A Gentle Guide to MLD for Clients with MS

Your before and after care checklist for Manual Lymphatic Drainage sessions

If you’re navigating life with Multiple Sclerosis (MS), you already know how much your daily comfort depends on how your nervous system and tissues respond to the world around you. Manual Lymphatic Drainage (MLD) can be a powerful addition to your wellness plan—but it works best when it’s done with intention and care that honors your unique needs.

This guide is designed to help you prepare for, recover from, and get the most out of your MLD session. Whether this is your first experience with bodywork or you’re looking for a more supported approach, use this checklist to guide your process.

Before Your MLD Session

  • Hydrate well – Sip water consistently the day before and day of your session
  • Eat light – Choose easy-to-digest meals 1–2 hours prior
  • Avoid alcohol and caffeine – Especially within 24 hours before
  • Dress comfortably – Wear loose-fitting, easy-on/easy-off clothing
  • Consider mobility needs – Let your therapist know if you use assistive devices or need extra time
  • Share updates – Report changes in fatigue, sensation, flare-ups, or medications
  • Use the restroom – Especially if mobility is a challenge
  • Avoid lotions – Arrive with clean, dry skin

After Your MLD Session

  • Continue gentle hydration – Sip water gradually to support lymph movement
  • Rest as needed – Keep the rest of your day calm and unhurried
  • Avoid overstimulation – Skip heat, loud spaces, or heavy exertion
  • Use the restroom – You may notice increased urination
  • Note any changes – Energy, swelling, digestion, and sleep may shift
  • Follow your therapist’s plan – Compression, positioning, or home care may apply

What Clients Often Report After MLD

  • Increased urination
  • Reduced swelling or heaviness
  • Improved ease of movement
  • Enhanced digestion
  • Calmer nervous system response

Recovery Juice Recipe: Cooling, Clean, Hydrating

Ingredients

  • 1 cucumber
  • 2 celery stalks
  • 1 green apple
  • 1-inch ginger
  • 1/2 lemon, peeled
  • Handful parsley
  • Optional: 1/2 cup pineapple or fresh turmeric root

Instructions
Juice and sip slowly within 30 minutes. If prone to digestive issues, enjoy with a light snack.

Gentle Movement Plan: No Equipment Needed

  1. Diaphragmatic Breathing (3–5 min) – Seated or supine. One hand on chest, one on belly. Inhale through the nose, allow the belly to rise. Exhale fully.
  2. Seated Pelvic Rocking (10 reps) – Sit on a stable chair. Gently tilt the pelvis forward and back in small, controlled movements.
  3. Neck Glides (5 reps) – Sit tall. Slowly glide the head forward and back (no tilting), jaw relaxed.

Every body is different. If you’re living with MS, your needs can shift from week to week or even hour to hour. This guide is here to help you listen closely, prepare gently, and recover well.

Up next: We’ll explore why each of these practices makes such a difference—and how you can adapt them in your daily routine.

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