Lymphology Association of North America (LANA) Practice Exam

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In which of the following conditions has MLD been shown to be effective?

  1. Post-surgical edema

  2. Deep venous thrombosis (DVT)

  3. Erysipelas

  4. All are true

The correct answer is: Post-surgical edema

Manual Lymph Drainage (MLD) is a specialized massage technique that is effective for various conditions involving lymphatic dysfunction. Focusing on the effectiveness of MLD, it has been well-documented to help reduce edema, particularly post-surgical edema. After surgical procedures, patients often experience swelling as a result of tissue trauma, inflammation, and fluid accumulation. MLD facilitates the movement of lymph fluid, promoting drainage and consequently reducing post-surgical swelling, which can enhance recovery times and improve patient comfort. While MLD may be discussed in relation to other conditions, such as deep venous thrombosis and erysipelas, the evidence for its effectiveness in those scenarios is not as robust or universally accepted. DVT, for instance, requires careful management and typically involves anticoagulation; the application of MLD must be approached cautiously due to the risk of dislodging a clot. Erysipelas, a bacterial skin infection, might require a different treatment approach primarily focused on antibiotic therapy. In summary, the established effectiveness of MLD is especially strong in the context of post-surgical edema, making it the most appropriate choice among those listed.