Visceral Manipulative Treatment of the Abdomen Flashcards
Contraindications to Visceral Manipulation
- The following symptoms on palpation:
- Nausea and vomiting*
- Sweating
- Tachycardia
- Syncope
- Dizziness
- Guarding and pain on rebound - Acute infection: appendicitis, peritonitis, diverticulitis, cholecystitis, gastroenteritis, etc.
- Ruptured viscera
- Acute blunt-force trauma
- Aortic aneurysm
- Ischemic bowel
palpation of a tethered kidney produces_____.
mild nausea that lasts momentarily
Relative Contraindications to Visceral Manipulation (5)
- Gallstones
- Cancer
- Bowel obstruction
- Pregnancy
- IUD
Sequence of treatment of the colon - 10 steps
- Start by correcting any structural pelvic somatic dysfunctions
- Then release the plexi
- Then release the cecum
- The ileocecal valve
- Ascending colon
- Hepatic flexure
- Transverse colon
- Splenic flexure
- Descending colon
- Sigmoid colon
Treatment of Pre-Aortic Plexi
- Stand next to the supine patient.
- Place fingers of both hands (one re-inforcing the other) along linea alba above the umbilicus.
- Gently let your fingers sink into the tissues until you reach the plexi.
- Maintain pressure and await a fascial release. There may be a few that occur on your way toward the plexi.
- To stimulate the plexi, one can perform gentle, repeated rebounds.
Treatment of the Cecum
- Patient is supine on the table with knees flexed
- With gentle fingers (don’t lock the PIP and DIP joints), or both thumbs or the lateral curve of your fingers, slid along the iliac fossa until you palpate the cecum.
- Push the lateral aspect of the cecum anteromedially.
- Push the medial aspect of the cecum inferolaterally.
- Push the inferior aspect of the cecum superolaterally.
- Once this has been released, treat the iliocecal valve by placing the thenar eminence over the valve and applying pressure medially and then laterally until there is freer motion.
Treatment of the Sigmoid Colon
- Patient is supine on the table with knees flexed.
- With gentle fingers (don’t lock the PIP and DIP joints), or both thumbs or the lateral curve of your fingers, slid along the iliac fossa until you palpate the sigmoid colon.
- Push the lateral aspect of the sigmoid superomedially toward the umbilicus.
- Then place your fingers just above the pubic symphysis and push the sigmoid and small intestine superiorly toward the umbilicus.
- There should be the perception of a fascial release.
The sigmoid mesocolonic attachment _______.
arises on the medial aspect of the left psoas muscle, curves over the iliac vessels and ends lying over the 3rd sacral segment.
The root of the mesentary Small intestine runs from _____.
the left side of L2 to the right sacroiliac joint.
Treatment of the Mesentery (Lift)
- Patient is supine or in the left lateral recumbent position.
- Physician stands on the patient’s right side or behind them.
- Place your finger tips at the left border of the mesenteric region and curl the fingertips. Then push them gently toward the patient’s spine and toward their right side until a restrictive barrier is engaged.
- Maintain this position, taking up slack as releases occur, and hold until no further improvement is detected.
Do not perform the Mesentery (Lift) if there is a _______.
recent abdominal incision, acute ischemic bowel disease, bowel obstruction, etc.
The Mesentery (Lift) is a ______ technique that is best performed after __________.
mobilizing the cecum, ileocecal valve and sigmoid.
The Mesentery (Lift) can relieve______, and improve _______.
venous congestion and edema in the intestines……immune function and absorption of nutrition
The Mesentery (Lift) also addresses part of the ________ which refer to the fascial connection from the base of the sphenobasilar symphysis to the perineal body via the pre-tracheal fascia, mediastinum, the central tendon of the diaphragm, the midline of the abdominal cavity from which all of the organs arose via invagination of the gut cavity during embryology to the pre-sacral fascia.
“central chain” or “central tendon”
