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MLD @ Trayah


If you are having surgery, please remember to book in your post-surgical MLD appointments at the time of booking your surgery.  Trayah is unable to accommodate appointments at late notice. You are welcome to call to discuss your requirements. 

Manual Lymphatic Drainage (MLD)

So, what is the lymphatic system and why does it need support?

Simplistically, the lymphatic system is the frontline in our body's ability to fight disease and infection by localizing foreign bodies. It is also involved in detoxifying our body and we can think of it as our own inbuilt waste disposal unit!  It moves toxins, bacteria, excess fluid and metabolic waste out of our bodies as well as producing cells that fight infection.

Sometimes the lymphatic system may be compromised and there are many reasons for this.  These include daily stress, fatigue, emotional shock, chemical overloading, infection, pollution, food preservatives to name but a few.  However, more seriously, any form of surgery, cancer and its treatment, trauma (sprains/breaks), obesity and lack of movement can also hinder the lymphatic system and this can lead to the lifelong condition known as Lymphoedema.   For more information on this please visit the page Lymphoedema@trayah by clicking the link. 

What is MLD Massage?

MLD is not a muscular massage, but essentially works above the muscle fascia on the superficial lymphatic system just below the skin.  It is exceptionally gentle and relaxing  and stimulates fluid circulation and elimination (thus reducing swelling), supporting your body with detoxification. It encourages the lymphatic system to absorb and transport lymph more effectively. It also stimulates the parasympathetic nervous system via the relaxation effect, reducing pain by sedating the sensory nerve endings. This in turn allows tight muscles to relax inhibiting extreme muscle tonus. A great treatment for conditions such as Fibromyalgia and there is scientific evidence available confirming this. 


How can MLD help you?

MLD can be used in many ways and has a profound effect on increasing lymphatic flow. With an increase of lymph flow, immune function is increased. Harmful substances are removed from the tissues and neutralized in the nodes. It has also been shown that an increase in lymph flow enhances immune function. Here are a few situations that arise in the massage world where manual lymphatic drainage can be beneficial:

  • MLD post-surgery can assist in greatly in reducing unsightly scarring and enable the body to remove unwanted fluid filled with inflammation and toxins thus helping to reduce the likelihood of infection.  Swelling is reduced and the body's ability to move improved.  It is fantastic for pre/post plastic/cosmetic and medical surgery (e.g. cancer treatment).

  • Water/fluid retention and bloating

  • Long-COVID symptoms

  • During pregnancy to reduce fluid build up and oedema in the hands and legs/feet
  • Fibromyalgia
  • Supporting detox and an improved immune system

  • Pre surgery MLD is an invaluable tool for softening and relaxing tissues that need to be operated on

  • Lymphoedema (both primary and secondary) and Lipoedema - please visit Lymphoedema@Trayah if you have this diagnosis

  • Dermatology (eczema, acne vulgaris, seborrhoea, psoriasis)

  • Scarring

  • Gastro Enterology (constipation and digestive disorders)

  • Neurological disorders including Autism and Parkinson's

  • Rheumatology (musculoskeletal and connective tissue disorders)

  • Bronchitis (asthma and allergies effecting breathing)

  • Bodybuilding

I have been trained in the MLD methods of Casley-Smith and a method based on Vodder.

Now proudly taking referrals from Worcestershire Breast Unit Haven, Registered Charity No 1171155.

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MLD & Cosmetic/Plastic Surgery

I treat many clients for a range of cosmetic/plastic surgical procedures.  This is the favourite part of my job as I feel privileged to support clients on the emotional and physical rollercoaster that is surgery!  I always feel sad when clients come to the end of their MLD journey with me but am blessed many continue to book in for a monthly maintenance treatment!

There are many benefits to MLD post-surgery:

  • Reduces swelling

  • Reduces fluid build up

  • Reduces pain and inflammation

  • Supports healing

  • Boosts the immune system

  • Improves scar healing and the long term cosmetic appearance

  • Speeds up the removal of toxins and metabolic waste from the body’s tissues

  • Reduces risk of further complications like seromas and infections

  • Increases mobility more quickly

  • Softens the tightened muscles

  • Prevents fibrosis

  • Results in a feeling of lightness and wellness and the ability to more quickly return to "normal" tasks

I also now use a LLLT hand-held machine (Low Level Laser Therapy Machine) to help heal scars and reduce inflammation more quickly. This is used during your appointment at no additional charge.


Surgeons in the UK are now catching up with those overseas in their recommendation of MLD post-surgery.  Frequency of treatment is dependant on the surgeon but, on average, is twice weekly for 4-6 weeks before moving to weekly.  If healing is faster, I will never take your money unnecessarily and appointments can be pushed out more quickly. 


Surgeons often refer their patients to me as I am a member of MLD UK.  This is a register of highly trained therapists who hold specific qualifications and additional insurance to cover working with post-surgical clients.  I am also able to measure and advise on compression garments to support your post-surgical recovery.

There are many therapists offering MLD or "lymph drainage" having taken a day/weekend or short course.  This is NOT appropriate for post-surgery or for clients with Lymphoedema/Lipoedema or other chronic conditions.  It takes much longer to learn the anatomy and all the treatment options for the various procedures and conditions and harm could be caused if not properly trained.  Insurers would also not insure for advanced treatments based on these introductory courses.  I pay a huge premium for additional insurance. 

I am COVID-safe, have a range of policies and procedures in place for infection control etc and am trained in cellulitis (infection) management.  I am also licenced with Worcestershire Council (as all therapists in Worcester must be) and an accredited member of FHT.

I am frequently booked out 4 weeks in advance so I cannot accommodate last minute bookings.  As a result I would recommend booking your appointments at the time you book your surgery.  You are also welcome to contact me to discuss your requirements and surgery and I am happy to book your appointments whilst we're chatting!

I look forward to welcoming you!

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