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Emotional Release of a Male with Somatic Symptom Disorder (SSD) via Osteopathic Manipulative Treatment (OMT)

Journal: The AAO Journal Date: 2025/09, 35(3):Pages: 7. doi: Subito , type of study: case report

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

Keywords:

case report [705]
male [763]
OMT [3746]
osteopathic manipulative treatment [3766]
somatic symptom disorder [1]
SSD [1]

Abstract:

Background: Somatic symptom disorder (SSD), involves one or more physical symptoms accompanied by significant stress, time, energy, and emotion devoted to these symptoms resulting in substantial distress and/or dysfunction.(1) SSD is diagnosed when three specific conditions are met: Physical symptoms exhibit that cause substantial distress or disruption in daily life. There are one or more persistent, excessive thoughts, feelings, or behaviors related to the somatic symptoms. Symptoms have lasted for more than 6 months.(2) Case: A 30-year-old male referred to OMM by his PCP for “low back pain”, but denied having back pain rather instead presented with “disequilibrium”. Patient also endorsed esophageal spasm and to a lesser extent left sided trigeminal neuralgic pain. Patient admitted to seeing specialists as he “somaticizes a lot.” Patient was reticent in discussing past history but eventually admitted to an appendectomy, previous head trauma, and prior sexual abuse. OMT included myofascial release (MFR), balanced ligamentous tension (BLT) and cranial manipulation was utilized to treat somatic dysfunctions (SD) of the whole body, but especially the head area. Results: Patient experienced two episodes of major emotional release during cranial manipulation, where patient became tearful with whole body flailing. Afterward, patient began to improve with minimizing non-specific complaints. Treatment intervals increased. Patient became optimistic of his prognosis and experiencing emotional release to a lesser degree. Discussion: Patient by his presentation as well as his own admission is a victim of Somatic Symptom Disorder (SSD). Patient’s inability to adequately express emotion gave rise to physical manifestation in the form of somatic dysfunctions. The musculoskeletal system is the physical manifestation of feelings and emotion. OMT improved these somatic dysfunction leading to patient’s emotional release.


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