Manual lymphatic drainage

Manual technique, targeted towards treatment and normalization of the lymphatic system

When is it applied?

Manual lymphatic drainage (MLD) is a light, skin-stretching massage that helps promote the movement of lymph fluid from the swollen limb. It should not be confused with traditional massage. MLD is specifically focused on lymph vessels to help flow the lymph fluid. Applies to:

  • Primary or secondary lymphedema;
  • Lipedema;
  • Phlebo-lymphostatic edema;
  • Postoperative edema;
  • Post-traumatic edema;
  • Chronic venous insufficiency;

What are the main benefits?

MLD is specifically focused on lymph vessels to help flow the lymphatic fluid. The therapy is first applied to the unaffected areas, which makes it possible to move the liquid from the affected area or to "decongestate" the region. MLD helps to open other functioning lymph collectors and move protein and fluid into them, as well as to accelerate the flow of lymph fluid through the lymphatic pathways.

Frequently asked questions:

Is MLD painful?
MLD is superficial and painless. Depending on the type, stage and size of the swelling, only manual lymphatic drainage and compression sleeve or sock, or manual lymphatic drainage are used in combination with a multi-layered bandage.

Can lymphedema be cured completely?
Lymphedema cannot be completely cured, but it can be controlled. The earlier you start treatment, the better the results. The combination with exercise further improves the effect of MLD.


