
Pre-Natal and Post-Natal Lymphatic Massage
Expecting and new mothers often experience challenges like swelling, fluid retention, and discomfort due to the body’s changes during and after pregnancy. Lymphatic massage - a gentle form of massage therapy focusing on the lymphatic system, can help address these issues in a nurturing yet clinically effective way. Below we explore what lymphatic massage is, its benefits for pregnancy and postpartum recovery, and answer common questions, all with references to scientific studies and reputable health sources.
What is Lymphatic Massage?
​Lymphatic massage, also known as Manual Lymphatic Drainage (MLD), is a specialized gentle massage technique that targets the body’s lymphatic system. Unlike deep tissue massage, MLD uses light, rhythmic strokes to stimulate lymph flow. By encouraging the movement of lymph fluid, this therapy helps drain excess fluids and reduce swelling in tissues [nhs.uk]. The lymphatic system has no central pump (unlike the heart for blood circulation), so activating it manually or through muscle movement can significantly speed up fluid drainage. In fact, studies show that an hour-long lymphatic massage can increase lymph flow rate by up to TEN TIMES [temporarilymedicine.umich.edu], aiding the body’s natural detoxification and immune processes. MLD is performed by specially trained therapists (such as massage therapists, occupational or physical therapists) and is extremely gentle and relaxing, making it suitable for pregnant and postpartum women when proper precautions are observed.
Benefits of Prenatal Lymphatic Massage
During pregnancy, the body holds 50% more fluids and blood volume to support the baby [lymphapress.com] [lymphapress.com]. It’s common for expectant mothers (especially in the third trimester) to experience swelling in the legs, ankles, feet, or hands due to this fluid increase and pressure on blood vessels. Prenatal lymphatic massage can provide significant relief:
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Reduces Pregnancy Edema (Swelling): Research has demonstrated that manual lymphatic drainage can significantly reduce leg swelling in pregnant women. In one study, a single one-hour MLD session led to measurable reduction in leg volume among women in their 5th–8th months of gestation [pubmed.ncbi.nlm.nih.gov]. Another clinical trial found that MLD, when applied from around 25 weeks of pregnancy onward, helped diminish edema-related pain and discomfort through the end of pregnancy [pubmed.ncbi.nlm.nih.gov]. By stimulating lymph flow, the massage helps the body clear excess fluid that causes puffy, swollen limbs, providing physical relief.
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Eases Discomfort and “Heavy” Limbs: Beyond visible swelling, many pregnant women feel a sensation of heaviness, tightness, or tingling in their legs when fluid accumulates. Lymphatic massage can alleviate these symptoms. A 2022 study found that MLD not only reduced swelling but also relieved feelings of heaviness, pain, and tingling in the legs of expectant mothers [revistas.usp.br]. Participants reported improved comfort and mobility after treatment, suggesting lymphatic massage can improve quality of life late in pregnancy by reducing fluid pressure on nerves and tissues.
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Improves Circulation and May Reduce Varicosities: By gently improving both blood and lymph circulation, prenatal massage can help minimize edema-related issues like varicose veins and leg cramps that often occur in pregnancyintegrativehealthcare.org. The enhanced circulation delivers more oxygen and nutrients to tissues and carries away waste products, potentially reducing fatigue and achiness in the legs. Improved lymphatic flow also supports the immune system, which is beneficial as pregnancy can strain immune function [thebump.com].
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Promotes Relaxation and Lowers Stress: Prenatal lymphatic massage is deeply relaxing, activating the parasympathetic nervous system. This can lower cortisol (stress hormone) levels and blood pressure, which is especially helpful if you have pregnancy-induced hypertension. In fact, MLD treatments in studies showed no adverse cardiovascular effects – blood pressure remained stable or even improved during sessions [revistas.usp.br] – indicating it’s a safe way to induce relaxation. Many moms-to-be find that a gentle massage session calms anxiety and improves sleep, thanks to the release of “feel-good” hormones like oxytocin and serotonin during massagethebump.com. This nurturing stress relief can indirectly benefit pregnancy outcomes, as high stress is linked to issues like poor sleep and elevated blood pressure.
