What is the general drainage order for a leg in MLD?

• A. Inguinal/iliac regions first, then drain thigh, knee, calf, ankle, and foot from proximal to distal
• B. Foot first, then ankle, knee, thigh
• C. Distal to proximal only
• D. Thigh first, then knee to ankle

Answer: (A)

Lymph drainage in Manual Lymph Drainage follows a path toward the proximal lymph nodes, so you start by opening the central drainage points and then work along the limb from near the trunk toward the toes. For the leg this means beginning at the inguinal and iliac regions to create a clear path toward the trunk, and then treating the leg from proximal to distal—addressing the thigh first, then the knee, calf, ankle, and finally the foot—always directing strokes toward the nearest proximal drainage points. This sequence aligns with how lymph flows toward central circulation and helps prevent pooling by ensuring a continuous route for fluid to move toward the groin and beyond. Starting with distal areas or skipping the proximal regions makes drainage less efficient and can slow relief from swelling.