Kathy O’Meara, MA (Cantab), MLDI, NRRI, IMTA

What is Manual Lymph Drainage (MLD)?

Manual Lymph Drainage (MLD) is a gentle, non-invasive therapeutic practice designed to effect the free flowing and filtration of the lymphatic system, allowing it to drain optimally, thereby detoxifying the body, enhancing the immune system. The technique, often known as “The Perfect Touch” is immensely effective - having a pain relieving and, ultimately, a quietening effect on the mind as well as the body. It is fully grounded in science, whilst being the ultimate holistic treatment we offer.


MLD can be deployed effectively as a general health and detoxifying procedure. It is particularly effective as a key element in the care and treatment of patients with the following presentations:

PRIMARY LYMPHOEDEMA

SECONDARY LYMPHOEDEMA

LIPOEDEMA

CHRONIC VENOUS INSUFFICIENCY

Phleboedema

CHRONIC SINUSITIS

PREGNANCY OEDEM

POST COSMETIC SURGERY SWELLING & BRUISING

ARTHRITIS

CHRONIC HEADACHES & MIGRAINES

STRESS RELATED CONDITIONS

GUT DISORDERS e.g. IBS

FIBROMYALGIA

JOINT REPLACEMENT SURGERy

Kathy is Clinical Director of The Lymph & Sinus Clinic, and its wider parent, Power Down Therapy Ltd. She is a fully certified MLD & CDT therapist, a specialist physio-exercise trainer for cancer and cardiac-related conditions, an accredited sports therapist, Reflexologist and yoga teacher and teacher trainer. She is a full member of MLD Ireland, Yoga Therapy Ireland, IMTA and NRRI.


Special Interests:


Lipoedema (member of the International Lipoedema Network); Lymphoedema primary and secondary; Post cosmetic surgery healing; Chronic Venous Insufficiency; Chronic Sinusitis.


Kathy regularly lectures in MLD to healthcare professionals, and runs regular workshops for the wider public on simple lymphatic drainage protocols and the value of a good self-care regime, thereby empowering patients to become more involved in the practical side of their recovery.

Qualifications

MA (Cantab)

Advanced Lymphoedema Therapist

MLD (Vodder 111)

Diploma Reflexology & Holistic Studies

Sports Therapy Diploma

Personal Training Diploma

CanRehab Exercise Trainer

BACPR Cardiac Exercise Trainer

Pre and post Pregnancy Exercise Trainer

500 hr Yoga Therapy Ireland teacher

Our Mission

To deliver, in a safe, supportive and holistic environment, world class best practice in clinical healthcare. The Lymph & Sinus Clinic is, and shall continue to be, a recognized Centre of Excellence in all aspects of MLD – Manual Lymph Drainage – and CDT – Combined Decongestive Therapy.

Our Philosophy

We are committed, not only to the lymphatic welfare of our clients, but also to their entire wellbeing – physical, psychological and psychosocial. We treat with time, listening with kindness, compassion and sincerity, recognising that no two individuals are the same, regardless of their presentation.

How it works

Manual Lymph Drainage (MLD) is a specialized therapeutic massage technique designed to stimulate the lymphatic system and promote the flow of lymph fluid throughout the body. Developed in the 1930s by Emil and Estrid Vodder, MLD is widely used for managing lymphedema, reducing swelling, and enhancing the body’s immune response.

The lymphatic system is a network of vessels, nodes, and organs that helps maintain fluid balance, remove toxins, and support immune function. When the lymphatic system is compromised or overwhelmed, fluid may accumulate, leading to swelling (edema) or other health issues.


MLD uses gentle, rhythmic, and precise hand movements to:

1. Stimulate the lymphatic vessels to move stagnant lymph fluid toward functioning lymph nodes.

2. Reduce swelling by draining excess fluid from tissues.

3. Encourage the elimination of waste and toxins through the body’s natural filtration processes.

Techniques

MLD techniques are characterized by light pressure, as the lymphatic vessels lie just beneath the skin. The key movements include:

  • Stationary Circles: Small, circular motions applied to the skin to encourage lymph flow.
  • Pump Strokes: Gentle, pumping motions to stimulate deeper lymphatic drainage.
  • Scoop Techniques: Sweeping movements that direct lymph fluid toward lymph nodes.
  • Rotary Techniques: Spiral-like motions that aid in fluid mobilization.


These techniques are applied in a specific sequence, starting with areas closest to the main lymphatic ducts (such as the neck or abdomen) to “clear the way” for fluid from other parts of the body.

Benefits

MLD has a wide range of benefits, including:

  • Reduction of Lymphedema: It is particularly effective for managing lymphedema, often caused by cancer treatments or surgery.
  • Improved Circulation: Enhances lymphatic flow and circulation, reducing fluid retention.
  • Pain Relief: Alleviates discomfort associated with swelling and tissue congestion.
  • Detoxification: Promotes the removal of metabolic waste and toxins.
  • Relaxation: The gentle, repetitive motions can have a calming effect on the nervous system.

Indications

MLD is often used to treat:

  • Primary and secondary lymphedema
  • Post-surgical swelling
  • Chronic venous insufficiency
  • Fibromyalgia
  • Post-traumatic or post-surgical recovery
  • General detoxification or immune support

Contraindications

While MLD is generally safe, it is contraindicated in certain conditions, such as:

  • Acute infections
  • Uncontrolled congestive heart failure
  • Blood clots (thrombosis)
  • Active cancer
  • Kidney failure

Training and Certifications

MLD should only be performed by trained and certified practitioners, such as those who have undergone specialized training in the Vodder, Leduc, or Foldi methods. Certification ensures that the therapist understands the anatomy and physiology of the lymphatic system and can perform the technique safely and effectively.


Your chosen therapist should be listed on the MLD Ireland website www.mldireland.com.

In conclusion, manual lymph drainage is a valuable therapy for managing a variety of health conditions, improving lymphatic function, and promoting overall well-being.

What is CDT?

CDT, or Combined Decongestive Therapy, is the integrated mix of MLD, compression bandaging where necessary, measurement and procurement of compression garments in the maintenance phase, remedial movement / exercise guidance and therapeutic skin care. It may also cover breathwork and aquatic exercise and nutritional advice. Kathy is uniquely qualified to provide all of these services, and frequently brings clients onto the gym floor or into the pool for exercise therapy.

Location

I am based at West Wood Club, Westmanstown, Dublin 15, D15 T447.

You do not have to be a club member to book in with Power Down.

Contact Me

Frequently asked questions

Does MLD hurt?

No, this is the lightest touch as the initial lymph vessels are situated just beneath the epidermal layer of the skin. Instead of massage, think of MLD as directed skin movement.

Can I claim on my insurance?

You should be able to make a claim, depending on your level of cover, as long as you book with a certified MLD practitioner. A list of these verified therapists can be found on www.mldireland.com.

Can I do the moves myself?

Your MLD therapist will be happy to show you simple MLD strokes for you to do at home, plus advice on exercise, skin health, etc.

What is MLD good for?

A range of beneficial effects for patients with conditions ranging from lyphoedema, chronic sinus issues through to general health and wellbeing and detoxification have been recorded and noted in scientific journals.

How will I feel afterwards?

As MLD is an immensely calming treatment, you should feel lighter and freer from stress and stress-related anxiety. You may also feel sleepy (many nod off during treatment), and may be thirsty so hydration is key.

Testimonials


©2026 Kathy O'Meara

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