Benefits of Postnatal Lymphatic Massage
After childbirth, a mother’s body must recover from immense changes. Hormone levels are shifting, and the body is working to eliminate the extra fluids retained during pregnancy and any added swelling from delivery (for example, IV fluids in labor can cause postpartum puffiness). Postnatal lymphatic massage can aid recovery in several important ways:
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Speeds Up Reduction of Postpartum Swelling: It’s normal for women to have postpartum edema, such as swollen legs, feet, face, or incision areas, as the body sheds excess fluid. Lymphatic drainage massage can help redistribute and drain these excess fluids more quickly. According to health experts, massage encourages the circulation of lymph and blood, which helps flush out water retention and waste products after delivery [healthline.com]. Many new moms notice their rings fitting and ankles returning to normal size sooner with the help of gentle massage. This relief from swelling not only improves comfort (no more tight, painful feet or engorged feeling in the legs) but also allows mobility and exercise to resume sooner.
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Supports C-Section Recovery: For mothers who underwent a Cesarean section, MLD is one of the most effective techniques to reduce post-surgical swelling and fluid retention [physiomatters.com.sg]. After a C-section, it’s common to have a puffy abdomen or firmness around the incision due to fluid accumulation and inflammation. A trained physiotherapist or massage therapist can perform lymphatic drainage around the surgical area (avoiding direct pressure on the incision) to encourage excess fluid to move away into lymph nodes for elimination [physiomatters.com.sg]. This can significantly reduce abdominal bloating and edema, making the incision feel less tight. Improved lymphatic circulation also promotes tissue healing by bringing in nutrient-rich blood and immune cells to the area. Regular postnatal MLD sessions have been noted to ease discomfort, reduce swelling, and even promote faster healing after delivery [physiomatters.com.sg]. (Always ensure your provider has cleared you for massage after a C-section; see FAQ on timing, as abdominal work should start only after initial healing.)
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Eases Engorgement and Aids Lactation: Some new mothers experience breast engorgement or clogged ducts when milk comes in. Gentle lymphatic massage techniques (often focused around the neck, clavicle, and underarms where many lymph nodes for the breasts drain) can help reduce breast swelling and tenderness. While research is still emerging, one clinical trial in 2023 found that adding MLD and traditional massage to standard care was safe for post-Cesarean mothers and led to high satisfaction, with no decrease in milk production [openpublichealthjournal.comopenpublichealthjournal.com]. In fact, by improving circulation and relaxation, massage may support better milk flow. A study in 2020 observed that postpartum back massage (with acupressure) helped increase prolactin levels, a hormone essential for milk supply [healthline.comhealthline.com]. Many lactation consultants suggest light massage as a complement to regular nursing/pumping to ease engorgement. Even if results vary, mothers often find that massage’s stress-reducing benefits help with let-down reflex and overall breastfeeding comfort.
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Hormone Regulation and Mood Support: The postpartum period (often called the “fourth trimester”) is marked by drastic hormonal shifts which can affect mood (baby blues or postpartum depression) and physical recovery. Massage therapy has been shown to assist in regulating stress hormones and increasing the “feel-good” hormones, contributing to improved mood and less anxiety [thebump.com]. For example, studies have noted that new mothers receiving regular massages had lower anxiety and depression scores, and even improvements in sleep quality [thebump.com] [healthline.com]. Lymphatic massage, being very gentle and soothing, is particularly nurturing. It provides caring human touch that can be emotionally grounding during the ups and downs of early motherhood. This nurturing aspect, combined with the physiological benefits, means postnatal massage can help moms feel more balanced and supported in their recovery.
