Case Report
Volume 5 Issue 1 - 2022
Pain Treatment in Parotid Cancer with Manual Lymph Drainage Ad Modum Dr. Vodder
Raquel Pérez García1 and Yolanda Robledo Do Nascimento2
1Physiotherapist. PhD Student of Alcalá de Henares University. Fight Agaisnt Cancer Spain Association, La Laguna University, Ramon Llull University, European University, Spain
2Physiotherapist, PhD, Henares University Hospital, European University, Physiotherapy and Pain Research Centre, Spain
*Corresponding Author: Robledo Do Nascimento, Physiotherapist, PhD. Henares University Hospital, European University, Physiotherapy and Pain Research Centre, Spain.
Received: November 15, 2021; Published: December 31, 2021


The parotid gland is a large salivary gland on both sides of the face, beneath the external auditory canal, behind the mandibular ramus, and in front of the temporal bone's mastoid process. The facial nerve and parotid lymph nodes are found inside the gland. Parotid carcinoma is made up of 90% epithelial parenchyma, with the mucoepidermoid being the most prevalent. The analgesic impact of manual lymphatic drainage is one of its effects, as it acts on various possible causes of pain. On the one hand, it plays a role in the inflammatory process, and on the other, it can influence pain perception. The authors describe a patient who developed neck pain after traditional parotid surgery and treatment for parotid malignancy. The patient experiences pain at level 10 on the Visual Analogue Scale (VAS).

Keywords: Parotid Cancer; MLD; Manual Lymph Drainage; Vodder


  1. Gerson Schulz Maahs., et al. “Parotid gland tumors: a retrospective study of 154 patients”. Brazilian Journal of Otorhinolaryngology Volume3 (2015).
  2. Velasco Ignacio., et al. “Anatomical Considerations in Parotidectomy: Literature Review on a Case”. International Journal of Morphology1 (2013): 231-238.
  3. Maza-Solano JM., et al. “Forecast classification of malignant parotid gland tumors”. Spanish Journal of Oral and Maxillofacial Surgery 1 (2016): 11-16.
  4. Ha KJ., et al. “Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema”. Frontiers in Physiology 8 (2017): 2-8.
  5. Huang TW., et al. “Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials”. World Journal of Surgical Oncology 11 (2013): 15.
  6. Williams AF., et al. “A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast cancer-related lymphoedema”. European Journal of Cancer Care 11 (2002): 254-261.
  7. Moseley AL., et al. “A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment”. Annals of Oncology 18 (2007): 639-646.
  8. Williams A. “Manual lymphatic drainage: exploring the history and evidence base”. British Journal of Community Nursing 15 (2010): S18-S24.
  9. Ezzo J., et al. “Manual lymphatic drainage for lymphedema following breast cancer treatment”. Cochrane Database of Systematic Reviews 5 (2015): CD003475.
  10. Baron R., et al. “Neuropathic pain: diagnosis, pathophysiological mechanisms, and treatment”. The Lancet Neurology8 (2010): 807-819.
  11. Cruciani R and Nieto M. “Pathophysiology and treatment of neuropathic pain: more recent advances”. Rev Soc Esp Pain 5 (2006): 312-327.
  12. Travell JG and Simons DG. “Pain and myofascial dysfunction: the manual of trigger points: Edition. Médica Panamericana (2004).
  13. Ferrandez JC. “Updates to "Manual Lymphatic Drainage" in lymphedema secondary to breast cancer. From anatomy to gesture, through pathophysiology. Lymphedema" XIV conference of physiotherapy. Autonomous University. The ONCE (2004).
  14. Melzack R and Wall PD. “Pain mechanisms: a new theory”. Survey of Anesthesiology2 (1967): 89-90.
  15. ÁNGEL M. “Neuromedical bases of pain Neuro-medical bases of pain”. Clinic and Health3 (2008): 277-293.
  16. Hamner JB and Fleming MD. “Lymphedema therapy reduces the volume of edema and pain in patients with breast cancer”. Annals of Surgical Oncology6 (2007): 1904-1908.
  17. Torres Lacomba M and Salvat Salvat I. “Massage therapy guide for physiotherapists”. Madrid: Medica Panamericana (2006).
  18. Parotid Gland Cancer Surgical Practice Guidelines. Ashok R. Shaha, Robert M. Byers, Jose J. Terz. 11.8 (1997): 1219-1223.
  19. Ord RA and Blanchaert RH. “Oral Cancer: The dentist´s role in diagnosis, management, rehabilitation and prevention. Chicago: Quintessence Publishing Co (2000): 81-109.
  20. González-Moles MA and García-Asensio J. “Adverse effects of oral cancer treatment. In: González-Moles MA (ed). Precancer and oral cancer. Madrid: Edition Avances Medico-Dentales S.L (2001): 189-218.
  21. Werning JW. “Oral Cancer. Diagnosis, management and rehabilitation. New York: Thieme Medical Publishers (2007): 209-236.
  22. Gellrich NC., et al. “Pain, function, and psychologic outcome before, during, and after intraoral tumor resection”. Journal of Oral and Maxillofacial Surgery7 (2002): 772-777.
  23. Souso S., et al. “Physiotherapy and re-education of swallowing in surgery for head and neck cancer”. Physiotherapy5 (2003): 311-327.
  24. Majewski-Schrage T and Snyder K. “The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries”. Journal of Sport Rehabilitation 25 (2016): 91 -97.
Citation: Raquel Pérez García and Yolanda Robledo Do Nascimento. “Pain Treatment in Parotid Cancer with Manual Lymph Drainage Ad Modum Dr. Vodder”. EC Clinical and Medical Case Reports 5.1 (2022): 46-51.

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