The lymphatic system plays a vital role in fluid balance, circulation, and immune health. When lymph flow is compromised, fluid can build up in tissues, leading to swelling, discomfort, and an increased risk of infection.
At Third River Health, we offer Manual Lymphatic Drainage (MLD) therapy for general edema, as well as Complete Decongestive Therapy (CDT) for patients with lymphedema or lipedema who are seeking relief as part of a comprehensive, medically guided approach to healing and recovery.
What Is Lymphatic Massage or MLD?
Lymphatic massage, also known as Manual Lymphatic Drainage (MLD), is a specialized therapy designed to reduce swelling, improve comfort, and support long-term tissue health, especially for patients managing complex medical conditions.
MLD is a gentle, non-invasive, hands-on therapeutic technique that uses light, rhythmic movements to stimulate the movement of lymph fluid toward healthy drainage pathways.
Unlike traditional massage, MLD is not deep tissue massage. It is performed with specific medical intent and is often part of a broader treatment plan for managing swelling and supporting healing.
At Third River Health, manual lymphatic drainage is provided in a clinical setting and coordinated with other medical services when appropriate.
What Is Lymphedema?
Lymphedema is a condition caused by damage to or obstruction of the lymphatic system, resulting in the abnormal accumulation of lymphatic fluid in the tissues. This protein-rich fluid buildup creates swelling composed of water, proteins, cell fragments, and fats (long-chain fatty acids). Swelling most commonly affects the arms or legs but can occur in other areas of the body.
Lymphedema may develop as a result of:
- Surgery or lymph node removal
- Radiation therapy
- Cancer treatment
- Trauma or infection
- Chronic venous insufficiency
Without treatment, swelling can worsen over time and may contribute to pain, skin changes, reduced mobility, delayed wound healing, and increased infection risk. Early evaluation and intervention are key to improving outcomes.
What Is Complete Decongestive Therapy (CDT)?
Complete Decongestive Therapy (CDT) is the gold standard, non-invasive, multi-component treatment for lymphedema. It is designed to reduce swelling and improve lymphatic flow.
There are two phases of CDT:
Phase I (Intensive Phase) focuses on reducing swelling and decongesting the affected limb(s).
Phase II (Self-Management Phase) focuses on maintaining and improving results over time.
CDT can be tailored to each patient’s needs but typically includes four core components:
- Skin care
- Manual Lymphatic Drainage (MLD)
- Compression bandaging
- Decongestive exercises
Successful outcomes depend on both therapist guidance and patient commitment to the treatment plan.
What Is the Difference Between Edema and Lymphedema?
Edema is the accumulation of water in tissue and is typically a symptom of another underlying condition. It represents a dynamic insufficiency of the lymphatic system and is often a shorter-term issue.
Lymphedema, on the other hand, involves an abnormal accumulation of both water and protein in the tissue. It represents a mechanical insufficiency of the lymphatic system and is considered a chronic disease process. While it cannot be cured, it can be effectively reduced and managed with appropriate care.
What Is the Difference Between Lymphedema and Lipedema?
Lymphedema is usually asymmetrical and often affects one limb. Lipedema typically affects both limbs symmetrically and involves abnormal fat distribution.
Because different tissues are involved, treatment approaches differ, though certain components of therapy may overlap.
Is CDT Beneficial for Someone with Lipedema?
If lipedema is the only diagnosis, certain components of Complete Decongestive Therapy may be recommended.
If lipedema progresses to involve lymphatic system damage, it may develop into lipo-lymphedema, at which point full CDT is typically recommended.
Conditions That May Benefit from Lymphatic Therapy
Lymphedema and manual lymphatic drainage therapy may benefit patients experiencing:
- Primary or secondary lymphedema
- Post-surgical swelling, including after cancer treatment
- Radiation-related lymphatic damage
- Chronic limb swelling or edema
- Venous insufficiency–related swelling
- Post-traumatic swelling
- Swelling associated with chronic or non-healing wounds
- Tissue fibrosis or tightness related to lymphedema
Your care team will help determine whether lymphatic therapy is appropriate for your specific condition.
Benefits of Lymphedema & Lymphatic Drainage Therapy
Patients may experience benefits such as:
- Reduced swelling and fluid buildup
- Improved comfort and mobility
- Decreased heaviness or pressure in affected limbs
- Support for wound healing by improving tissue fluid balance
- Reduced risk of infection
- Improved quality of life and daily function
Results often improve with consistency and when therapy is integrated into a comprehensive care plan.
Why Choose Third River Health?
Lymphatic therapy at Third River Health is different from spa-based massage services. Our approach is medically guided and designed to support patients with complex conditions.
Care integrated with wound care, vascular services, and HBOT when appropriate
Individualized treatment plans based on medical evaluation
Focus on safety, comfort, and long-term outcomes
Collaboration among providers to support the full healing process
Meet Your Lymphedema Therapist
Paige Robinson, LMT, CLT, is a Certified Lymphedema Therapist and Licensed Massage Therapist with specialized training in Complete Decongestive Therapy (CDT) for patients with lymphedema. She has been practicing manual lymphatic drainage massage for more than six years.
Paige is passionate about working with individuals managing swelling, discomfort, and complex medical needs. She is known for her compassionate approach and her commitment to tailoring care to each patient’s unique situation.
What to Expect During Your Visit
Your care begins with a medical evaluation by a Third River Health provider to assess your condition and determine whether lymphatic therapy is appropriate. If recommended:
- Sessions are gentle and non-invasive
- Treatment focuses on specific lymphatic pathways
- You may notice a feeling of lightness or relaxation afterward
- Consistency may be recommended for optimal results
Your care plan will be explained clearly, and questions are always encouraged.
Insurance & Payment Information
The initial evaluation with a Third River Health provider may be billed to insurance, depending on your plan and diagnosis.
Lymphatic therapy sessions performed by the therapist are offered as a cash-pay service. Our team will review pricing and expectations with you in advance so there are no surprises.
We encourage patients to contact our office with questions about coverage, referrals, or payment options.
Your Health, Our Network
We collaborate with a wide range of insurance providers to help make your care as accessible as possible. If your insurance is not shown here, please contact our office and we’ll confirm whether your plan is in-network.
Call (979) 459-1553 with any questions.
Frequently Asked Questions
Take the Next Step
If you’re experiencing swelling, discomfort, or symptoms of lymphedema, specialized care may help improve your comfort and quality of life.
Contact Third River Health to schedule an evaluation and learn whether lymphatic therapy is right for you.