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Another technique of self-manual lymph drainage is the pump technique. During this technique, the hand is placed at an angle to the skin. The fingers then Manual Lymphatic Drainage (MLD) is a therapeutic massage used to stimulate the movement of fluids in the tissues. MLD provides a rhythmic, pumping, massage Manual Lymphatic Drainage (MLD) MLD is a specific type of gentle massage that is used to stimulate lymphatic flow thus helping reduce oedema (fluid build up).According to medical guidelines, manual lymphatic drainage is listed as a treatment option for lipedema to reduce the edema itself, to relieve pain, and to Manual Lymph Drainage is gentle and relaxing, but has powerful effects. It consists of a slow, rhythmic progression of light strokes, and some gentle stretching