Manual Lymph Drainage (MLD) is a special treatment technique which utilizes lymphatic pathways to empty and decompress fluid-filled areas, allowing the limb to return to normal or near normal size. 
Compression therapy occurs with each MLD treatment. Multiple layers of low stretch bandages are applied to the limb in order to achieve a graded compression to prevent the area from refilling with evacuated fluid. In a later phase of treatment, compression garments are worn.
Specific lymphedema exercises are prescribed. While wearing the bandages, exercises activate muscle and joints, which results in increased lymph flow and, over time, decreased swelling of the limb. Because infections can be a serious complication of lymphedema, each patient is instructed in meticulous hygiene to eliminate bacterial and fungal growth in order to reduce the chance of infection.
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