The AAO Journal, 2002/03, 12(1):21-25, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://www.academyofosteopathy.org/aaoj)

Keywords:

abdominal pain [23]
case report [736]
chronic pain [323]
epigastric pain [3]
female [654]
OMT [3924]
osteopathic manipulative treatment [3945]
women [607]

Abstract:

There are accessible and rapidly determinable clues for diagnosis and adjunctive treatment of common upper GI disorders. Beginning with the autonomic nervous system (ANS) consider: 1) the segmental sympathetic innervation located as they are anterior to the rib head, 2) their relationship to the nerve plexuses and fascia of the abdomen, 3) a parasympathetic nerve involvement, the vagus as it exits the jugular foramen between the occipital and mastoid process of the temporal cranial bones. Each of these parts of the ANS is subject to trauma. If one adds balancing the thoracic inlet with the abdominal diaphragm and promotes lymphatic flow, the result is a real live connection between the structures and functions in the human body just as the neurophysiologists claim. These are geniunely useful clues as a guide for OMT to shorten healing time, offer relief during testing, and when causal disclosure by laboratory and radiological evaluations are found. This article presents a case of relief from prolonged epigastric pain that utilized this conceptual synthesis.