The AAO Journal, 2017/12, 27(3):19-24. doi: 10.53702/2375-5717-27.3.19, type of study: ,art,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://doi.org/10.53702/2375-5717-27.3.19)

Keywords:

thoracic inlet [2]
somatic dysfunction [159]
Still technique [7]
osteopathic manipulative treatment [3945]
OMT [3924]
article [2635]

Abstract:

The osteopathic profession has long emphasized the importance of improving homeostasis and overall health through the use of osteopathic manipulative treatment (OMT). The respiratory-circulatory model seeks to achieve these goals by resolving somatic dysfunctions (SD) that may restrict venous and lymphatic return. One of the most significant somatic dysfunctions to address in this model is the thoracic inlet. Despite the emphasis on this somatic dysfunction, classic treatment approaches of the thoracic inlet remain some of the most challenging corrections.In this article, an approach to somatic dysfunction of the thoracic inlet (SDTI) with a new application of Still technique principles is presented. This technique offers a safe, efficient, and effective treatment approach for patients who may present with substantial comorbidities. Considerations for difficult to correct SDTI are discussed. In addition, a more global approach is presented—with an awareness of the dynamic structural relationships and functionality of the region—to treat SDTI with enhanced success.