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Reviews

5.0
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Antoine V
Antoine V
1720984199
I took the opportunity of a stop in Sofia to visit OKTO: high professionalism, taking the time both to perform thorough assessment and then to handle me. I was impressed by the large range of handling/treatment, and definitely appreciated the time to also discuss how to prevent/reduce further... injuries/pain.read more
Chris H.
Chris H.
1719255158
Very professional and friendly staff. The clinic has all the necessary machines and equipment to help resolve physio related issues. I am glad I found Okto physiotherapy.
Paolina S.
Paolina S.
1717059378
Experienced professionals, strictly oriented towards best treatment, implementing differentiated approaches and methods for treating the problem, while seeking for not only improving your state, but also enhancing your day-to-day experience when dealing with a specific problem.Along with the high... level professionalism and good results, you will find a friendly and calm environment and well-equipped, pleasant place where to leave your pain.Strongly recommended!🏅read more
Ventsislava D.
Ventsislava D.
1715702461
Extremely happy to have found this place! I’m an ex professional athlete and having gone through quite a few physiotherapy centres in the past, I can say that Okto exceeds expectations. Panos and Nasko were taking care of me and I am very thankful to both of them for the attention and... professionalism. The equipment is very high class and so are the therapists working there. Totally recommend!read more
Christian M.
Christian M.
1713867602
I'm very grateful to the entire Okto team for eliminating my lower back pain, and showing me how to better take care of my body.The clinic itself is very tidy, clean and has all the equipment required for the necessary procedures.Nikolay is very kind and assessed my situation so as to create a... personalized approach tailored to my specific needs. Huge thank you to him for his efforts as well!read more
Petya D.
Petya D.
1712575846
Exceptional professionals, excellent service, top location.
Evita M.
Evita M.
1712051120
I found Okto after suffering from a bad disc herniation and was prescribed physiotherapy from a neurologist.From the moment you step foot inside the clinic, you feel comfortable and welcome. The staff is extremely kind and professional. Also as a foreigner, I felt really included.The clinic is... quite modern, with top-notch equipment, ready for all kinds of procedures, which all have worked wonders for me. I entered the clinic limping and slouching - after my therapy I felt pain-free, energized and brand new.A special thanks to Dr. Kostas and Dr. Dayana for their amazing work and awesomeness.A place I definitely recommend to my colleagues, friends and family.read more
Ani P
Ani P
1709269300
I used the service after breaking my wrist. The team (Kostas and Dimitar) helped me recover super quickly. After 3 weeks of physio, I was able to gain almost full mobility of the wrist. I loved that the place doesn't feel like a hospital and at the same time it's pristine. After spending sometime... in Pirogov, I didn't want to hear about hospitals and this place was a breath of fresh air.read more
Nikolay P.
Nikolay P.
1708597182
I've visited Okto,s chiropractor Dimitar Kachev, several times over the past two years for different reasons. Each visit has been incredibly beneficial, providing relief and noticeable improvements in my well-being. The professionalism, expertise, and welcoming atmosphere at the clinic consistently... exceed my expectations. I highly recommend Dimitar's services to anyone seeking effective chiropractic care.read more
Petya S.
Petya S.
1707402888
Highly recommend Okto-physiotherapy .The first thing that impressed me was the great interior combined with incredible cleanliness. On the second place, I was amazed by the attitude of the team - very kind, friendly and always smiling. I am a dentist and I had very bad back pain because of my... profession. I wasn't used to going to massages until I started visiting the clinic. Mitko is an exceptional professional who, in addition to working beautifully, has a personal attitude and great care for both the patient and every single detail. He makes you completely relaxed.Since I am visiting the clinic I have no pain and feel great! I think it is a great way to take care of ourselves, so I recommend it wholeheartedly.read more
Cordero2 F.
Cordero2 F.
1706091446
Servizi e personale super professionaliIl fisioterapista mi sta curando al meglioConsigliato 👍🏻👍🏻😊
George B.
George B.
1704435808
Top location for physiotherapy and massage. Highly professional people lead by doctor Panos. Equipment is high tech. Best place in Sofia
Iv Ned (.
Iv Ned (.
1699046416
My #1 place to go for physiotherapy in Sofia! My therapist Kostas is an amazing professional and very friendly person! I really respect the personal approach for each individual client. Thank you for all your past and future help :)
Yavuz S.
Yavuz S.
1697833221
Okto physiotherapy is top-notch. The staff is professional, and my therapist, Kostas, really helped with my mobility and pain. Highly recommended!
Elena M.
Elena M.
1697795706
Exellent unforgetable. I will refer you the Most I can Costas made me feel great
Konstantin D.
Konstantin D.
1696508949
Best sports massage ever, highly recommended. The service is really great, you get treated very well, even as foreigner.You should book a massage with Mitko, he is the best!
Edouard V.
Edouard V.
1694794478
I had a horrible lower back pain for months. After several sessions with Mitko the pain is gone and I feel like a brand new person!! Thank you guys :)
Selin S.
Selin S.
1694026235
All I can say is exceptional care and expertise! Dr. Panos and his physiotherapy team here truly goes above and beyond. I highly recommend OKTO to anyone in need
Patrick C.
Patrick C.
1693596122
Très bon cabinet de kinésithérapie, très professionnel avec du matériel de pointe. Je recommande.
Andrew P.
Andrew P.
1692963419
Fantastic Physio! Very comprehensive and competent practitioners with a very pleasant attitude. The office is lovely and welcoming. Highly recommend! Thanks again.
ציפי ל.
ציפי ל.
1691689735
מכון פיזיוטרפיה נעים וחדשני, צוות מעולה אדיב ומקצועי. גם שיקום, מסאז'ים פיזיוטרפיה.Pleasant and innovative physiotherapy institute, excellent, courteous and professional staff
Rositsa V.
Rositsa V.
1691167042
The best place for physiotherapy in Sofia! Dimitar and Kostas are amazing professionals! Thank you for all your help!
Nadya P.
Nadya P.
1687716172
The clinic is very modern, clean and cozy. Kostas was my physiotherapist, who helped me with my upper back problems, which I had for several years. He's very professional and a very nice person, so you'll definitely have fun during the therapy. I received personal treatment plan and exercises to do... at home. I'm very thankful for everything, my back is doing so much better after the therapy. ❤️read more
nikol M.
nikol M.
1686032725
Okto is the best physio practice I’ve been to. They make you feel amazing from walking into the centre to leaving and in between sessions, with follow up messages and check ups. I live in London, originally from Sofia and I was impressed by the professionalism and attention to detail. I have to say... that Dimityr has managed to make a difference to my shoulder, back and neck pains over 3 sessions! It’s incredible. Thank you so much. I’ll always be back to see you when in Bulgaria.read more
Milena P.
Milena P.
1685087787
Great place, very well equipped and with wonderful specialists. From the moment you enter the clinic, you feel very comfortable and cared for. Thank you so much to the great professional Alex who helped me recover from my knee injury.
Veselin M.
Veselin M.
1682677025
I would definitely recommend you to come to this physiological place! Especially ask for Mitko! I had an back issue which I needed to deal with, and Mitko read my MMR and knew what exactly needed it to be done! 10 visits and my problem went away! Don’t hesitate!
Nikita N.
Nikita N.
1681722487
The best physiotherapy in Sofia! Special thanks to Kostas for helping me recover from 2 different injuries.The equipment they use is waaay better than anything you see at other physiotherapists.I cannot recommend them enough.
Pure C.
Pure C.
1680607641
Very glad with the service ! Highly recommend . I am thankful to the best physiotherapist Bitakos.
Viksan
Viksan
1678528966
Great service! Thanks to Okto my leg fully recovered!
Petia M.
Petia M.
1678488804
I love the time when visiting Okto. From the very beginning when started visiting the clinic, I’ve I also started feeling the relief and pain going away.The team is very friendly, equipment is the best, the clinic is great and everything is very clean.Dr. Panos is a great professional who knows... hat he’s doing and is making every patient feel special and well respected. Thank you!read more
GogzaBG
GogzaBG
1675109061
Great service with highly knowledgeable therapists! Highly recommend this clinic to anyone suffering from muscle pain . Many thanks to my therapist Dimitur Kuchev !
Gognik T.
Gognik T.
1675108920
I had an amazing experience with Okto.My therapist Dimitur Kuchev is very knowledgeable, supportive and friendly. My shoulder feels much better after the sessions. Highly recommend OKTO and many thanks again for the wonderful time .
Rayna M.
Rayna M.
1673974787
I’m very pleased with the service I received at Okto. Young professionals with human touch and care. I can truly recommend!
Ceaser G.
Ceaser G.
1671552484
I'm very happy that I went with my gut to come to Okto! The people who work there are true professionals, who are very easy to talk to, and who know what they are doing. They explain things very clearly and are constantly letting you know what they are doing and why they are doing it.The space... itself is clean, and very modern looking. The tools that they used were at the top of what I've seen in Bulgaria, both in hospitals and in private practices.Overall, the experience I've had was amazing!read more
panagiotis F.
panagiotis F.
1670428574
The best, very kind, very clean and kind personnel. Thank you okto for this excellent experience
Lidia H.
Lidia H.
1664020901
Great service with highly knowledgeable therapists! Highly recommend this clinic to anyone suffering from muscle pain or stiffness.
Elli Z.
Elli Z.
1658610439
Pleasant environment and highly expertised staff!!!
Gratsiela T.
Gratsiela T.
1658577371
I’m very, very pleased with this place. I’ve been to different physiotherapists, but here the service was indeed on a very high level. The people are very friendly and nice and helpful. They really do understand what they’re doing, they’re explaining thoroughly the process and the procedures. They... even went an extra mile and gave me advice on another trauma I had, being patient with my many questions. And Dayana is giving awesome and really helpful massage :)Also, most of the time i had to be with my baby while having the procedures, they were understanding and helpful with that, too.read more
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