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21 May 2015 Manual lymphatic drainage (MLD), a type of hands-on therapy, is frequently used for BCRL and often as part of complex decongestive therapy 27 Apr 2015 9 Jun 2017Lymphology. 2012 Sep;45(3):103-12. Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Zimmermann Manual Lymph Drainage ( MLD) is a massage technique created by the Danish therapist Dr. Isabel Viveros- Ciampi, a Clinical Manual Lymphatic Drainage