surgery.

In particular, one clinical review from 2023 noted that MLD applied to the abdominal area may improve lymphatic flow after abdominal liposuction.

Will insurance cover lymphatic drainage massage?

If a doctor prescribes lymphatic drainage massage as part of your treatment for a medical condition like lymphedema, your insurance might cover it. You’ll need to call your insurance representative to confirm.

Generally speaking, you’ll need to pay out of pocket for most wellness procedures, such as massages.

Massage therapy is often perceived as a safe practice, and it can be when you work with a qualified practitioner. With that said, massages in general can carry the risk of some rare but serious side effects, such as:

MLD can also cause minor side effects, such as increased urination for 24 to 48 hours. A temporary increase in blood pressure is also common.

You can help reduce your risk of possible lymphatic drainage side effects by working with a qualified professional who is also aware of any health conditions you might have

A qualified lymphatic therapist will have a certification in this procedure and experience performing them.

While lymphatic therapists typically work in medical settings, some massage therapists, occupational therapists, and physical therapists are certified in lymphatic drainage as well.

There are a few ways you can go about finding a qualified lymphatic massage therapist. The first way is to ask your doctor. They might recommend or refer you to a specific practitioner if they want you to undergo this practice to help treat a particular medical condition, such as lymphedema.

You can also contact local physical therapy or occupational therapy offices and massage centers to inquire about lymphatic practitioners.

When going this route, be sure to ask a prospective therapist about their credentials and experience with this procedure, and let them know if you have any underlying health conditions they should be aware of.

Finally, it’s important to ask a lymphatic therapist about their billing and health insurance policies. You should also check with your own insurance provider, if applicable, to see if they will cover the procedure.

Lymphatic drainage massage can be a helpful treatment for conditions like lymphedema. Its effects on lymph circulation might also help with bloating and weight management, but there’s no evidence that this type of massage can promote weight loss.

If you’re interested in manual lymphatic drainage (MLD) or any other type of lymphatic massage, consider talking with a doctor about the potential benefits versus risks.

This type of massage is not appropriate for everyone, and it should only be performed by qualified practitioners.