ACOLS Manual Lymph Drainage (MLD) Training Practice Test

The technique relies on the palm doing the work: place the hand with the palmar surface in contact with the skin, and perform a light, even circular motion. The contact should be gentle and consistent, just enough to feel a soft glide without pressing deeply. Direct the motion toward proximal lymph nodes so the stimulation guides lymph toward drainage pathways rather than compressing tissue. Using the dorsal surface, fingertips pressing inward, or knuckles with wrist twisting would create uneven contact or excessive force, which can hinder lymph flow and risk tissue irritation. So, a palm-based, light, steady circular stroke aimed toward nearby drainage points is the correct approach.