Visceral OMT Flashcards
In what direction are the viscera typically moved for fascia balance?
They are moved towards their fascial attachment
3 major indications for Large Intestine Visceral OMT?
Constipation, IBS, and viscerosomatic reflex findings
What are 3 relative contraindications for Large Intestine Visceral OMT?
Peritonitis, colon obstruction, and recent abdominal surgery
What 3 parts of the colon are retroperitoneal?
Ascending, descending, and sigmoid.
What two structures are anterior to each kidney?
Ascending and descending colon
What organs are considered upper GI, what is the cord level of those organs, which splanchnic nerve, which ganglia, and what is the parasympathetic innervation?
Distal esophagus, stomach, duodenum, liver, gallbladder, spleen, and parts of pancreas. T5-9. Greater splanchnic. Celiac. Vagus.
What are the middle GI organs, cord level, splanchnic nerve, ganglia, and parasympathetic innervation?
Distal duodenum, small intestine, ascending colon, proximal transverse, kidneys and adrenal glands. T10-11. Lesser splanchnic. Superior mesenteric. Vagus.
Lower GI organs, cord level, splanchnic, ganglia, and parasympathetic innervation?
Distal transverse colon, descending colon, sigmoid colon, rectum, lower ureters, bladder and pelvic organs. T12-L2. Least splanchnic. Inferior mesenteric. Sacral splanchnic s2-s4.
Say the anterior Chapman points
Ok
Where do we find the posterior Chapman points for the colon?
We start at the transverse processes of L2-L4 and make a triangle down to the iliac crest.
What is the patients position and physicians position for Collateral Ganglia Release? Include direction of force how the treatment is performed.
Patient is supine with knees bent. Physician directs a posterior gentle force at the feathers edge of the RB.
Explain how to do a Colon release? And what are the two goals of colon release?
- Enhance lymphatic and venous drainage.
2. Alleviate congestion secondary to visceral ptosis/dysfunction
What are the two treatment endpoints of treating Chapman Reflexes?
TART/Mass disappears or patient doesn’t tolerate it.
What are the 4 main indications for small intestine Visceral OMT?
Indigestion, delayed gastric emptying, cholestasis, and viscerosomatic reflexes
3 relative contraindications for small bowel visceral OMT?
Peritonitis, splenomegaly, and recent abdominal surgery
What is the order of mesenteric release?
SI Mesenteric Root, Cecum, Ascending, Transverse, Descending, and Sigmoid.
What is the locations of the SI Root, Cecum, Ascending and Descending Colon, and Transverse colon.
1 inch lateral and inferior to umbillicus. Medial to the right ASIS. Both are posterolateral flank. Inferior to costal margin.
3 indications for Liver Visceral OMT?
- Liver and Spleen Congestion
- CHF (especially right sided?
- Liver visceral dysfunction
4 contraindications for Liver Visceral OMT?
- Fractures in the thorax
- Lymphatic system malignancy
- Acute hepatitis
- Friable hepatomegaly or splenomegaly as in sickle cell anemia
How long do you do the liver pump for?
30-60 seconds
How do you perform a liver pump with recoil activation?
Compress like the pump. Figure out indirect manner of flexion/extension, sidebending, rotation and stack it. Then have the patient take a few deep breaths and then at the start of inhalation, release the tissue like the thoracic pump one.
