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Utilizing Osteopathic Manipulative Medicine to Support Lifestyle Behavior Change: A Case Report

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 13. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p13.xml)

Keywords:

case report [705]
chronic pain [295]
female [594]
geriatrics [111]
lifestyle [10]
OMT [3746]
osteopathic manipulative treatment [3766]
ribs [9]
women [550]

Abstract:

Introduction: Chronic diseases significantly contribute to mortality in the United States, many of which can be prevented or managed through lifestyle changes. Physical activity reduces chronic disease morbidity and mortality and improves quality of life. However, chronic musculoskeletal pain often serves as a barrier to physical activity. This case highlights osteopathic manipulative medicine (OMM) as a unique approach to managing chronic musculoskeletal pain and facilitating lifestyle changes for chronic disease management. Case: A 71-year-old female presented with chronic left-sided rib pain. She described sharp, constant pain preventing full inhalation, attributed to a fall on outstretched hands 20 years prior. Imaging at the time showed no fractures. Four months of worsening pain had limited her ability to exercise and perform overhand movements. Her medical history included Hashimoto’s disease, celiac disease, generalized anxiety disorder, hyperglycemia, hyperlipidemia, and methylenetetrahydrofolate reductase deficiency, with lifestyle management for hyperlipidemia and hyperglycemia. Physical exam revealed tenderness in the left anterior lower ribs and pain with inhalation and arm elevation. Osteopathic examination identified somatic dysfunctions of the left ribs, diaphragm, thoracic spine, cervical spine, and pelvis. OMM treatment improved diaphragmatic motion and reduced pain significantly. Results: At one-month follow-up, the patient reported a pain reduction from 9/10 to 3/10, resumed routine walking, pilates, and monthly OMM visits. By three months, she reported complete resolution of pain, daily walks, biweekly pilates, weekly yoga, improved bowel regularity, reduced anxiety, and fewer vasomotor symptoms from Hashimoto’s disease. At one year, she maintained her exercise routine and controlled hyperglycemia and hyperlipidemia through lifestyle changes. Discussion: This case demonstrates how OMM can alleviate pain, reduce barriers to exercise, and support lifestyle changes critical to chronic disease prevention and quality of life improvement.


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