Author(s):
Meena, Kamali Kiruba, Jebakumari Sudha, Nandhini, Grace Jebakani Sweety
Email(s):
gracesweety196@gmail.com
DOI:
10.52711/ijnmr.2026.30
Address:
Meena1, Kamali Kiruba2, Jebakumari Sudha3, Nandhini4, Grace Jebakani Sweety5
1M.Sc. (N) II Year Student, Ganga College of Nursing, Coimbatore, Tamil Nadu, India.
2Vice Principal, Ganga College of Nursing, Coimbatore, Tamil Nadu, India.
3Principal, Ganga College of Nursing, Coimbatore, Tamil Nadu, India.
4Professor, Research and Developmental Cell, Ganga College of Nursing, Coimbatore, Tamil Nadu, India.
5HOD, Research and Developmental Cell, Ganga College of Nursing, Coimbatore, Tamil Nadu, India.
*Corresponding Author
Published In:
Volume - 5,
Issue - 3,
Year - 2026
ABSTRACT:
Chronic and progressive condition frequently observed in women after breast surgery. Lymphedema is defined as the accumulation of protein-rich fluid in the interstitial tissues, resulting in swelling, pain and reduced mobility, which may lead to impairments in quality of life. Massage-based interventions, particularly Manual Lymphatic Drainage (MLD), have become a significant part of the conservative treatment of lymphedema. Breast cancer is one of the most commonly diagnosed cancer around the globe. Surgical management and adjuvant therapies have contributed to improved survival, however lymphedema remains a late complication significantly compromising long-term quality of life. Massage-based interventions, especially Manual Lymphatic Drainage (MLD), have emerged as essential components in the conservative management of lymphedema. Breast cancer-related lymphedema develops due to disruption of lymphatic drainage following mastectomy, lymph node removal, or radiotherapy. Studies report prevalence rates ranging from 10% to 40% among breast cancer survivors. Lymphedema manifests as arm swelling, tightness, pain, heaviness, impaired shoulder mobility, recurrent infections, and emotional distress. Since there is no definitive cure, management focuses on symptom reduction and functional improvement. Massage-based therapies have gained increasing attention as non-invasive and supportive rehabilitation interventions. Among these, Manual Lymphatic Drainage (MLD) is the most extensively studied technique. The findings consistently demonstrate that massage-based interventions, particularly when combined with Complete Decongestive Therapy (CDT), significantly improve clinical outcomes. Physiological benefits include enhanced lymphatic drainage, reduced fibrosis, and improved tissue elasticity, while psychological benefits include reduced anxiety and improved quality of life. This review highlights the importance of early intervention, multidisciplinary care, and patient education in optimizing treatment outcomes. Massage-based therapies are safe, effective, and should be integrated into standard lymphedema management protocols.
Cite this article:
Meena, Kamali Kiruba, Jebakumari Sudha, Nandhini, Grace Jebakani Sweety. A Comprehensive Review on Massage-Based Interventions for Lymphedema Management in Post-Mastectomy Patients. A and V Pub InternationalJournal of Nursing and Medical Research. 2026; 5(3):139-2. doi: 10.52711/ijnmr.2026.30
Cite(Electronic):
Meena, Kamali Kiruba, Jebakumari Sudha, Nandhini, Grace Jebakani Sweety. A Comprehensive Review on Massage-Based Interventions for Lymphedema Management in Post-Mastectomy Patients. A and V Pub InternationalJournal of Nursing and Medical Research. 2026; 5(3):139-2. doi: 10.52711/ijnmr.2026.30 Available on: https://www.ijnmronline.com/AbstractView.aspx?PID=2026-5-3-10
REFERENCES:
1. Ezzo, J., Manheimer, E., McNeely, M. L., Howell, D. M., Weiss, R., Johansson, K. I., Bao, T., and Bily, L. Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane Database of Systematic Reviews. 2015; 2015(5): CD003475. https://doi.org/10.1002/14651858.CD003475.pub2
2. McNeely, M. L., Magee, D. J., Lees, A. W., Bagnall, K. M., Haykowsky, M., and Hanson, J. The addition of manual lymph drainage to compression therapy for breast cancer-related lymphedema. Breast Cancer Research and Treatment. 2018; 86(2): 95–106. https://doi.org/10.1023/B:BREA.0000032978.67677.9f
3. Ridner, S. H., Dietrich, M. S., and Kidd, N. Breast cancer treatment-related lymphedema self-care: Education, practices, symptoms, and quality of life. Supportive Care in Cancer. 2019; 27(3): 879–887. https://doi.org/10.1007/s00520-018-4350-6Kasseroller,
4. Lin, Y., Yang, Y., Zhang, X., Li, W., Li, H., and Mu, D. Manual lymphatic drainage for breast cancer-related lymphedema: A systematic review and meta-analysis of randomized controlled trials. Clinical Breast Cancer. 2022; 22(5): e664–e673. https://doi.org/10.1016/j.clbc.2022.01.013
5. Kasseroller, R. G. Effectiveness of manual lymphatic drainage in intensive phase I therapy of breast cancer–related lymphedema: A retrospective analysis. Supportive Care in Cancer. 2017 https://doi.org/10.1007/s00520-023-08210-7
6. Oremus, M., Dayes, I., Walker, K., and Raina, P. Systematic review: Conservative treatments for secondary lymphedema. BMC Cance. r2012; 12(6). https://doi.org/10.1186/1471-2407- 12-6
7. Huang, T.W., Tseng, S.H., Lin, C.C., Bai, C.H., Chen, C.S., Hung, C.S., Wu, C.H., and Tam, K.W. Effects of manual lymphatic drainage on breast cancer-related lymphedema: A systematic review and meta-analysis of randomized controlled trials. World Journal of Surgical Oncology. 2013; 11: 15. https://doi.org/10.1186/1477-7819-11-15