In the initial decongestive phase, how often are MLD sessions scheduled?

• A. Daily or every other day, then taper as edema improves.
• B. Weekly
• C. Twice daily
• D. Once a month

Answer: (A)

In the initial decongestive phase, the goal is to rapidly move edema out by maximizing lymph flow, which requires frequent sessions. Scheduling MLD daily or every other day keeps the lymphatic drainage active, helping to reduce fluid buildup and soften tissues so swelling decreases more quickly. As edema improves, the plan is gradually tapered, transitioning to less frequent sessions plus home care, compression, and activity to maintain gains. Less frequent schedules like weekly or monthly wouldn’t provide enough decongestive stimulus, and two sessions per day isn’t the standard approach unless specially directed. So, daily or every other day at first, then taper as edema improves.