Pub Date : 2024-06-01DOI: 10.53702/i2375-5717-34.2.34
Sajid A. Surve
{"title":"Osteopathic Approach to the Voice","authors":"Sajid A. Surve","doi":"10.53702/i2375-5717-34.2.34","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.2.34","url":null,"abstract":"","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.53702/i2375-5717-34.2.52
April E. Garcia, Kaelen Kay, Matthew X. Perera, Eric S. Martinez, Stella Onyi, Bobby Nourani, Brian Loveless
There are very few reports regarding the use of osteopathic manipulative treatment (OMT) in the intensive care unit (ICU) setting for a comatose patient. This case report presents an instance where OMT was implemented after the patient remained comatose for 18 days and was being considered for terminal weaning due to their prolonged unconsciousness. The patient’s prolonged comatose state caused concerns about irreversible neurological damage, and as such, end-of-life decisions were being considered. OMT was administered in an effort to stimulate the patient’s alertness and reduce the patient’s allostatic load. The patient regained consciousness within ten hours after OMT was administered, suggesting a potentially significant role for OMT in the patient’s recovery. This case underscores the potential for OMT to be used in the ICU as a safe and feasible approach to enhance patient outcomes. Although only a single example of effective treatment, the results of this case study suggest that further research into the role of OMT in comatose patient recovery and OMT’s broader implications in critical care are warranted.
{"title":"Increased Alertness in Comatose Patient After Osteopathic Manipulative Treatment: A Case Report","authors":"April E. Garcia, Kaelen Kay, Matthew X. Perera, Eric S. Martinez, Stella Onyi, Bobby Nourani, Brian Loveless","doi":"10.53702/i2375-5717-34.2.52","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.2.52","url":null,"abstract":"\u0000 There are very few reports regarding the use of osteopathic manipulative treatment (OMT) in the intensive care unit (ICU) setting for a comatose patient. This case report presents an instance where OMT was implemented after the patient remained comatose for 18 days and was being considered for terminal weaning due to their prolonged unconsciousness. The patient’s prolonged comatose state caused concerns about irreversible neurological damage, and as such, end-of-life decisions were being considered. OMT was administered in an effort to stimulate the patient’s alertness and reduce the patient’s allostatic load. The patient regained consciousness within ten hours after OMT was administered, suggesting a potentially significant role for OMT in the patient’s recovery. This case underscores the potential for OMT to be used in the ICU as a safe and feasible approach to enhance patient outcomes. Although only a single example of effective treatment, the results of this case study suggest that further research into the role of OMT in comatose patient recovery and OMT’s broader implications in critical care are warranted.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.53702/i2375-5717-34.2.64
Shadi Shams, Mujtaba M. Chohan, Alexander King
Gastroesophageal Reflux Disease (GERD) is a highly prevalent gastrointestinal motility disorder affecting 10% to 20% of children in the United States. Many patients affected by this disorder are medically managed with proton pump inhibitors (PPI) and H2 receptor antagonists for prolonged durations. Here we present a pediatric patient with GERD refractory to chronic use of PPI. The patient received Osteopathic Manipulative Treatment (OMT) and had close follow-ups over 5 years. The patient reported significant relief in symptoms and improved daily performance within weeks of treatment. His symptoms are now being fully controlled by OMT without regular medication. This case report illustrates the advantages of utilizing OMT in the pediatric population.
{"title":"Successful Treatment using OMT for Chronic GERD in a Pediatric Patient","authors":"Shadi Shams, Mujtaba M. Chohan, Alexander King","doi":"10.53702/i2375-5717-34.2.64","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.2.64","url":null,"abstract":"\u0000 Gastroesophageal Reflux Disease (GERD) is a highly prevalent gastrointestinal motility disorder affecting 10% to 20% of children in the United States. Many patients affected by this disorder are medically managed with proton pump inhibitors (PPI) and H2 receptor antagonists for prolonged durations. Here we present a pediatric patient with GERD refractory to chronic use of PPI. The patient received Osteopathic Manipulative Treatment (OMT) and had close follow-ups over 5 years. The patient reported significant relief in symptoms and improved daily performance within weeks of treatment. His symptoms are now being fully controlled by OMT without regular medication. This case report illustrates the advantages of utilizing OMT in the pediatric population.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.53702/i2375-5717-34.2.58
Elizabeth Geyer-Roberts, Jill Wallace-Ross
Median arcuate ligament syndrome (MALS) is a rare anatomical anomaly where the median arcuate ligament is too inferior in origin and causes compression of the celiac artery and plexus. Due to the nerve compression, patients with MALS commonly experience other pathologies such as postural orthostatic tachycardia syndrome (POTS), and gastroparesis. These patients often experience dizziness, lightheadedness, syncope, abdominal pain, vomiting, and nausea. This case report follows a 23-year-old female with MALS, POTS, and gastroparesis who was wheelchair bound due to her intense syncopal and pain episodes. After 4 treatments of osteopathic manipulative treatment (OMT) involving visceral techniques to increase bowel movements, as well as treatment of the origin and insertion of the median arcuate ligament, this patient had a substantial decrease in symptoms which allowed for a drastic increase in mobility and quality of life.