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Pain Relief and Mobility: Postpartum body aches – whether from labor, nursing postures, or carrying a newborn – can often be alleviated by massage. While not specific to lymph flow, many therapists combine lymphatic drainage with light Swedish massage strokes on tight areas (like shoulders, neck, or low back) to relieve muscle tension. Improved lymphatic flow also helps reduce inflammation around sore muscles or joints, indirectly aiding pain relief. By reducing swelling in stiff areas (for instance, swollen knees or ankles after delivery), mothers can move more freely and comfortably. Some women report that lymphatic massage helped relieve the carpal tunnel or wrist pain they developed during pregnancy due to fluid retention, as the massage reduces the fluid pressing on nerves.
Safety and Precautions
Lymphatic massage is considered safe for most healthy pregnant and postpartum women, especially when performed by a certified lymphatic massage therapist. Because it uses such light pressure, it does not strain the body or deep circulatory system. Studies have observed that MLD causes no harmful changes in heart rate or blood pressure in pregnant women [revistas.usp.br]. In fact, blood pressure tended to remain the same or improve, which is a good sign for safety. That said, there are important precautions to keep in mind:
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Consult Your Healthcare Provider: Always get approval from your OB/GYN or midwife before starting prenatal massage, particularly if you have a high-risk pregnancy or any complications. Conditions like pre-eclampsia (high blood pressure), severe edema with high blood pressure, blood-clotting disorders, or other medical issues require special attention. Your provider can confirm that massage is appropriate and advise on any limitations. We require a doctor’s note if you are high-risk.
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Timing (First Trimester Caution): Some prenatal massage practitioners avoid doing massage in the first trimester as a precaution. The first 12 weeks of pregnancy carry the highest natural miscarriage risk, so even though research hasn’t found a direct link between massage and miscarriage [thebump.com], out of an abundance of caution many spas and therapists only accept clients in their second trimester and beyond. Gentle lymphatic drainage in early pregnancy is not known to be harmful, but you may have trouble finding a provider willing to do it simply due to liability policies. If you do get massage in first trimester, ensure it’s very light and avoid abdominal work. Overall, most moms find it worthwhile to wait until the start of the second trimester (after week 13) when the pregnancy is more stable - massage can then continue through the second and third trimester, and even right up to your due date with provider clearance. We require a doctor's note, approving massage, if you are in the first trimester.
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Proper Positioning and Technique: After about 20 weeks of pregnancy, you should not lie flat on your back for extended periods during massage (as the uterus can compress major blood vessels). A trained prenatal therapist will position you side-lying with pillows for support, or use a semi-reclined posture, to ensure comfort and safety [thebump.com]. They will also use very gentle strokes, especially on the legs, always massaging toward the heart (upward) to facilitate lymph flow without risking any blood clots [integrativehealthcare.org] [integrativehealthcare.org]. Deep tissue massage or heavy pressure is not used in lymphatic work, and they will avoid any potentially sensitive acupressure points (like certain ankle points that folklore associates with labor induction, though evidence is limited). All of these precautions make the session safe and soothing.
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Avoiding Infection or Acute Illness: Lymphatic massage should be postponed if you have an active infection, fever, or a condition like cellulitis at the site of swelling. Stimulating lymph flow when an infection is present could potentially spread it. Also, if you have congestive heart failure or severe kidney problems, full-body lymphatic drainage is contraindicated because moving too much fluid could overwhelm those organs. (This is rare in a young maternity population, but worth noting if you have a serious medical history.) These contraindications are the same as they would be for any patient receiving MLD.
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Post-Cesarean Considerations: If you had a C-section, avoid abdominal massage for at least 6 weeks post-surgery (or until your doctor gives the all-clear) [healthline.com]. Even though lymphatic massage is gentle, the incision and underlying tissues need time to heal. A therapist can still work on your legs, arms, and even gently on the upper body to help with swelling in the meantime. Once you are past 6 weeks and your incision is healed, lymphatic massage around the scar and abdomen can actually be very beneficial to soften scar tissue, reduce any remaining bloating, and improve sensation. Always communicate with your therapist about the timing and if you feel any discomfort.
