📍 20 Ainsdale Close, Worthing BN13 2QX
📞 07947502512
jan@zendenworthing.com
Manual Lymphatic Drainage Therapy

Manual Lymphatic Drainage (MLD) Massage in Worthing

Therapist performing gentle lymphatic drainage on a client’s lower leg at Zen Den Worthing.

A very gentle, slow, rhythmic massage to ease puffiness, fluid retention and the heavy, tired-legs feeling. Delivered by an FHT-accredited MLD practitioner — honest about what it can do and where I’ll refer you on.

FHT-accredited MLD & Oncology Massage diplomas (2024)
Level 5 FHT-registered therapist
Calm clinic at 20 Ainsdale Close, Durrington
30-min and 60-min sessions from £25

A note on what this service is — and isn’t

Please read this before booking. It matters.

I want to be straight with you about what I’m trained to offer and where I’ll refer you to someone better-placed instead.

I’m a fully qualified body and sports massage therapist (Brighton Holistics, Level 3, 4 and 5; FHT member; fully insured). In December 2024, I completed two further FHT-accredited diplomas at Brighton Holistics Online: the Diploma in Manual Lymphatic Drainage and the Diploma in Oncology Massage. My FHT insurance specifically covers both modalities — so this is real MLD work, not a watered-down version of it.

What I’m not is MLDuk-pathway-trained. MLDuk admits therapists trained via one of five specific intensive pathways — Vodder, Földi, Casley-Smith, Leduc, or LTA Fluoroscopy-Guided MLD — which are typically required for full clinical lymphoedema work and for some surgeon-referred post-operative cases. The FHT-accredited diploma route is a separate professional pathway. So if you need:

  • The full Complete Decongestive Therapy (CDT) package for diagnosed lymphoedema — compression bandaging + MLD + exercise + skin care, delivered as a coordinated clinical programme
  • Active cancer treatment where your oncology team specifically requires MLDuk-pathway care
  • Post-surgical work with drains still in place or wounds not yet healed

…you’ll be better cared for by an MLDuk-certified specialist or the NHS Sussex Lymphoedema Service. I’ll happily point you towards either, or to a certified therapist via the MLDuk directory.

What I’m here for

Everyday puffiness, fluid retention, heavy or tired legs, swollen ankles, pre-event de-puffing, post-surgical recovery (drains removed, wounds healed), and supportive massage for stable post-cancer clients.

When to see a specialist instead

Clinical lymphoedema needing the full CDT pathway, active cancer treatment where MLDuk-pathway care is specifically required, or recent surgery with drains still in place.

Honest copy, honest service. If you’re unsure whether this fits you, get in touch before booking — I’ll tell you straight.

The basics, honestly

What is manual lymphatic drainage?

Manual lymphatic drainage (MLD) is a very gentle, skin-stretching massage that encourages the flow of lymph fluid — the clear fluid that runs through your lymphatic system, the body’s drainage and immune-surveillance network.

It was developed in the 1930s by Dr Emil Vodder and his wife Estrid in France, and refined from the 1960s onwards by therapists in Germany, Hungary, Australia and Belgium for medical use in lymphoedema care. Today, certified MLD is part of the gold-standard treatment for clinical lymphoedema (alongside compression, exercise and skin care — together called Complete Decongestive Therapy).

The version I offer here is the gentler, wellness-focused application: lymphatic-style massage for people without clinical conditions, looking to ease puffiness, support recovery from everyday demands, and feel lighter and more comfortable.

For a deeper read on how your fascia (connective tissue) and lymphatic system work together, see my blog post How your fascia system powers lymphatic health.

Gentle lymphatic drainage on a client’s lower leg.
Calm treatment room with soft lighting at Zen Den Worthing.
Slow, rhythmic stationary circles on a client’s arm during an MLD session.
Lymphatic drainage massage focused on swelling reduction.
Therapist’s hand applying very light pressure on a client’s leg.
Honest benefits

What MLD can genuinely help with

These are the effects that have honest support — some from research, some from everyday clinical experience, all within what I can reasonably offer.

  • Eases puffiness and mild fluid retention

    Visible reduction in swelling around legs, ankles, hands or face — especially helpful after long flights, hot days, or hormonal fluctuations.

  • Relieves heavy, tired legs

    If your legs feel heavy and aching by evening, gentle lymphatic-style work can leave them noticeably lighter and more comfortable.

  • Deeply relaxing

    The slow, repetitive rhythm calms the nervous system. Many people drift off completely — it’s the most soothing treatment I offer.

  • Pre-event de-puffing

    A session before a wedding, photoshoot or important day can help you look and feel less puffy. Best timed a day or two in advance.

