Supporting Lymphatic Health Through Decades of Innovation

The story of lymphatic drainage therapy is one of curiosity, care, and continuous discovery. Since its creation in the early 20th century, this therapeutic practice has transformed from an intuitive manual technique into a scientifically supported approach that enhances circulation, detoxification, and healing.

From Emil and Estrid Vodder’s pioneering work¹ to Albert Leduc’s scientific refinement³, the Földi method’s total decongestive approach⁴, and Godoy & Godoy’s modern advances⁵, the development of lymphatic drainage reflects decades of dedication to understanding and optimizing the body’s natural fluid balance.

Origins: Emil and Estrid Vodder

The roots of Manual Lymphatic Drainage (MLD) trace back to the 1930s, when Danish physicians Emil (biologist) and Estrid Vodder (naturopath) worked on the French Riviera. They observed that patients suffering from chronic colds and sinus infections often had swollen lymph nodes. Guided by intuition and anatomical study, they began applying gentle, rhythmic movements to stimulate lymph flow and support recovery¹.

In 1936, the couple presented their method publicly in Paris, and after World War II, they began training others in Copenhagen. By 1966, physician Johannes Asdonk scientifically confirmed the method’s benefits, cementing Vodder’s MLD as the first recognized approach for lymphatic drainage therapy and edema reduction¹.

Key characteristics of the Vodder Method:

• Continuous, rhythmic circular movements
• Treatment applied to the whole body, not only affected areas
• Gentle stimulation that enhances natural lymph flow and relaxation

Main indications:
Lymphedema, lipedema, post-surgical and traumatic edema, chronic venous insufficiency, and fibrotic conditions¹.

Albert Leduc: The Scientific Systematization

Belgian researcher Albert Leduc, a student of Vodder, further advanced the method by combining it with modern lymphology research³. He transformed MLD into a scientifically structured system that emphasizes both theoretical understanding and practical precision.

The Leduc Method focuses on:

• Reabsorption and “call” maneuvers, which help move interstitial fluid toward the lymph nodes for efficient elimination³

Key innovations introduced by Leduc:

• Scientific foundation rooted in lymphology
• Two key maneuvers:
  • Call maneuver: prepares lymph nodes to receive lymph
  • Reabsorption maneuver: directs excess fluid toward activated lymph nodes
• Specific protocols for various conditions
• Integration with compression therapy for enhanced results

Applications:
Post-operative recovery, trauma rehabilitation, lymphedema management, and aesthetic improvements such as skin texture and cellulite reduction³.

The Földi Method: Total Decongestive Therapy

Developed by Prof. Michael Földi and Prof. Etelka Földi, the Földi method expanded on Vodder’s MLD to create a comprehensive, evidence-based approach for managing lymphedema⁴. Unlike the previous methods, the Földi technique combines manual lymphatic drainage with compression bandaging, exercise, and skincare, forming what is often referred to as Total Decongestive Therapy (TDT).

Core principles of the Földi Method:

• Gentle, rhythmic, skin-stretching massage to move lymph fluid
• Work begins in healthy areas to “pre-treat” the body, rerouting fluid from swollen regions
• Deep diaphragmatic breathing is used to stimulate and open deep lymphatic pathways
• Comprehensive therapy package includes manual drainage, compression, exercises, and skin care

Applications:
Effective for moderate to severe lymphedema, chronic edema management, and post-surgical care. The Földi method is particularly recognized for its structured, holistic approach, ensuring long-term management of lymphatic disorders⁴.

Godoy & Godoy: The Modern Brazilian Contribution

In Brazil, Dr. José Maria Pereira de Godoy and Dr. Maria de Fátima Guerreiro Godoy revolutionized the field with the Godoy & Godoy Method, a contemporary and internationally recognized approach to lymphatic therapy⁵.

Innovations of the Godoy & Godoy Method:

• Mechanical Lymphatic Drainage (RAGodoy®)*: specialized device for intensive treatment
• New physiological concepts: linear movements along lymphatic pathways, constant manual compression, respiratory and muscle activation to stimulate deep drainage
• Personalized treatment plans: adapted to each patient’s physiology for optimal outcomes
• Rapid and measurable results: volume reduction of up to 10% in the first week of intensive therapy

*The Godoy & Godoy RA Device is a mechanical, passive exercise tool designed to support lymphatic drainage, particularly in cases of lymphedema and other forms of edema.
It works by reproducing the natural physiological movements of the calf and foot muscles, stimulating lymphatic flow. This gentle mechanical action helps reduce swelling, enhance joint mobility, and support muscle trophism.
Although the abbreviation “RA” is often interpreted as “reprodução do aparelho” (device reproduction), its primary function is to facilitate lymphatic drainage through passive mechanical movement.

Applications:
Severe lymphedema, elephantiasis, post-mastectomy recovery, aesthetic care, and pediatric lymphedema⁵.

When to Use Each Technique

While all four techniques – Vodder, Leduc, Földi, and Godoy & Godoy – share the goal of restoring balance to the lymphatic system, each has unique strengths and indications¹,³,⁴,⁵.

The choice of technique should always be made by a qualified professional, based on the patient’s condition, medical history, and treatment goals.

Comparison Summary

Conclusion: The Ongoing Evolution of Lymphatic Drainage Therapy

The journey of lymphatic drainage therapy — from Vodder’s gentle manual movements to Leduc’s scientific refinements, Földi’s holistic decongestive approach, and Godoy & Godoy’s modern innovations — reflects decades of dedication to understanding the human body’s natural healing potential¹,³,⁴,⁵.

Each technique represents a step forward in how we approach lymphedema treatment, post-surgical recovery, and holistic wellness. There are no “good” or “bad” techniques — only the most appropriate approach for each patient’s unique condition. A skilled therapist knows how to assess the individual and choose the method that will bring the most effective and comfortable results.

Thanks to continuous research, clinical observation, and technological innovation, lymphatic therapy today is more precise, accessible, and effective than ever. Over the decades, countless people have regained comfort, mobility, and confidence through these methods — and many more will continue to benefit as science deepens our understanding of the lymphatic system.

The true beauty of lymphatic drainage lies in its essence: gentle, intelligent touch that supports the body’s natural rhythm of renewal. It’s inspiring to see how far these techniques have come, how research continues to refine them, and how they have positively impacted millions of lives worldwide.

References

1. Vodder School – Manual Lymph Drainage History (MLD). https://vodderschool.com/manual_lymph_drainage_history
2. Massage Magazine – Evolution of Manual Lymphatic Drainage Research. July 3, 2025. https://www.massagemag.com/manual-lymphatic-drainage-research-273095/
3. Leduc Lymphatic Drainage Method Official Website – Lymphonet. https://www.lympho.net/en/home/
4. Földi, M., & Földi, E. (2003). Földi Manual Lymph Drainage: Principles and Practice. Urban & Fischer Verlag.
5. Pereira de Godoy, J.M., Pereira de Godoy, A.C., & Guerreiro Godoy, M. d. F. (2017). Evolution of Godoy & Godoy Manual Lymph Drainage. Technique with Linear Movements. Clinics and Practice, 7(4), 1006. https://www.mdpi.com/2039-7283/7/4/1006
6. de Godoy, J. M. P., & de Godoy, M. d. F. G. (2010). Godoy & Godoy technique in the treatment of lymphedema for underprivileged populations. International Journal of Medical Sciences, 7(2), 68–71. https://www.medsci.org/v07p0068.htm
7. Flow Lymphatic Health Clinic Blog – History and Techniques of Manual Lymph Drainage. August 22, 2020. https://lymphatichealthclinic.com/history-and-techniques-of-manual-lymph-drainage/