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Choose a Qualified Therapist: For both prenatal and postnatal massage, seek out a licensed massage therapist who is certified in Manual Lymphatic Drainage massage; preferably the Vodder method, and experienced in prenatal/postpartum/post-op massage. They will be familiar with the necessary adjustments and contraindications. They should also follow proper hygiene and ensure you are in a comfortable, professional setting. Don’t be afraid to ask about their training. A well-trained practitioner will work in conjunction with your medical care, not replace it. Lymphatic massage is an adjunct therapy to support wellness and recovery - make sure to continue with your regular prenatal check-ups and postpartum care.
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When these precautions are observed, lymphatic drainage massage is a gentle, low-risk therapy. Countless pregnant and new mothers have found it a safe way to get relief from swelling and stress. As always, listen to your body - if something doesn’t feel right during a session, speak up immediately. A nurturing, client-centered approach is key: ourgoal is for you to feel cared for, comfortable, and better after each session.
Frequently Asked Questions (FAQ)
Q: Is lymphatic drainage massage safe during pregnancy?
A: Yes, prenatal lymphatic massage is generally very safe for uncomplicated pregnancies, especially in the second and third trimesters. MLD uses only light touch - no deep pressure - so it doesn’t strain your body. Studies have shown no adverse effects on blood pressure or heart rate from prenatal MLD [revistas.usp.br], and in fact pregnant women often experience reduced stress and improved wellness from massage. The main caution is during the first trimester, when many providers prefer not to perform massage as a preventive measure. While there’s no evidence that gentle massage causes miscarriage [thebump.com], the first 12 weeks are a delicate time of development. Most experts advise waiting until the pregnancy is established in the second trimester unless massage is medically necessary. Always consult your OB or midwife before getting a massage if you have any complications (high blood pressure, risk of pre-term labor, etc.). When done by a certified prenatal therapist with your doctor’s OK, lymphatic massage is a safe and soothing way to relieve pregnancy discomforts.
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Q: How does prenatal lymphatic massage help with pregnancy swelling (edema)?
A: Lymphatic massage directly targets the excess fluid buildup that causes pregnancy swelling. By using gentle strokes toward the lymph node areas, a therapist stimulates the flow of lymph fluid in your body [nhs.uk]. This helps move trapped fluids out of swollen tissues (like puffy feet or legs) and back into circulation, where your body can eliminate them. Think of it like opening the drains in a sluggish plumbing system – fluid that was “stuck” in your ankles gets channeled to the lymph nodes in your groin and behind your knees, and from there it’s filtered out. Scientific research confirms this effect: in one study, pregnant women who received an hour of lymphatic drainage had significantly less leg volume (swelling) by the end of the session compared to before [pubmed.ncbi.nlm.nih.gov]. Many moms notice immediate relief – rings fit better, ankles don’t feel as tight, and that heavy feeling in the legs diminishes after lymphatic massage. Regular sessions can also prevent fluid from accumulating as much, so edema is kept at bay. In short, prenatal MLD “decongests” the fluid in your tissues, providing tangible relief from edema.
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Q: Can I get lymphatic massage after a C-section delivery?
A: Absolutely – postnatal lymphatic massage can be very beneficial after a Cesarean section, with a few timing precautions. Right after a C-section, you will have swelling around the incision, abdomen, and often in the legs (due to IV fluids and being less mobile). Manual lymphatic drainage is one of the most effective ways to reduce that post-surgery swelling safely [physiomatters.com.sg]. Therapists often focus on the legs, feet, and outer areas of the abdomen to encourage fluid to drain. This can bring down puffiness, relieve pressure around your incision, and even reduce pain from the swelling. However, you should avoid direct abdominal or incision-area massage for about 6 weeks after a C-section (or until your doctor gives clearance) [healthline.com]. The deeper tissues need time to heal to prevent any risk of opening the incision. In the meantime, a therapist can work gently on other areas to start moving fluid. Once you’re past the initial recovery (6+ weeks), gentle scar-area lymphatic massage can actually help soften adhesions and improve healing. Always inform your therapist about your C-section and follow your healthcare provider’s guidelines. When done at the right time, lymphatic drainage will help speed up your C-section recovery by reducing swelling and promoting healing – many C-section moms feel more comfortable in their clothes and have less tenderness thanks to this therapy.
