After an MLD session, which sign would indicate a need for reassessment?

• A. Decreased swelling in treated area.
• B. No change in swelling.
• C. Increased swelling in the treated area.
• D. Immediate resolution of all symptoms.

Answer: (C)

An increase in swelling in the treated area signals a need for reassessment. After an MLD session, the goal is to reduce edema, so you’d expect the swelling to lessen and the tissue to feel softer. If swelling worsens, it means the drainage isn’t matching the body's fluid load or there may be a mismatch in technique or parameters—such as direction, pressure, or pacing—along with the possibility of new factors like infection, clot risk, or skin issues affecting drainage. Pause and re-evaluate the plan: confirm the correct proximal pathways are being engaged, adjust to gentler, slower strokes and appropriate compression if prescribed, review the patient’s posture and activity, and consider whether more sessions or a different approach are needed. Positive signs like decreased swelling indicate progress, while no change may require adjustment; an immediate complete resolution is not typical. The key warning sign prompting reassessment is swelling that has increased after treatment.