Manual Lymphatic Drainage (MLD) is often used to reduce postoperative swelling after a Total Knee Arthroplasty, but does the evidence support its routine use? A recent systematic review analyzed whether MLD could reduce postoperative edema, relieve pain, and improve knee range of motion during the first weeks after surgery. What did the review find? The overall results showed no clear clinical advantage of MLD over standard postoperative care. Swelling (edema): There was no c