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Letters to the Editor  |   November 2015
Landmark Article Supports Osteopathic Medicine
Author Notes
  • Liberty University College of Osteopathic Medicine, Lynchburg, Virginia 
Article Information
Neuromusculoskeletal Disorders / Osteopathic Manipulative Treatment / Being a DO / OMT in the Laboratory
Letters to the Editor   |   November 2015
Landmark Article Supports Osteopathic Medicine
The Journal of the American Osteopathic Association, November 2015, Vol. 115, 646. doi:10.7556/jaoa.2015.134
The Journal of the American Osteopathic Association, November 2015, Vol. 115, 646. doi:10.7556/jaoa.2015.134
To the Editor: 
On June 1, 2015, Nature published a landmark article titled “Structural and Functional Features of Central Nervous System Lymphatic Vessels” by Louveau et al.1 The authors used high-power microscopy to discover functioning lymphatic vessels lining the dural sinuses in mice, which had not been described before.1 No one has been able to identify structures that could support the claim that the central nervous system has lymphatics. Now we have evidence. 
This amazing discovery will transform several fields of science and medicine—for example, parts of the fields of anatomy, neuroimmunology, and neuroscience. Textbook chapters will have to be rewritten. 
Most obviously, their discovery helps to validate, in some ways, what osteopathic physicians have been saying for more than a century. The second edition of Foundations for Osteopathic Medicine states that “Osteopathic manipulative treatment in the head region is based on anatomy and physiologic function of the neurologic, vascular, muscular, articular, and lymphatic systems.”2 Now is the time for osteopathic medicine to blossom and flourish. I am pleased that hard basic science has provided evidence for what osteopathic physicians have been doing clinically since the time of Andrew Taylor Still, MD, DO. The osteopathic medical profession should take a moment to read this article.1 
References
Louveau A, Smirnov I, Keyes TJ, et al. Structural and functional features of central nervous system lymphatic vessels [published online June 1, 2015]. Nature. 2015;523(7560):337-341. doi:10.1038/nature14432. [CrossRef] [PubMed]
Scott RA, Kuchera ML, Patterson JJ. Orthopedics. In: Ward RC, executive ed. Foundations for Osteopathic Medicine. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003:484.