{"title":"An Alternative Approach to Median Arcuate Ligament Syndrome","authors":"Elizabeth Geyer-Roberts, Jill Wallace-Ross","doi":"10.53702/i2375-5717-34.2.58","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.2.58","url":null,"abstract":"\u0000 Median arcuate ligament syndrome (MALS) is a rare anatomical anomaly where the median arcuate ligament is too inferior in origin and causes compression of the celiac artery and plexus. Due to the nerve compression, patients with MALS commonly experience other pathologies such as postural orthostatic tachycardia syndrome (POTS), and gastroparesis. These patients often experience dizziness, lightheadedness, syncope, abdominal pain, vomiting, and nausea. This case report follows a 23-year-old female with MALS, POTS, and gastroparesis who was wheelchair bound due to her intense syncopal and pain episodes. After 4 treatments of osteopathic manipulative treatment (OMT) involving visceral techniques to increase bowel movements, as well as treatment of the origin and insertion of the median arcuate ligament, this patient had a substantial decrease in symptoms which allowed for a drastic increase in mobility and quality of life.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.53702/i2375-5717-34.2.48
Andrew S. Mackenzie
{"title":"The osteopathic concept after a century","authors":"Andrew S. Mackenzie","doi":"10.53702/i2375-5717-34.2.48","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.2.48","url":null,"abstract":"","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53702/i2375-5717-34.1.37
Brianne L. Wehner, Ritu Calla
Surgical and radiation treatment for head and neck cancer are associated with both chronic and acute pain. While traditional treatment options, commonly antiepileptics and opioids, can be effective, many patients may still experience significant and debilitating pain. This case report describes a 61-year-old woman with a past medical history of spindle type squamous cell carcinoma in the left cheek that metastasized to the left parotid and submandibular glands. She was treated with surgical excision followed by radiation. She presented to the Osteopathic Manipulative Medicine clinic with the complaint of severe left sided facial pain, and limited range of motion that resolved with osteopathic manipulation.
{"title":"An osteopathic approach for a patient with sequela after treatment for a cheek squamous cell carcinoma","authors":"Brianne L. Wehner, Ritu Calla","doi":"10.53702/i2375-5717-34.1.37","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.1.37","url":null,"abstract":"\u0000 Surgical and radiation treatment for head and neck cancer are associated with both chronic and acute pain. While traditional treatment options, commonly antiepileptics and opioids, can be effective, many patients may still experience significant and debilitating pain.\u0000 This case report describes a 61-year-old woman with a past medical history of spindle type squamous cell carcinoma in the left cheek that metastasized to the left parotid and submandibular glands. She was treated with surgical excision followed by radiation. She presented to the Osteopathic Manipulative Medicine clinic with the complaint of severe left sided facial pain, and limited range of motion that resolved with osteopathic manipulation.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140086169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53702/i2375-5717-34.1.31
Katherine Heineman
Cervical radiculopathy is a clinical condition related to dysfunction of the cervical spinal nerve roots. Signs and symptoms include unilateral neck, shoulder, or arm pain; paresthesias of the arm, forearm or hand; diminished muscle tendon reflexes, sensory disturbances; and/or muscle weakness. Cervical radiculopathy is primarily a clinical diagnosis with patients reporting a varying degree of pain and/or neurologic dysfunction along a nerve root distribution. In addition to a thorough history, a detailed physical exam including muscle strength testing, deep tendon reflex testing and sensory testing should be performed to determine the nerve root involved and to further help determine a course of action for the patient. The current case report demonstrates the impact of a somatic dysfunction component on underlying pathology of cervical spondylosis, likely driving the symptomatic component of cervical radiculopathy. By eliminating the somatic dysfunction components with the use of osteopathic manipulative treatment, the patient's system was able to function maximally within existing structural limitations and the symptoms resolved.
{"title":"The Use of Osteopathic Manipulative Treatment for a Case of Cervical Radiculopathy","authors":"Katherine Heineman","doi":"10.53702/i2375-5717-34.1.31","DOIUrl":"https://doi.org/10.53702/i2375-5717-34.1.31","url":null,"abstract":"\u0000 Cervical radiculopathy is a clinical condition related to dysfunction of the cervical spinal nerve roots. Signs and symptoms include unilateral neck, shoulder, or arm pain; paresthesias of the arm, forearm or hand; diminished muscle tendon reflexes, sensory disturbances; and/or muscle weakness. Cervical radiculopathy is primarily a clinical diagnosis with patients reporting a varying degree of pain and/or neurologic dysfunction along a nerve root distribution. In addition to a thorough history, a detailed physical exam including muscle strength testing, deep tendon reflex testing and sensory testing should be performed to determine the nerve root involved and to further help determine a course of action for the patient. The current case report demonstrates the impact of a somatic dysfunction component on underlying pathology of cervical spondylosis, likely driving the symptomatic component of cervical radiculopathy. By eliminating the somatic dysfunction components with the use of osteopathic manipulative treatment, the patient's system was able to function maximally within existing structural limitations and the symptoms resolved.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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