Top 10

Question 1

What is post-op ileus, and how can it me treated? What about paralytic ileus?

Answer 1

When a patient has a functional inhibition of bowel motility usually post-op it resolves on its own in 2-3 days but it can last longer (paralytic ileus) in which case treatment is necessary

Treat with decreasing the sympathetic tone that was elevated due to stress and surgery. Use counterstrain anterior T10, chapmans pt peristalsis inferior to the ASIS, and perform a mesenteric lift: starting with descending colon and working to the ascending.

Question 2

What is thoraco-lumbar junction inhibition?

Answer 2

When you press up on the TL junction with patient supine and press down on their crossed arms (at the elbows) to localize the force to the junction.

Question 3

What’s another name for rib raising, and when is it indicated?

Answer 3

springing: you lift anteriorly between the transverse process of the vertebrae and the posterior rib angles of the lower thoracic once or as the name implies rhythmically like a spring.

Indicated for pneumonia

Question 4

How do you perform a technique using BLT?

Answer 4

Direction of ease in all 3 planes of motion. Have patient hold their breath, feel the release then find a new point of BLT.