Who Cannot Get Lymphatic Drainage Massage?

Rosa M Saidel LMT CDT-c MLD-c • December 4, 2023

Lymphatic drainage massage is a therapeutic technique that stimulates the lymphatic system, aiding in the removal of waste and toxins from bodily tissues. This form of massage can be beneficial for a variety of health conditions, including lymphedema, fibromyalgia, and other inflammatory conditions. However, not everyone is a suitable candidate for this treatment. Certain health conditions may pose risks that outweigh the potential benefits of lymphatic drainage massage.


In this article, we will explore some key contraindications for manual lymphatic drainage, including congestive heart failure, renal disorders, active infection, clot conditions, kidney disorders, heart problems, cardiac edema and cellulitis.

Congestive Heart Failure and Cardiac Edema

Congestive heart failure (CHF) is a chronic progressive condition that affects the pumping power of your heart muscles. It's characterized by fluid buildup around the heart (cardiac edema), which can lead to shortness of breath and swelling in the legs and ankles.


Lymphatic drainage massage could potentially increase the volume of fluid that the already overworked heart must pump out to the body. This could exacerbate symptoms or potentially lead to a cardiac event. Therefore, individuals with CHF or cardiac edema should avoid this type of therapy.

Renal Disorders and Kidney Disorders

Renal disorders refer to any disease or condition that impairs kidney function. These disorders can affect your body's ability to cleanse itself of waste products and excess fluids.


A lymphatic drainage massage could potentially overload a compromised renal system by rapidly introducing large volumes of fluid for filtration. This could lead to complications such as electrolyte imbalances or even acute kidney injury in severe cases. Therefore, individuals with known renal or kidney disorders should not undergo lymphatic drainage massage without prior consultation with their healthcare provider.

Active Infection and Cellulitis

Cellulitis is a common, potentially serious bacterial skin infection. It appears as a swollen, red area of skin that feels hot and tender and can spread rapidly to other parts of the body.


Lymphatic drainage massage could potentially spread the bacteria causing the infection to other parts of the body, leading to a systemic infection. Therefore, individuals with active infections, including cellulitis, should avoid this type of therapy until their infection has been fully treated and resolved.

Clot Conditions

Clot conditions such as deep vein thrombosis (DVT) involve blood clots that form in one or more of the deep veins in your body, usually in your legs. These clots can become life-threatening if they break loose and travel to your lungs.


Lymphatic drainage massage could potentially dislodge a clot, which could then travel through the bloodstream and cause a pulmonary embolism or stroke. Therefore, individuals with known clot conditions should not undergo lymphatic drainage massage without prior consultation with their healthcare provider.

Prenatal Lymphatic Massage: A Special Consideration

Pregnancy brings about many changes in the body, including changes to the lymphatic system. While some pregnant women may benefit from lymphatic drainage massage to alleviate swelling and discomfort associated with pregnancy, it's important to proceed with caution.


Prenatal lymphatic massage should only be performed by a therapist trained specifically in prenatal care. Certain pressure points should be avoided during pregnancy as they could potentially stimulate uterine contractions or affect fetal development.

Conclusion

In conclusion, while lymphatic drainage massage can offer numerous health benefits for many individuals, it's not suitable for everyone. Those with congestive heart failure, renal disorders, active infections, clot conditions or kidney disorders should consult their healthcare provider before undergoing this type of therapy.


Remember that each individual is unique and what works well for one person may not work for another. Always consult with a healthcare professional or a trained massage therapist to determine the best course of action for your specific health needs.

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