Q: How does lymphatic massage support postpartum recovery?
A: Postpartum (post-natal) lymphatic massage helps your body bounce back by addressing the residual effects of pregnancy and birth. First, it helps flush out the excess fluids your body accumulated during pregnancy. After giving birth, your body naturally works to eliminate this fluid (which is why new moms sweat and urinate a lot in the first week). Massage boosts this process by improving circulation and lymph flow [healthline.com], so swelling in your legs, feet, face, or hands resolves faster. Second, by reducing swelling and stiffness, lymphatic massage can ease aches and pains, making it more comfortable to move around and care for your baby. If you had any perineal trauma or an epidural, you might have localized swelling – gentle massage can help reduce that and speed up recovery in those areas as well. Third, lymphatic massage encourages the release of calming, feel-good hormones (like oxytocin and endorphins) and lowers stress hormones [thebump.com]. This is hugely beneficial in the postpartum period, helping to combat the stress, anxiety, and “baby blues” many new mothers experience. Feeling relaxed and cared for can improve sleep quality – and better sleep aids physical recovery and mood. Finally, the improved circulation from massage means your muscles get more oxygen and nutrients. This can help with muscle recovery, whether it’s abdominal muscles healing from diastasis or simply sore shoulders from nursing. In essence, postnatal lymphatic massage helps your body rebalance itself after the monumental effort of pregnancy and birth. It reduces the physical strain (swelling, soreness) and provides emotional support through relaxation. Not surprisingly, women who incorporate postpartum massage often report feeling more “like themselves” again faster. It’s a gentle, holistic boost to your recovery in the weeks and months after delivery.
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Q: Do I need a doctor’s approval for prenatal or postnatal massage?
A: It’s always a good idea to check with your healthcare provider before getting a massage, especially during pregnancy. Most doctors and midwives are very supportive of prenatal and postnatal massage because of its known benefits (reduced swelling, stress relief, etc.). In fact, some hospitals even offer in-hospital postpartum massages as part of recovery programs. That said, if you have specific medical conditions – for example, pregnancy-induced hypertension, pre-eclampsia, placenta previa, risk of preterm labor, severe varicose veins or blood clot history, or had a very complicated birth – your provider may want to give special guidance. They might say “yes, but avoid these areas” or they might ask you to wait a certain number of weeks postpartum. Many prenatal massage therapists require a quick sign-off from a provider if you indicate any high-risk factors on their intake form. This isn’t meant to be a barrier; it’s to ensure you and your baby are safe. So, while not every situation demands an explicit doctor’s note, it is wise to mention to your OB/GYN or midwife, “I’d like to get a lymphatic drainage massage, is that okay?” Nine times out of ten, they will encourage it if you’re healthy. Open communication between your massage therapist and your healthcare team is ideal – it creates a supportive circle around you. So, in summary: for a normal pregnancy or recovery, doctor approval is usually a formality (and most providers are happy to give it); for any special medical concerns, definitely get that approval and any specific instructions. Once you have the green light, you can enjoy your massage knowing your whole care team is on board.
Pricing
MLD Session Costs
90-minutes $190
60-minutes $130
Free 15-min Phone Consults Available - Book Online
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MLD Package Options
​Packages of 10
60-minutes (expires in 8 weeks) $1,200.00
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Packages of 3
60 minutes (expires in 4 weeks) $375.00
90 minutes (expires in 4 weeks) $555.00