  • Post-flight or post-travel recovery

    Long-haul travel, prolonged sitting and dehydration all slow lymphatic flow. A gentle session can help you reset more quickly.

  • Gentle support during recovery

    If you’re generally well but recovering from a hard training week, illness, or feeling sluggish, MLD can complement rest and movement — not replace them.

What I won’t claim it does

It doesn’t “flush toxins.” Your liver and kidneys handle that — no massage can. It doesn’t cause weight loss. Any reduction in size after a session is fluid, not fat. It doesn’t “boost your immune system.” The immune system is far more complex than something a massage can switch up or down. And it isn’t a treatment for fibromyalgia, chronic pain or athletic performance — other modalities (like remedial or sports massage) are better suited to those needs. I believe in being straight with you about what works and what doesn’t.

Right service, right person

Who this is for — and who’ll be better cared for elsewhere

This is for you if…

  • Your legs feel heavy, achy or puffy by the end of the day
  • Your ankles swell up in hot weather or after long flights
  • You retain a bit of fluid before your period or due to hormonal changes
  • You feel sluggish after travel or a hard week and want to reset
  • You’d like a calming, deeply gentle treatment — the lightest I offer
  • You want a pre-event de-puff before a wedding, photoshoot, or important day
  • You’ve had surgery and your drains are out, wounds healed, and you’re looking for gentle lymphatic support to ease swelling
  • You’re stable post-cancer treatment and looking for supportive massage adapted to your recovery (within my FHT Oncology Massage training)

You’ll be better cared for elsewhere if…

  • You have diagnosed lymphoedema needing the full Complete Decongestive Therapy (CDT) package — compression bandaging + MLD + exercise + skin care, delivered together
  • You have diagnosed lipoedema needing specialist care
  • You’re in active cancer treatment and your oncology team has specifically asked for MLDuk-pathway care
  • You’ve had recent surgery with drains still in place or wounds not yet healed
  • Your GP, consultant or surgeon has specifically recommended MLDuk-pathway MLD
  • You need work that needs to be covered by NHS or insurance pathways requiring MLDuk credentials

Where to find certified care

If you’re genuinely unsure which side you’re on, get in touch first — I’d rather have a quick conversation than take a booking that isn’t right for you, or turn one away that I could actually help with.

What to expect

Why this feels different from any other massage

Most people walking into an MLD session expect something that feels like a massage. The first surprise is that it doesn’t — not in the usual sense. Then they relax into it, and a different kind of effect sets in.

You may wonder if anything is happening at all. MLD uses the lightest pressure of any treatment I offer — closer to gently stretching the skin than pressing into muscle. The technique is slow, rhythmic stationary circles: the skin stretches and returns under steady, light pressure rather than my hand sliding across it. Most of the work happens just under the surface where the delicate lymph capillaries sit.

That very light pressure isn’t a softer option — it’s the right pressure. Pressing hard would actually collapse the lymph capillaries and do the opposite of what we want. The technique is about doing less, more carefully.

  • Very light pressure

    About the weight of a coin. Skin-stretching, never pressing into muscle.

  • Slow, rhythmic, repetitive

    Far slower than most massage. Stationary circles and gentle pumping where the skin stretches and returns — the hand stays in contact rather than sliding across the skin.

  • Direction matters

    Always working in the natural direction of lymph flow — towards your nearest functioning lymph nodes.

  • Skin on skin, no oils

    Like myofascial release, MLD works best with no oils — the technique needs grip on the skin to be effective.

The first session is often described as either “the most relaxing thing I’ve ever had” or “weirdly subtle — I drifted off completely.” Both are accurate. The effects usually show up after, not during — lighter legs, less puffiness, easier sleep that night.

Safety first

When MLD isn’t the right choice

Lymphatic-style work is gentle and well-tolerated, but it’s genuinely not suitable for some conditions — either ever, or until you’ve had a specific medical conversation. Please read this carefully before booking.

Please don’t book if…

Absolute contraindications

  • You’re pregnant — I’m not trained in pregnancy massage; please book a pregnancy massage specialist.
  • You have, or suspect you have, deep vein thrombosis (DVT) or any blood clot
  • You have cellulitis, an active skin infection, or unhealed open wounds in the area to be treated
  • You have an acute infection with fever, or feel generally unwell
  • You have untreated congestive heart failure — moving fluid back into circulation can increase load on the heart
  • You have acute kidney failure or are in active renal crisis
  • You have an untreated active malignancy — please see your oncology team for guidance
  • You’ve had very recent surgery with drains still in place or wounds not yet healed
  • You have an untreated thyroid condition in the area I’d be working on (e.g. neck nodes)

