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Post-COVID-19 Respiratory Dysfunction and Musculoskeletal Pain: Improvement with Osteopathic Manipulative Treatment (OMT)

Journal: The AAO Journal Date: 2025/09, 35(3):Pages: 8. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/3/article-p6.xml)

Keywords:

breathing [49]
case report [723]
female [628]
musculoskeletal pain [41]
OMT [3776]
osteopathic manipulative treatment [3796]
post covid [12]
respiratory dysfunction [2]
women [583]

Abstract:

Int roduct ion: Post-COVID-19 syndrome is characterized by persistent symptoms such as respiratory difficulty and musculoskeletal pain, which impair daily function. Conventional treatments focus on symptom management, but Osteopathic Manipulative Treatment (OMT) provides a unique approach by addressing somatic dysfunctions (SD) to restore structural and functional balance. This case highlights the impact of OMT in improving post-COVID-19 symptoms. Case: A 50-year-old female presented with persistent difficulty breathing one year following a COVID-19 infection. She has a history of childhood asthma which was controlled without medications prior to the infection. Post COVID-19, she experienced severe difficulty breathing and pain in right lower back region, refractory to three cycles of prednisone and twice-daily Advair prescribed by her pulmonologist. On physical examination, her lung sounds were clear with good air entry. She had significant somatic dysfunctions of the thoracic inlet, lower rib cage, spinal, and abdominal diaphragm restrictions. OMT techniques included myofascial release (MFR), rib raising, diaphragm doming, and balanced ligamentous tension (BLT). She had the most significant improvement after muscle energy to the 12th rib SD. Results: Immediately after the treatment session, the patient noted improvement in respiratory function, reporting the ability to take deeper breaths without pain for the first time in a year. At the one-week follow-up, the patient was able to wean off Advair and continued to show improvement in respiratory symptoms and pain. Discussion: This case demonstrates the potential of OMT in managing post-COVID-19 respiratory and musculoskeletal dysfunctions. By addressing structural restrictions and optimizing lymphatic and respiratory mechanics, OMT contributed to symptom relief and functional recovery. Further research is needed to explore its broader applications in post-COVID-19 care.


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