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Treatment approach
We start by recording the location and extent of the swelling, how it has developed so far, any previous operations and other conditions. Treatment is then adapted to the affected area and to what you can tolerate.
Depending on the findings, therapy includes manual lymphatic drainage with gentle, rhythmic hand techniques to support lymph flow, active movement and breathing exercises, advice on exercise, elevation and self-management, guidance on simple exercises you can do yourself, advice on skin care and infection prevention, and support with wearing compression garments — where needed, in coordination with doctors, specialist services or medical supply stores.
Manual lymphatic drainage is often just one part of complex decongestive therapy: depending on the findings, compression, exercise and careful skin care may also be needed. Lymphoedema can develop when lymph vessels or lymph nodes are impaired from birth or have been damaged by surgery, radiotherapy, injury or illness — but not every swelling is automatically lymphoedema. New or unexplained swelling should first be assessed by a doctor.
Duration & fees
Sessions usually last around 30 minutes — the exact duration depends on the body area affected, the prescription and the findings. In its tariffs, the CNS distinguishes between lymphatic drainage of one limb (ZK16) and treatment of several limbs (ZK17); the official physiotherapy rates apply. Compression materials are not automatically part of physiotherapy treatment.
Reimbursement: With a valid, validated prescription, up to 24 sessions per prescription; reimbursement is generally 70% (100% for under-18s and for recognised serious illnesses, among others). All details & insurer links →
