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Réhabital

Manual Lymphatic Drainage: Swelling and Fluid Retention

Heavy legs at the end of the day, swollen ankles in summer heat or post-surgical puffiness often respond very well to manual lymphatic drainage. In Cote Saint Luc our massage therapists use the slow, superficial techniques this system actually requires.

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Understanding This Condition

The lymphatic system carries interstitial fluid, proteins and cellular waste back into the bloodstream. Unlike blood, lymph has no central pump: it moves through muscle contraction, breathing and the pulsation of lymphatic vessels themselves. When that transport slows — immobility, heat, surgery, pregnancy, prolonged standing — fluid accumulates and creates heaviness and swelling. Manual lymphatic drainage uses very light pressure and a slow rhythm to stimulate superficial vessels, in a sequence that clears central nodes before treating the periphery.

Common Symptoms

Heavy legs, especially later in the day.
Ankle and foot swelling, worse in heat.
Sock marks that linger on the skin.
Limb swelling after surgery or immobilisation.
Feeling of tightness or stretched skin.
Fatigue and discomfort in the lower limbs.

Common Causes

Prolonged standing or sitting

Without the muscle pump, venous and lymphatic return slows.

Heat and summer weather

Vasodilation increases capillary filtration and therefore lymphatic load.

Surgery or trauma

Post-operative oedema lingers when local lymphatic pathways are disrupted.

Pregnancy and hormonal change

Abdominal pressure and hormones promote fluid retention.

Our Treatment Approach

Sessions start with assessment: medical history, contraindications, location and character of the swelling. We then open the node regions (neck, axilla, groin) before draining the target area with very light circular strokes. Diaphragmatic breathing is integrated, since it acts as a central pump for the thoracic duct. Osteopathy can complement by freeing the diaphragm and transition zones, while naturopathy addresses hydration, sodium intake and activity. We also teach self-drainage for home.

What to Expect at Your First Visit

A session lasts 60 minutes and is deeply relaxing. A temporary increase in urination afterwards is normal. For established oedema, a closely spaced series works better than a single visit.

At-Home Self-Care Tips

  • Elevate legs for 15 minutes at day’s end.
  • Walk regularly to activate the calf pump.
  • Drink enough water — restricting fluids worsens retention.
  • Wear compression stockings if recommended.
  • Practise diaphragmatic breathing a few minutes daily.

Prognosis & Recovery Timeline

Functional swelling from posture or heat often responds within the first sessions. Post-surgical oedema improves progressively over several weeks.

When to See Us at Réhabital

Come in for uncomfortable chronic swelling. Sudden one-sided leg swelling with pain, redness and warmth needs urgent medical assessment (possible thrombosis).

Why Réhabital Clinic

Our therapists follow a structured drainage sequence rather than a generic light massage, and coordinate with osteopathy when the diaphragm or abdomen restricts lymphatic return.

Why Choose Réhabital?

Less heaviness in the limbs
Visible reduction in swelling
Better post-surgical recovery
Marked calming effect on the nervous system
Self-drainage taught for home
Complementary naturopathic support

Frequently Asked Questions

Address

D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5

Hours

Mon–Fri: 10AM–8PM
Sun: 10AM–4PM

Relieve Your Pain Today

Book online or call us for a comprehensive assessment with our qualified professionals.

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First visit: 10% off

Receive 10% off your first visit to Réhabital clinic in Côte Saint-Luc, on the Island of Montréal. Physiotherapy is excluded. This offer applies to your first clinic visit, not a first visit in each specialty.

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