The Lymphatic System and Dry Brushing

What is the Lymphatic System?

The lymphatic system is a component of the circulatory system. It plays an important role in the circulation and drainage of extracellular fluid. The lymphatic system consists of lymphatic fluid, lymph nodes, and lymphoid organs, all of which work together to move lymphatic fluid throughout the lymphatic network and ultimately return it to the vascular system and the bloodstream for elimination. 

In addition to its role within the circulatory system, the lymphatic system plays a vital role in our immune system. It acts as a surveillance system to help detect foreign invaders. It also helps absorb fat-soluble vitamins within the gut and helps transport them into the bloodstream for utilization. 

Lymphatic Drainage and Support

The purpose of the lymphatic system is to move lymphatic fluid throughout the body, helping maintain a healthy fluid balance and eliminating waste. This process is done automatically, but certain health conditions (like lymphedema) or surgical procedures may result in obstructions or an inability for fluid to flow properly. This is when manual lymphatic drainage is essential. But, it’s often recommended that patients requiring higher levels of support attend a lymphedema clinic to work alongside specialists for optimal care. 

Is Lymphatic Support Worth the Hype? 

There is a lot of information online about the benefits of manual lymphatic drainage, and it can be confusing to decide whether to incorporate it into your wellness routine. 

In the absence of chronic disease or after recovery from surgery, the average lymphatic system should function as expected. But, while our bodies typically act like well-oiled machines, sometimes a little extra support can go a long way. Taking a few minutes to incorporate manual lymphatic drainage into your daily routine may support your natural lymphatic circulation. Studies have also shown that patients undergoing manual lymphatic drainage experienced transient improvements in blood pressure and stress levels. This suggests a potential connection between manual therapy and the nervous system. 

At-Home Lymphatic Support

Physical Activity

While our circulatory system has a built-in pump (our heart) to help circulate blood, our lymphatic system lacks a centralized pump. Physical exercise and movement are essential for optimal lymphatic circulation support. Muscle contractions help move lymphatic fluid through the system. Low-impact cardio and deep, diaphragmatic breathing are two great tools to help support lymphatic circulation

Dry Brushing

Dry brushing is a form of lymphatic drainage that can be used daily at home to gently support the lymphatic system and exfoliate the skin. You want to take your brush and start at the ends of your extremities (arms and legs). Brush in a circular motion up each extremity towards the heart. Light pressure is needed for dry brushing. If you find your skin is discolored or irritated during or after brushing, you may be using too much pressure.

Lymphatic Massage

Manual lymphatic massage is a technique that helps support the lymphatic system and can move lymphatic fluid away from the extremities towards the heart, for recirculation and elimination. While lymphatic massage can be done at home, I recommend visiting a massage therapist with specialized training in lymphatic massage, as they can help pinpoint areas that may need additional support. They can help walk you through the process of manual lymphatic massage at home so that you can continue to support your lymphatic system between visits, while ensuring you are utilizing the correct technique and focusing on the correct areas

Compression

Someone who experiences significant circulatory issues or chronic swelling (lymphedema) may benefit from compression socks or stockings, which help compress the lower extremities and help move blood and lymph back up into the trunk for recirculation. It is best to consult with a lymphedema specialist or other therapist who specializes in lymphatic drainage prior to utilizing compression stockings to ensure the correct fit

References:

• Null M, Arbor TC, Agarwal M. Anatomy, Lymphatic System. [Updated 2023 Mar 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513247/
• Río-González Á, Cerezo-Téllez E, Gala-Guirao C, et al. Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students. J Clin Med. 2020;9(12):4062. Published 2020 Dec 16. doi:10.3390/jcm9124062