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Osteopathic Manipulative Treatment for Refractory Gastroesophageal Reflux Disease (GERD)

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 24. doi: Subito , type of study: case report

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

case report [514]
OMT [2951]
osteopathic manipulative treatment [2973]
gastroesophageal reflux disease [11]
GERD [17]

Abstract:

Introduction/Background: Gastroesophageal Reflux Disease (GERD) is a common problem that is found in a wide variety of demographics and can significantly affect a person’s quality of life. Lifestyle modifications and Proton Pump Inhibitors (PPIs) are standard treatments for these patients. Case: A 45-year-old female with a past medical history significant for a cerebral vascular attack in June of 2020 presented to her primary care physician for R shoulder pain. She was initially referred to the OMT clinic for this complaint, with review of systems positive for severe heartburn. She admitted to vomiting multiple times a day, requiring her to carry an emesis bag daily. She regularly took 4 tablets of Famotidine per day with minimal relief. Physical exam revealed direct tenderness to her epigastric area. OMT was directed towards the following relevant somatic dysfunctions: celiac ganglion restriction, cervical and suboccipital muscle hypertonicity, a mesenteric restriction, and cranial – R SBR, L torsion, and L lateral strain. A variety of techniques were used but the most effective were myofascial release, OA decompression, cervical soft tissue techniques, and osteopathic cranial manipulative medicine. Results: Over the course of 8 visits for OMT, the patient experienced significant improvement in her GERD symptoms, citing decreased frequency and severity of heartburn. Her Famotidine intake decreased to PRN, and vomiting became rare. She continues to follow up for regular OMT for this and other complaints. Discussion: This case report suggests OMT may provide benefit in the treatment of severe or refractory gastroesophageal reflux disease. Additionally, OMT may be beneficial in improving the quality of life in GERD patients. Further research is warranted to explore this potentially beneficial area of treatment.


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