Written by Zita Sham, Fairuuz Saleh and Shiv Mohan Banka, Principal Physiotherapists at Phoenix Rehab.Clinically reviewed by Louise Yow, Principal Physiotherapist and Director, AHPC A1300363H.Last reviewed 28 September 2026.
Manual lymphatic drainage is a very light, slow, rhythmic technique that moves fluid along the lymph channels under the skin. The pressure is closer to stroking than to massage, and people who expect a deep tissue appointment are usually surprised by how gentle it is.
The lightness is the point. The lymph vessels that do the work sit just under the skin and collapse under firm pressure, so pressing harder moves less.
What it is for
Swelling that the body is struggling to clear. After hand or limb surgery, after a fracture, and in longer standing lymphoedema where lymph nodes have been removed or damaged. In a post surgical hand it is used to shift the protein rich fluid that otherwise organizes into scar and takes range with it.
It is not a treatment for pain, it is not a detox, and it does not replace movement. Muscle contraction remains the main pump in a limb and always will be. Manual drainage clears a path and reduces the load; the hand does the rest.
What an appointment involves
The sequence starts away from the swelling rather than on it, clearing the channels and nodes nearer the trunk first so there is somewhere for the fluid to go. Then the work moves progressively out towards the swollen part. It is slow, repetitive and usually relaxing, and it is normally combined with compression afterwards, because fluid that is moved and not held tends to come back.
In a hand, it is combined with elevation, a compression glove or Coban, and a movement program. That combination is what does the work. Any one of them alone is considerably less effective.
When it is not appropriate
Active infection in the limb, particularly cellulitis, which shows as a hot spreading redness and needs a doctor rather than a therapist. Acute deep vein thrombosis or a suspicion of one, where calf pain, swelling or breathlessness need same day medical review. Uncontrolled heart failure, because moving fluid back into circulation adds load. And any undiagnosed swelling, which is worth having looked at before it is treated.
What to expect from it honestly
It helps, it is comfortable, and it is one component. The measurable question is whether the limb is smaller, and the way to answer that is circumference measured at set points or volume by displacement, taken the same way each visit. If nobody is measuring, there is no way to know whether the appointments are doing anything, and that applies wherever you have them.
Swelling work sits in Stage 1, Calm and Protect, of the Phoenix Recovery Protocol. Appointments are 45 minutes, one to one, $230 nett, no GST. On its own, with Estelle Goh at Orchard and Serangoon, manual lymphatic drainage is $160 for 45 minutes.
Where are you with this right now?
1. It is settling on its own
Most injuries and most flare-ups settle over weeks with sensible load management and a return to normal movement. Improvement is judged over a month, not over a day, and good days and bad days inside that are usual. If you are doing more this month than last, and sleeping better, it is behaving the way it should. You do not need us for this, and we would rather say so.
2. It has stopped improving
You have adapted without noticing. The other side takes the load, you plan movements you used to make without thinking, and you have quietly dropped things you used to do.
Pain is the first thing to leave. Movement and strength are the last things trained back, and most people stop before that part is done. That is the gap worth measuring, and it is not measured by how you feel on the day.
The Stalled Recovery Review is three appointments over three weeks with the same therapist, because what a joint does under load cannot be read in one visit. The first finds what is limiting it. The next two measure how it responds. $690, nett, no GST, which is three appointments at $230.
3. You have had surgery, or you have a date
Recovery after an operation has a shape, and knowing which stage you are in tells you whether you are on it. See the recovery programs, hand and physiotherapy, or the four stages and what each one works on if you are not sure which applies to you.
All of it runs on the same four stages. The Phoenix Recovery Protocol explains what each stage works on and what you have to meet to move up. No referral needed to start.
Next step
Find out which stage you are in
Pain is the first thing to leave. Movement and strength are the last things trained back, and most people stop before that part is done. One Assessment and Treatment is a single 45-minute appointment at $230, nett, no GST. Your therapist finds what is actually limiting you, treats it in the same appointment, and you leave with your current stage and a written plan.
Prefer to phone? Each of our five clinics has its own number on the clinics page. No referral needed to book.
What our patients say
Google reviews from our clinics in Singapore.
Related reading
- Metatarsalgia: The Pebble in Your Shoe That Is Not Actually There
- Will Insurance Pay For Your Physiotherapy? Here Is How It Actually Works
- How Rehab-Led Strength and Conditioning Supports the Return to Competitive Sports
- The Phoenix Recovery Protocol, and the four stages
- All recovery programs, hand and physio
- Case studies
Where we are
Clinics across Singapore
ORCHARD
400 Orchard Road #12-12
Orchard Towers, S238875
NS22 Orchard MRT
Physiotherapy and hand therapy in Orchard →
WhatsApp 8800 1830TAMPINES
9 Tampines Grande #01-20
Asia Green, S528735
EW2DT32 Tampines MRT
Physiotherapy and hand therapy in Tampines →
WhatsApp 8780 9608SERANGOON
265 Serangoon Central Drive #04-269
S550265 · Lift C only
NE12CC13 Serangoon MRT
Physiotherapy and hand therapy in Serangoon →
WhatsApp 8892 4121TANJONG PAGAR
10 Anson Road #02-77A
International Plaza, S079903
EW15 Tanjong Pagar MRT
Physiotherapy and hand therapy in Tanjong Pagar →
WhatsApp 8227 7074JURONG EAST
2 Venture Drive #02-02
Vision Exchange, S608526
NS1EW24 Jurong East MRT
Opening 20 October 2026
Physiotherapy and hand therapy in Jurong East →
WhatsApp 8242 7340