The Effect of Manual Lymphatic Drainage

Investigation of the Effect of Manual Lymphatic Drainag on Venous Ulcer Healing Rate

In venous ulcer, venous insufficiency is accompanied by lymphatic insufficiency. Manual lymphatic drainage (mld) technique cause to increase contraction rate of lymphatic collector and venous flow. It is known that Manual lymphatic drainage accelerates microcirculation, enabling nutrients and oxygen to reach tissues and at the same time removing residual substances from the tissue. We hypothesis that if we inrease to lypmhatic activity with MLD, we could stimulate healing of ulcer. The aim of this study to investigate the effect of manual lymphatic drainage on venous ulcer healing.

Inclusion Criteria:

• with venous ulcer unhealing for at least 6 weeks
• Without enfection
• vascular surgery is not indicated
• There is no obstruction to apply MLD and compression to lower extremty

Exclusion Criteria:

• with diabetic mellutus
• with enfection
• with ABI<0,7
• Patients who have undergone venous vascular surgery
• Patients undergoing active wound closure treatment