Olga doing manual lymphatic drainage

Manual Lymphatic Drainage (MLD) in Newton, MA

Manual lymphatic drainage is a gentle, hands-on technique that may help manage swelling related to impaired lymphatic drainage. At Holistic Physical Therapy & Pilates, care is tailored to your health history, symptoms, and goals.

The final decision about whether MLD is appropriate and which treatment to use is made during your consultation with Olga Kaltsou, PT, DPT.

When MLD may be considered

Following assessment, MLD may be included in care for:

  • Lymphedema and related swelling.

  • Selected cases of swelling after surgery or injury.

  • Lymphatic changes following cancer treatment.

MLD may be one part of a broader plan that includes movement, compression, skin care, and education when appropriate. The approach depends on the cause of swelling and your clinical needs.

When to seek medical advice first

Do not proceed with MLD during an active infection, including cellulitis, or with a suspected or known blood clot. Fever or new, unexplained swelling needs medical assessment before massage.

Tell Olga about heart or kidney conditions, cancer treatment, recent surgery, and any instructions from your medical team. Additional medical clearance may be needed before treatment can begin.

This page provides general information; it does not establish that MLD is suitable for you.

Your care starts with a PT consultation

During your consultation, Olga Kaltsou, PT, DPT reviews your concerns, health history, and goals to determine the appropriate next step. The final treatment recommendation, including whether to use MLD, is made at that consultation. A further evaluation or clearance from your medical team may be needed.

Olga: physical therapy–based MLD at our Newton clinic only.

Simon Somov, LMT, MLD-C: MLD at our Newton clinic or by arrangement in your home, when appropriate for your needs and care plan.

Patient getting post-surgical lymphatic massage

Post-surgery MLD

Timing depends on your procedure, healing stage, and your surgeon’s instructions. MLD does not replace surgical follow-up.

If recommended, gentle techniques and positioning are adapted to your comfort. Results and the number of visits vary.

Consult Olga Kaltsou, PT, DPT before treatment to determine appropriate care. Home visits with Simon are arranged individually. Appointment options and pricing are available below.