An Alternative Approach to the Gastroesophageal Reflux Disease: Manual Techniques and Nutrition

Abstract

Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that affects a growing number of people in the world and is one of the most common gastric complaints that prompts an individual to consult a doctor. Heartburn and regurgitation are the most predominant esophageal symptoms of GERD, but patients with the disease may also have extra esophageal symptoms, such as epigastric pain, bronchospasm, and chronic cough. All of these symptoms may compromise health-related quality of life with modification of eating habits and sleep pattern that have a great impact on the normal daily. Furthermore, GERD is a multifactorial disease that can be complicated and difficult to treat. Mechanical, chemical, physiopathologic, and functional factors that predispose patients to the disease are still under investigation. A simple treatment plan for manual therapists is presented based on current evidence-based literature; it is designed to reduce symptoms of GERD through somatovisceral approach and the nutrition.

Osteopathy and Emergency: A Model of Osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Brief and Useful Guide—Part 2

“…Performer the tecnique while listening to the diaphragmatic breathing, during the expiratory phase give a slight push with the pectoral muscles towards the floor and with a cranial hand give a downward thrust, at the same time with the caudal hand give a push upwards. Keep the thrust for 3 -4 respiratory times and then release the position (Figure 9), [16] [21].…”

Osteopathy and Emergency: A Model of Osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Part 1

“…In choosing techniques we tried to combine the Craniosacral with the Visceral and Muskuluskeletal models, through an indirect approach typical of myofascial treatment in order to promote a rebalancing of the deep aponeurosis. Regarding the dosage of the treatment, we believe it is preferable to dilute it in a plurality of 10 techniques and to delay it in 4 OMT treatments, one every 15 days [28] [32][33]. The OMT therapeutic model through our protocol of therapeutic techniques(Table 1)combined with the psychological approaches used to manageTable 1.…”