Let’s talk first if…

Discuss before booking

  • You have a history of any of the cardiac or kidney conditions above but they’re well-managed by a clinician
  • You have varicose veins or known venous insufficiency — usually fine with adapted technique
  • You’re on blood-thinning medication (anticoagulants)
  • You’ve had cancer treatment in the past but are now in stable remission — I’ll usually refer you to a certified specialist as a precaution
  • You have diabetes, especially if poorly controlled
  • You’re on the same day as a vaccination or recent dental work

If you’re not sure whether a condition counts, please get in touch before booking — the consultation form before your first session will also flag anything that needs to be checked. If your GP, consultant or surgeon has explicitly advised against massage, please follow their advice. I’d rather have a careful conversation than do something that doesn’t help, or makes things worse.

About your therapist

Jan Bugar — Zen Den Worthing

Level 5 FHT-registered therapist, FHT-accredited MLD & Oncology Massage

I trained in massage therapy at Brighton Holistics, holding Level 3 in Body Massage and Level 4 and Level 5 diplomas in Sports and Remedial Massage Therapy. I’m a full member of the Federation of Holistic Therapists (MFHT), fully insured, and DBS-checked.

In December 2024 I completed two further FHT-accredited diplomas at Brighton Holistics Online: the Diploma in Manual Lymphatic Drainage (20 December 2024) and the Diploma in Oncology Massage (21 December 2024). Both are recognised by my FHT insurance, and together they inform my work with everyday wellness clients as well as those needing supportive care during or after cancer treatment.

What I want you to know: my MLD training is via the FHT-accredited route, not one of the five MLDuk-recognised pathways (Vodder, Földi, Casley-Smith, Leduc, or LTA Fluoroscopy-Guided MLD). MLDuk specialists handle the full clinical lymphoedema care package — Complete Decongestive Therapy, combining compression bandaging with MLD, exercise and skin care — which is outside what I do. For clients needing that full pathway, I’ll refer you on to the MLDuk directory or the NHS Sussex Lymphoedema Service.

If you’d like to know more about my work and approach, my About me page goes into more detail.

  • Brighton Holistics L3 / L4 / L5
  • FHT Dip. Manual Lymphatic Drainage (2024)
  • FHT Dip. Oncology Massage (2024)
  • MFHT (Federation of Holistic Therapists)
  • Fully insured
  • DBS-checked
Realistic expectations

First session vs a short course

One session can absolutely make a noticeable difference. But like most gentle work, MLD tends to build effect over time rather than transform anything in one go. Here’s a realistic picture.

  1. Your first session

    Expect to feel lighter and more relaxed afterwards. Many people drift off during the session and notice better sleep that night. The visible effect on puffiness is usually present but subtle — noticeable to you, possibly not to others.

  2. A short course (3–6 sessions)

    For more persistent puffiness, heavy legs, or post-event de-puffing, a series of 3–6 sessions spaced 1–2 weeks apart tends to give clearer, more sustained results. We’ll discuss what makes sense after your first visit — never pressured.

  3. Maintenance

    Once you’ve found what works, many clients return monthly or seasonally — before holidays, during heat waves, around hormonal cycles, or just as part of regular self-care. No subscriptions, no packages required.

Pricing

Simple, transparent pricing

30-minute MLD

£25

Targeted, focused session

A shorter, focused session on a specific area — legs and ankles, the face, or one limb. Good for de-puffing, gentle maintenance, or as a follow-up between longer sessions.

Book 30 min

60-minute MLD

£50

Full-body session

A full-body session beginning at the proximal lymph nodes (neck and trunk) and working systematically through the body. Best for general puffiness, heavy legs, deep relaxation, or as the recommended starting point.

Book 60 min
What clients say

Real feedback from real clients

5.0 from 66 Google reviews
  • After neck lift and arm lift surgery I had some uneven swelling. I have seen Jan twice now for a Lymphatic Drainage Massage and the difference is incredible, and a relaxing and peaceful treatment room. Thank you Jan.

    Janet Wakelin · April 2026

    Google Review

  • Jan is a fantastic person and massage therapist, he tailors your treatment to your needs, listens & supports in any way he can. Highly recommend.

    Jamie Ramsbotham · March 2024

    Google Review

  • A very good experience. First time here and my first massage. Jan is highly professional and is helping me get over a back injury from work. Only been the once which really started to help so I’m returning. A fully relaxing experience and Jan is a very easy going friendly guy who talks you through everything. Would thoroughly recommend 👌

    Stuart Mees · April 2025

    Google Review

After your session

Simple aftercare guidance

MLD is gentle, so there’s no heavy aftercare to think about. A few simple things will help you get the best out of the session.

