Manual lymphatic drainage
A therapist uses light, rhythmic, directional strokes to move lymph fluid towards functioning nodes. Because it is done by hand, it can be adapted around scars, swelling, sensitive areas and specific problems such as post-surgical oedema or lymphoedema. It is the treatment of choice when swelling is localised, when there is a medical reason for drainage, or when the face and neck need work. Sessions are typically 45 to 60 minutes.
Body Ballancer compression therapy
Body Ballancer is a suit with overlapping chambers that inflate in sequence from the feet upwards, mimicking the direction of lymph flow with consistent, controlled pressure. It covers the whole lower body at once, does not tire, and most people find it deeply relaxing. It suits general fluid retention, heavy legs, bloating, recovery after training, and maintenance between manual sessions. Sessions are around 30 to 45 minutes.
Which to choose
Choose manual drainage for a specific swelling, post-operative recovery, lymphoedema management, or facial and upper-body work. Choose Body Ballancer for general heaviness, water retention, bloating, exercise recovery and regular maintenance. If you are unsure, a manual session first lets the therapist assess whether compression is appropriate for you.
Using both
A common pattern at our Chiswick clinic is a manual session to open the lymphatic pathways in the neck and trunk, followed by Body Ballancer for the legs. Compression therapy is not used where there is untreated deep vein thrombosis, heart failure, active infection or certain other conditions, which is why a health screen comes first.