Visceral OMT

Question 1

In what direction are the viscera typically moved for fascia balance?

Answer 1

They are moved towards their fascial attachment

Question 2

3 major indications for Large Intestine Visceral OMT?

Answer 2

Constipation, IBS, and viscerosomatic reflex findings

Question 3

What are 3 relative contraindications for Large Intestine Visceral OMT?

Answer 3

Peritonitis, colon obstruction, and recent abdominal surgery

Question 4

What 3 parts of the colon are retroperitoneal?

Answer 4

Ascending, descending, and sigmoid.

Question 5

What two structures are anterior to each kidney?

Answer 5

Ascending and descending colon

Question 6

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?

Answer 6

Distal esophagus, stomach, duodenum, liver, gallbladder, spleen, and parts of pancreas. T5-9. Greater splanchnic. Celiac. Vagus.

Question 7

What are the middle GI organs, cord level, splanchnic nerve, ganglia, and parasympathetic innervation?

Answer 7

Distal duodenum, small intestine, ascending colon, proximal transverse, kidneys and adrenal glands. T10-11. Lesser splanchnic. Superior mesenteric. Vagus.

Question 8

Lower GI organs, cord level, splanchnic, ganglia, and parasympathetic innervation?

Answer 8

Distal transverse colon, descending colon, sigmoid colon, rectum, lower ureters, bladder and pelvic organs. T12-L2. Least splanchnic. Inferior mesenteric. Sacral splanchnic s2-s4.

Question 9

Say the anterior Chapman points

Answer 9

Ok

Question 10

Where do we find the posterior Chapman points for the colon?

Answer 10

We start at the transverse processes of L2-L4 and make a triangle down to the iliac crest.

Question 11

What is the patients position and physicians position for Collateral Ganglia Release? Include direction of force how the treatment is performed.

Answer 11

Patient is supine with knees bent. Physician directs a posterior gentle force at the feathers edge of the RB.

Question 12

Explain how to do a Colon release? And what are the two goals of colon release?

Answer 12

1. Enhance lymphatic and venous drainage.

2. Alleviate congestion secondary to visceral ptosis/dysfunction

Question 13

What are the two treatment endpoints of treating Chapman Reflexes?

Answer 13

TART/Mass disappears or patient doesn’t tolerate it.

Question 14

What are the 4 main indications for small intestine Visceral OMT?

Answer 14

Indigestion, delayed gastric emptying, cholestasis, and viscerosomatic reflexes

Question 15

3 relative contraindications for small bowel visceral OMT?

Answer 15

Peritonitis, splenomegaly, and recent abdominal surgery

Question 16

What is the order of mesenteric release?

Answer 16

SI Mesenteric Root, Cecum, Ascending, Transverse, Descending, and Sigmoid.

Question 17

What is the locations of the SI Root, Cecum, Ascending and Descending Colon, and Transverse colon.

Answer 17

1 inch lateral and inferior to umbillicus. Medial to the right ASIS. Both are posterolateral flank. Inferior to costal margin.

Question 18

3 indications for Liver Visceral OMT?

Answer 18

1. Liver and Spleen Congestion
2. CHF (especially right sided?
3. Liver visceral dysfunction

Question 19

4 contraindications for Liver Visceral OMT?

Answer 19

1. Fractures in the thorax
2. Lymphatic system malignancy
3. Acute hepatitis
4. Friable hepatomegaly or splenomegaly as in sickle cell anemia

Question 20

How long do you do the liver pump for?

Answer 20

30-60 seconds

Question 21

How do you perform a liver pump with recoil activation?

Answer 21

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.