Here is some of the information I recently shared in my March newsletter. Each newsletter has a specific focus. This month is focused on lymph and lymphatic drainage information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about lymph and lymphatic drainage. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. A paper titled Face Lift Postoperative Recovery, published in Aesthetic Plastic Surgery in 2002 provided the following information: After the skin is lifted, the drainage flow to the flaps is reversed abruptly toward the medial part of the face, where the flap bases are located. The thickness and extension of the flap determine the magnitude of the post-op edema, which is also augmented by medial surgeries (blepharo, rhino) whose trauma obstruct their natural drainage, increasing the congestion and edema…Seven days after the facelift we observed no absorption by the lymphatic, concluding that a week after surgery, the lymphatic network was still damaged...In the post-op, the manual lymphatic drainage is initiated on the third or fifth day in a method contrary to that specified in the books for non-operative individuals.
2. An article published on Stanford Medicine’s website, titled Anti-inflammatory drug effective for treating lymphedema symptoms states: two small clinical trials showed that ketoprofen, an inflammation-reducing drug available by prescription, can effectively treat symptoms of lymphedema and help ease the daily burden of care. “Ketoprofen restores the health and elasticity of the skin…I believe it will reduce recurrent infection. It can also reduce swelling.”
3. A study, The lymphatic pathway in neurological disorders, published in The Lancet: Neurology Nov 2018, states: several features of the lymphatic and meningeal lymphatic systems have been shown to be present in humans…human lymphatic pathway might also be primarily active during sleep.
4. An article, titled The Meningeal Lymphatic System: A New Player in Neurophysiology, gives a thorough explanation and history of the discovery of this system and its implications in disease and treatment.
5. A study, titled Effect of taping as treatment to reduce breast cancer lymphedema: literature review and published in J Vasc Bras in Apr-2018, concluded: Taping is a complementary therapy for reducing lymphedema, which may be used as an alternative treatment method, but cannot substitute multilayer compression therapy.
6. A study, Does Exercise Have a preventive effect on Secondary Lymphedema in Breast Cancer Patients following local treatment?-A systematic Review published in Breast Care (Basel) in Oct 2018 concluded: all 8 studies included indicate a potential preventive effect of exercise on Secondary Lymphedema.
7. An article titled The CNS Immune-Privilege Goes Down the Drain(age), published in Trends in Pharmacological Sciences in Jan 2019, reviews several studies on the lymphatic role in the nervous system and concludes: ... the work from Lauveau et al represents a landmark study for neuroimmunology research. It is now essential to understand how meningeal lymphatics promote the encephalitogenic potential of auto-reactive T cells and whether the brain’s lymphatic drainage may represent a feasible therapeutic target for neuroinflammatory and autoimmune disorders.
8. A study titled The effectiveness of manual lymphatic drainage and low level laser in the treatment of a client with lipedema: an N-of-1 trial, published in Australian Tradition-Medicine Society in 2018, concluded: pain decreased over the duration of the trial, however, there was no discernible difference between using active of sham laser with MLD…
9. An article, titled Manual lymphatic drainage in chronic venous disease: a forgotten weapon in our armory, published in Indian Journal of Vascular & Endovascular Surgery in 2018, concludes: MLD is an important adjunct in the treatment of advanced Chronic Venous Insufficiency.
10. A study titled Acute Cardiovascular Responses to the application of manual lymphatic drainage in different body regions, published in Lymphatic Research and Biology in Dec 2018 concluded: MLD practice caused different hemodynamic responses according to body region in a sample of 30 healthy individuals. The results show a decrease in SBP (systolic blood pressure) after neck, abdominal, and leg MLD and lower HRs (heart rate) after arm drainage. DBP (diastolic blood pressure) values decreased after neck and leg MLD and showed an increase after abdominal MLD. These findings support further investigation of the roles of the circulatory system, nervous system, hormonal system, and kidneys to better inform the practice of MLD and our understanding of its effects.
Here is some of the information I recently shared in my October newsletter. Each newsletter has a specific focus. This month is focused on lymph, lymphedema and lymphatic drainage information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES, ARTICLES, and RESOURCES
I receive a weekly update on anything published anywhere on the internet that includes information about lymphatic drainage and lymph. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. An article, printed in the University of Virginia’s UVAToday, announces UVA Identifies Brain’s Lymphatic Vessels as new Avenue to Treat Multiple Sclerosis. “The vessels appear to carry previously unknown messages from the brain to the immune system that ultimately trigger the disease’s symptoms. Blocking those messages may offer doctors a new way to treat a devastating condition that affects more than 2 million people.”
2. An article published in Health, titled Study finds first possible drug treatment for lymphedema summarized "The study conducted at Stanford and originally published in Science Translation Medicine asserts: uncovered for the first time the molecular mechanism responsible for triggering lymphedema, as well as a drug with the potential for inhibiting that process."
3. A study, Complex Therapy Physical Alone or Associated with Strengthening Exercises in Patients with Lymphedema after Breast Cancer Treatment: a controlled clinical trial, published in Europe PMC, concluded: strengthening exercises can be performed by patients with lymphedema safely, without the risk of increasing upper limb volume with edema.
4. A study, titled Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly, published in Clin Interv Aging in May 2018 focused on comparing the effectiveness of multi-layer compression bandaging (MCB) and complex decongestive therapy (CDT) and to show that MCB is a cheaper, more accessible and less labor intensive method of treating lymphedema in elderly patients. The study concluded: compression bandaging is a vital component of CDT. Maxim lymphedema reduction during therapy and maintaining its effect cannot be achieved without it.
5. A study, titled Low-frequency vibrotherapy considerably improves the effectiveness of manual lymphatic drainage (MLD) in patients with lipedema: a two-armed, randomized, controlled pragmatic trial, by Rainer Schneider and published in the Journal Physiotherapy Theory and Practice online at Taylor & Francis concluded: Combining MLD with vibrotherapy treatment drastically enhances the effectiveness of treating lipedema.
6. A study, Lymphedema techniques to manage edema after SCI (Spinal Cord Injury): a retrospective analysis and published in Nature concludes: We found the mCDT (modified complete decongestive therapy) approach to be safe and well-tolerated by the patients with SCI. The intervention was associated with decreased edema, and was feasible for use in a clinical setting. We recommend considering this mCDT approach for management of edema in individuals with SCI while remaining vigilant about skin inspection.
In a summary published in the Annals of Anatomy in July 2018, The deep lymphatic anatomy of the hand, eight hands were dissected and the results: five groups of deep collecting lymph vessels were found in the hand—superficial palmar arch, deep palmar arch, thenar, hypothenar, deep finger. Each group of vessels drained in different directions first, then all turned and ran towards the wrist in different layers. Pictures are included in the article
An article, Negative pressure therapy in the management of lymphedema by Frederick Hulme Gott, Kathleen Ly, Neil Piller, and Andrea Mansion, discusses the different types of negative pressure technology (Kinesiological tape, deep breathing, cupping and negative pressure devises and how they affect the lymphatic system. The article is detailed but easy to understand.
An article, Manual lymph drainage may not have a preventive effect on the development of breast cancer-related lymphedema in the long term: a randomized trial, published in Journal of Physiotherapy Oct 2018, concludes manual lymph drainage may not have a preventive effect on the development of breast cancer-related lymphedema in the short and long term.