In MLD, which region is typically addressed first to prepare the limb for drainage?

• A. Distal limb
• B. Proximal trunk and regional lymph nodes (cervical/axillary/inguinal)
• C. The face
• D. The contralateral limb

Answer: (B)

The main idea is that lymph flows toward the body's central drainage pathways, so you prepare the limb by first opening up those central routes. Starting with the proximal trunk and regional lymph nodes (cervical, axillary, and inguinal) creates a clear path for lymph to move from the limb into the central lymphatic system. This reduces resistance and makes the subsequent drainage from the limb more effective. If you begin with the distal limb, lymph can pool and push toward already congested proximal channels, making drainage less efficient. The face or a opposite limb aren’t the primary routes for preparing drainage from a specific limb, so they aren’t the first targets.