Post-Op Care

Why Post‑Op Care Matters

Undergoing surgery of any kind causes trauma to tissues, disrupts fluid balance, and triggers inflammation. Without proper care, you may face prolonged swelling, fibrosis (hardening of tissue), fluid stagnation, or pain and discomfort.


Manual Lymphatic Drainage (MLD) — when timed and applied correctly — can help guide your body back to balance, accelerate healing, and improve comfort.


When to Begin MLD

With surgeon’s approval, in most cases, MLD can start 2 to 7 days post‑surgery, provided the incisions are stable and cleared for gentle touch. Starting early (with medical clearance) helps:


  • Minimize swelling and promote fluid relocation
  • Reduce bruising more efficiently
  • Prevent fluid pooling that can lead to fibrosis


We can coordinate with your medical team to ensure safety and optimal timing.


What to Expect During a Session

To optimize the session and your comfort:


  • Wear loose, comfortable clothing
  • Bring compression garments or post‑op supports (foams, boards, etc.)
  • We will always use gentle, light pressure — never forceful or painful


At Columbia Lymphatic Massage, your comfort and safety are top priorities.


What Makes MLD Different from Other Treatments

Manual Lymphatic Drainage (MLD): Gentle, rhythmic massage to guide lymph fluid through alternate pathways.


Deep tissue / forceful massage: Not recommended in early post‑op healing — may damage fragile tissues or disrupt healing.

We may integrate complementary modalities (when appropriate) to complement your recovery, always within safe boundaries.


Addressing Fibrosis, Lumps, or Tissue Hardening

Fibrosis (firm lumps or adhesions) can develop when fluid and proteins harden in tissues. If you notice stiffness, nodules, or uneven contour:

Earlier intervention leads to better outcomes
We may employ specialized manual techniques, or gentle tissue‑softening modalities
Your plan will evolve based on your body’s response


Pain & Sensitivity — What’s Normal?

Your treatment should not be painful. Some sensitivity or slight tenderness is normal, especially around incisions or healing areas. We will always tune pressure and technique to your comfort. If anything feels too tender, speak up — we’ll adjust.


Self‑Care Between Appointments

You can support your healing at home with:


  1. Hydration: Drink plenty of water — lymphatic systems rely on fluid movement
  2. Gentle movement: Light walking or recommended exercise (as your surgeon allows)
  3. Proper positioning: Elevate limb(s) when possible, avoid crossing legs, etc.
  4. Compression garments: Wear as prescribed; bring them to your sessions
  5. Rest & nutrition: Adequate sleep and balanced protein intake help tissue repair

Safety & Contraindications

Some conditions may require caution or consultation before using MLD:


  • Active infection or open wounds
  • Deep vein thrombosis (DVT) or blood clot risk
  • Uncontrolled cardiac, renal, or circulatory conditions
  • Fever or acute systemic illness


We collaborate with your health care team and, when necessary, refer to specialized lymphedema therapists.