What is the purpose of opening/clearing strokes in MLD?

• A. To stimulate deeper venous return.
• B. To mobilize superficial lymphatics and facilitate more efficient drainage toward proximal nodes.
• C. To increase tissue warmth.
• D. To close off lymphatic pathways.

Answer: (B)

Opening and clearing strokes in MLD are done to prepare the lymphatic system for drainage by mobilizing the superficial lymphatics. These gentle strokes help loosen and guide the superficial lymphatic vessels, creating clear pathways that direct lymph toward proximal nodes. With these open channels established, the subsequent pumping movements can move lymph more efficiently toward the nearest lymph node groups, reducing edema. It’s not about increasing tissue warmth or directly closing pathways, and while improved lymph flow can support overall fluid balance, the primary aim is to mobilize the superficial lymphatics and facilitate drainage toward proximal nodes.