What is the recommended pressure characteristic for MLD strokes?

• A. Deep, firm pressure causing blanching.
• B. No contact, only visualization.
• C. Rubbing hard in circles.
• D. Very light, gentle touch with enough pressure to move the skin and superficial tissues without causing pain or blanching.

Answer: (D)

In Manual Lymph Drainage, the pressure should be very light and gentle. Use just enough touch to move the skin and superficial tissues, but do not cause pain or blanching. This light contact keeps the lymphatic vessels open and encourages lymph flow without compressing deeper tissues or triggering discomfort. Blanching indicates excessive pressure that can occlude capillaries and hinder drainage, so it’s avoided. The goal is smooth, slow strokes that gently lift and move the skin toward regional lymph nodes, maintaining a comfortable, non-painful technique. If the touch causes pain or blanching, lighten up; if you can’t feel any movement at all, adjust to ensure you’re just enough to mobilize the superficial tissues.