top of page


Why Lymph Flow Matters: Human Skin Lymphatics, Tissue Health, and the Power of MLD
Advanced 3D imaging reveals that human dermal lymphatics operate quite differently from the mouse models found in traditional textbooks. Beyond passive fluid transport, lymph flow serves as a vital mechanical signal that prevents tissue from turning into stiff, fibrotic scar tissue. Discover how lack of flow triggers cellular hypoxia and matrix fibrosis—and how Manual Lymphatic Drainage (MLD) actively reverses this destructive chain reaction at a molecular level.

Jan Douglass PhD
1 day ago6 min read


'Tis the Season to Be Jolly: Why Laughing is Good for Your Lymphatic System
The benefits of talking, laughing, and crying extend far beyond mere emotional expression. These natural acts enhance lymph flow, support ve

Jan Douglass PhD
Dec 6, 20245 min read


A Pressing Matter: What is the Right Pressure in Lymphatic Massage?
Misconceptions about the appropriate direction and pressure for lymphatic massage in lymphoedema abound, and a search of the world wide web

Jan Douglass PhD
Nov 9, 20246 min read


The Unique Innervation of Facial Skin: Why MLD Facials are So Good.
The unique structure and innervation of the facial skin contributes to specialised functions such as facial expressions and sensory percepti

Diane Lacey
Oct 10, 20245 min read


Stretching, lymph-angiogenesis and MLD
New initial lymph vessels grow according to the interstitial fluid pressure and strain on the fibres in the ECM. Fluid movement is crucial t

Jan Douglass PhD
Aug 16, 20233 min read


Why MLD should be started as early as possible.
There's nothing quite so satisfying as reading a well written paper which summarises everything interesting that we know about the lymph system. Wix stock image In this regard, the recent paper by Weber et al ( 1 ) is a good read for anyone fascinated by lymphatics, regardless of academic ability. Personally I can't help but make connections with the descriptions given, and what I know about lymphatic physiology and the effects of MLD. It's also very affirming when new unders

Jan Douglass PhD
Nov 10, 20226 min read


How do new discoveries in lymphology influence our clinical practice?
Across two decades of teaching therapists how to interact with lymphatics through MLD and Lymph Taping, I have witnessed an explosion in research on lymphatic function and disease. Some observed truths have been completely reversed, like the advice around exercise for people affected by lymphedema. Once it was shown that any post-exercise swelling is temporary, and that overall people who exercise have better lymphedema outcomes than those who don't, our advice did a big 180

Jan Douglass PhD
Aug 19, 20213 min read
bottom of page
.png)