Newsletter Excerpts: 6 New Studies and 2 resources on Lymph--September 2023

Michelle Burns
September 7, 2023

Here is some of the information I recently shared in the September newsletter. Each newsletter has a specific focus.  This newsletter is focused on the lymph system and lymphatic drainage. If you would be interested in receiving my other newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.


  1. Lymphatic Function Decreases over time in arms on breast cancer patients
  2. Imaging of the Tricipital lymphatic pathway
  3. lymph vessels in superficial fascia of abdomen
  4. Axillo-inguinal lymphatic pathwars
  5. Manual Lymph Drainage vs Compression Bandage
  6. Kinesio tape for facial swelling following orthagnathic surgery


  1. The Lymphatic vascular system
  2. Meningeal lymphatics role


1. A study titled Lymphatic Function Decreases Over Time in the Arms on Breast Cancer Patients Following Treatment, published in Plastic and Reconstructive Surgery in Sept 2022 concludes: Lymphatic function in the ipsilateral arm deteriorated over time after adjuvant breast cancer therapy. Furthermore, the presence of abnormal torturous lymphatic vessels in asymptomatic arms appeared to be associated with weak lymphatic reserve pumping capacity.

2.  A study, titled Superficial and functional imaging of the tricipital lymphatic pathway: a modern reintroduction published in Breast Cancer Research and Treatment in Nov 2022 concludes: When present, the tricipital pathway coursed along the posterior upper arm with variability in its connections to the forearm distally, and the torso proximally. It may drain lymphatic fluid directly to the scapular lymph nodes, avoiding the axillary lymph node groups.

3. A study, Detection of Lymphatic Vessels in the Superficial Fascia of the Abdomen published in MDPI in March 2023 states: The evaluation of specific characteristics of cells, fibers, blood circulation, and innervation has shown that the superficial fascia has a clear and distinct anatomical identity, but knowledge about lymphatic vessels in relation to the superficial fascia has not been described. In the papillary dermis, a huge presence of lymphatic vessels was highlighted, parallel to the skin surface and embedded in the loose connective tissue. In the superficial adipose tissue, thin lymphatic vessels were found, close to the fibrous septa connecting the dermis to the deeper layers. The deep adipose tissue showed a comparable overall content of lymphatic vessels with respect to the superficial layer; they followed the blood vessel and had a larger diameter. In the superficial fascia, the lymphatic vessels showed higher density and a larger diameter, in both the longitudinal and transverse directions along the fibers, as well as vessels that intertwined with one another, forming a rich network of vessels.

4. A study titled The Prevalence of the Axillo-Inguinal Lymphatic Pathway in Lymphedema of the Extremities and Potential Therapeutic Implications published in Lymphatic Research and Biology in Mar 2023 states: The axillo-inguinal (or inguino-axillary) is a compensatory lymphatic drainage pathway regularly utilized by lymphedema therapists when applying manual lymphatic drainage (MLD) for upper and lower extremity lymphedema. The findings suggest that the axillo-inguinal pathway is an infrequent compensatory drainage pathway in lower extremity lymphedema and rare in upper extremity lymphedema

5. A study, The Effect of Manual Lymph Drainage and Compression Bandaging for Stage 2 Breast Cancer-Related Lymphedema: A Randomized Controlled Trial, published in Lymphatic Research and Biology in May 2023 concludes: MLD or CB alone could effectively reduce the volume of affected arms for patients with stage 2 BCRL, and CB also could reduce the LTW( Local tissue water) more significantly. CDT did not seem to show an extra advantage. Therefore, CB may be the first choice for stage 2 BCRL. But for patients who are unwilling or intolerant to CB, MLD can be selected.

6. A study titled The effects of Kinesio tapes on facial swelling following bimaxillary orthognatic surgery in the supraclavicular region, published in Maxillofacial Plastic and Reconstructive Surgery in Jun 2023 concludes: As a result of taping lymphatic Kinesio tape on the affected area, tension was reduced, and lymphatic circulation was restored. Blood and lymph microcirculation was improved, enabling the body to heal itself.Kinesio tape reduced swelling after orthognathic surgery in a positive way.


  1. A great review of the lymphatic system and a deeper look at its function and structures. The lymphatic vascular system: much more than just a sewer in Cell & Bioscience Sept 2022.
  2. An article titled Meningeal lymphatics and their role in CNS disorder treatment: moving past misconceptions, published in Front Neurosci in Jul 2023 states: The central nervous system (CNS) was previously thought to lack lymphatics and shielded from the free diffusion of molecular and cellular components by the blood–brain barrier (BBB) and the blood–cerebrospinal fluid barrier (BCB). However, recent findings have redefined the roles played by meningeal lymphatic vessels in the recruitment and drainage of lymphocytes from the periphery into the brain and the potentiation of an immune response. Emerging knowledge surrounding the importance of meningeal lymphatics has the potential to transform the treatment of CNS disorders. This review details the most recent understanding of the CNS-lymphatic network and its immunologic implications in both the healthy and diseased brain. Moreover, the review provides in-depth coverage of several exciting avenues for future therapeutic treatments that involve the meningeal lymphatic system.

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