Manual therapy + movement for the masses

Abdominal Pain

Abdominal Pain
December 11, 2016 Phillip Snell

REMEMBER THE DTM FLOW…
1. Identify provocative movement
2. Consider involved neurology for potential neuropathic component
3. Assess for neural sensitivity
4. Apply treatment to improve mechanical interface of the involved neuro
5. Re-test provocative movement
6. Apply homecare and perform regularly until sensitivity to movement normalizes

Common Diagnosis

  • Sports hernia
  • Inguinal hernia
  • Athletic pubalgia
  • Costochondritis
  • Tietze’s syndrome

Target Neurology

  • Anterior cutaneous branches of intercostal nerves
  • Lateral cutaneous branches of intercostal nerves

Pain of visceral origin, particularly from appendicitis, inguinal hernia and kidney stones must be considered and ruled out here. We have found that in our patients that have had abdominal surgery (appendectomy, Caesarean section, laparoscopy, hernia repair, hip surgery), putative tethering of the superficial neurology in the surgical scar is a frequent cause of unexplained chronic pain in these areas.

Select a Chapter to Move Forward

Chapters Completed 6
Head/NeckShoulderArmUpper BackLower BackAbdomenHipLegFoot