Manual Lymphatic Drainage (MLD) is a specialised form of therapy developed in the 1930’s to treat the lymphatic system and problems arising from poor venous circulation. Lymph is collected from the tissue spaces between the cells, and passes through a series of vessels and nodes to return to the bloodstream. The lymphatic system filters the lymph, playing an important part in the body’s defense against infection, removing cell debris and excess protein. If the drainage routes become blocked or damaged, excess lymph accumulates in the tissue spaces and swelling (or oedema) occurs. MLD is used on the NHS to treat lymphoedema, and MLD plays a part in overall treatment for this disease. MLD is used widely on the continent, and is gaining more acceptance in the UK for the treatment of other conditions not solely lymphoedema.