<p>Best practice in the management of lymphoedema involves manual lymph drainage (MLD), skin care, exercise and compression therapy. Omission of any component, especially compression therapy, is not expected to achieve sustainable reduction in oedema volume. Evidence for the necessity to include MLD is inconsistent, however. This case study on leg lymphedema secondary to orthostasis shows an unexpected and sustained volume reduction using MLD in a patient who could not use compression therapy.</p>
