The AAO Journal, 2025/06, 35(2):9. doi: 10.53702/i2375-5717-35.2.5, type of study: ,cr,

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p5.xml)

Keywords:

case report [736]
chronic pain [324]
female [655]
geriatrics [141]
OMT [3925]
osteopathic manipulative treatment [3946]
systemic scleroderma [1]
women [608]

Abstract:

Introduction: Diffuse systemic sclerosis (SSc) is a rare disease characterized by vascular injury, inflammation, and tissue fibrosis. SSc is a multi-system disease process that affects almost every organ system including the musculoskeletal system. Osteopathic Manipulative Treatment (OMT) has been utilized to improve overall pain and functioning in SSc by addressing the musculoskeletal system to optimize circulation and lymphatic drainage. Case: A 68-year-old female with SSc and chronic respiratory failure presented for chronic thoracic back pain after lifting heavy boxes. Imaging was negative for bony pathology, and she had no improvement with medications. A single OMT session was completed to address her pain with utilization of balanced ligamentous tension, myofascial release, and lymphatic technique to correct her somatic dysfunctions focusing on optimizing systemic circulation and lymphatic drainage. Results: A single session of OMT resulted in a decrease in her PROMIS-29 score (37/90 to 35.6/90) 2 weeks later with an average pain score of 7/10 that decreased to 3/10. Subjective improvements noted were complete resolution of thoracic spine pain, decreased need for supplemental oxygen with activity, and improved quality of sleep. Discussion: Our case discusses a 68-year-old female with SSc and chronic respiratory failure successfully treated with OMT. This case highlights the impact of musculoskeletal injuries on overall functional levels in patients with systemic inflammatory diseases and that OMT can be an effective adjunctive treatment to improve overall health and well-being.