The AAO Journal, 2022/06, 32(2):22. doi: 10.53702/2375-5717-32.2.15, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

ankle sprain [9]
case report [736]
novel lymphatic counterstain [1]
OMT [3925]
osteopathic manipulative treatment [3946]

Abstract:

Introduction/Background: Since the 1930s, Chapman discussed the presence of gangliform contractions related to viscerosomatic reflexes. Recent practice discovered areas for evaluation and treatment leading to a novel lymphatic counterstain (LC) modality. This case study utilized LC for a low ankle sprain. Case: A 24-year old male presented with an acute, left inversion ankle sprain during a basketball game. The subject stepped awkwardly on another player’s foot, leading to immediate pain, edema, and ecchymosis. The subject was treated with a lower-extremity LC protocol four days post-injury, and again four days after initial treatment. Results: Before treatment, the subject had pitting edema (3+/4) on the affected ankle with reduced dorsiflexion and plantar flexion due to pain (6/10) and swelling. Immediately after treatment, there was a modest reduction in ankle edema (2+/4) and greatly improved active range of motion (AROM) in all planes of motion with reduced pain (3/10). Eight hours after treatment, the patient noted marked reduction in swelling (0/4). In the next three days, edema returned (2+/4). The protocol was repeated four days after the initial treatment, which immediately reduced edema, pain, and nearly restored full AROM. Within two weeks of injury, the subject reported no pain, no swelling, and full AROM. Discussion: We believe LC reset the body’s natural ability to reduce inflammation due the progressive reduction of swelling eight hours after treatment. Through the two weeks of treatment and observation, the subject also performed stability and ROM exercises. Further studies should evaluate the generalizability of LC across diverse patient populations and conditions, as well as measure the effects of adjunctive physical therapy.