  • Drink water normally

    Have a glass of water before and after — not to “flush toxins” (that’s a marketing myth), but because being well hydrated genuinely helps lymph flow. There’s no need to force litres.

  • Move gently

    A short walk later that day, some light stretching, or even just walking around the house keeps lymph moving naturally. The lymphatic system has no central pump — movement is what powers it.

  • Allow space to rest

    Many people feel deeply relaxed and a little drowsy afterwards — that’s the nervous system unwinding. Avoid scheduling anything demanding right after if you can.

  • Eat lightly if you can

    A heavy meal right after isn’t ideal — not because of any “detox,” just because you’ll feel better. Something light and nourishing works well.

  • About compression garments

    If a clinician has prescribed compression stockings or sleeves, keep wearing them as advised. Compression is a key part of clinical lymphatic care — I don’t fit or prescribe these, but I’ll always support what your clinician has set up.

  • If something doesn’t feel right

    Mild tiredness or needing to use the loo more is normal. If you notice new pain, increased swelling, redness or warmth in any limb — please contact your GP. These aren’t typical aftercare effects and need a clinical look.

Common questions

Frequently asked questions

  • What does a lymphatic drainage massage feel like?

    Very gentle and surprisingly subtle. The pressure is light — closer to gently stretching the skin than pressing into muscle. The technique is slow, rhythmic stationary circles where the skin stretches and returns rather than my hand sliding across it. Many people describe it as the most relaxing treatment they’ve had; quite a few drift off completely. You shouldn’t feel any pain.

  • How many sessions will I need?

    Honest answer: it depends on what you’re hoping for. For general wellbeing or one-off de-puffing before an event, a single session can be enough. For more persistent puffiness or heavy legs, a short course of 3–6 sessions spaced 1–2 weeks apart usually gives clearer, more sustained results. Many clients then return monthly or seasonally for maintenance.

    I won’t promise improvement after just one session — sometimes that happens, sometimes it doesn’t. We’ll talk about realistic expectations on your first visit.

  • Does lymphatic drainage really work?

    Honestly: it does some things genuinely, and it doesn’t do other things at all.

    What it does: It moves interstitial fluid, so you can see and feel a real reduction in puffiness and swelling. It’s also deeply relaxing — the slow rhythm calms the nervous system.

    What it doesn’t do: It doesn’t “flush toxins” (your liver and kidneys handle that). It doesn’t cause weight loss — any size reduction after a session is fluid, not fat. It doesn’t “boost your immune system” in any meaningful way that’s been demonstrated for healthy people. And while I hold FHT-accredited diplomas in MLD and Oncology Massage, my training isn’t the MLDuk-pathway clinical route — so for diagnosed lymphoedema needing the full Complete Decongestive Therapy package, you’ll want a specialist.

  • Can I have MLD if I’ve had cancer or have lymphoedema?

    It depends on your specific situation — and I’d genuinely rather have a conversation than make a blanket statement either way.

    Stable, post-cancer treatment: I hold an FHT-accredited Diploma in Oncology Massage alongside my MLD Diploma. For clients who are stable post-treatment, I can offer supportive massage carefully adapted to your recovery — within my training and FHT insurance.

    Active cancer treatment: Please check with your oncology team first. They may be supportive, they may want you to wait until certain treatment cycles finish, or they may specifically recommend an MLDuk-certified clinical MLD therapist — please follow what they say.

    Diagnosed lymphoedema: If you need the full Complete Decongestive Therapy package (compression bandaging + MLD + exercise + skin care delivered together as a clinical programme), you’ll want a specialist who delivers CDT — that’s outside what I do. Good starting points: the NHS Sussex Lymphoedema Service or the MLDuk directory.

    If you’re not sure where you fit, message me first — I’ll always be honest about whether I can help or whether you’ll be better cared for elsewhere.

  • Can I do lymphatic drainage at home?

    Gentle self-massage and movement can absolutely help — especially walking, calf exercises, deep breathing, and elevating your legs when you can. There are reputable resources online from MLDuk and the Lymphoedema Support Network with simple home techniques.

    If you’re dealing with a clinical condition though, please learn home techniques from a qualified therapist or your NHS lymphoedema service rather than from social media — technique and direction genuinely matter.

  • What should I do after my session?

    Have a glass of water, move gently (a short walk later is great), allow yourself space to rest if you feel drowsy, and eat lightly. There’s no need to force litres of water “to flush toxins” — that’s a marketing myth. Just normal, sensible aftercare.

    If you notice anything unusual — new pain, increased swelling, redness or warmth — please contact your GP. That’s outside normal aftercare territory.

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