title: What about OMT and nutrition for managing the irritable bowel syndrome? An overview and treatment plan.
abstract: A chronic continuous or intermittent gastrointestinal tract dysfunction, the irritable bowel syndrome (IBS), appears to be due to dysregulation of brain-gut-microbiota communication. Furthermore, the "microbiota" greatly impacts the bi-directional brain-gut axis communication. This article describes IBS in relation to similar diseases, presents the background to osteopathy, and proposes osteopathic manipulative treatment (OMT) to manage IBS. In IBS, OMT focuses on the nervous and circulatory systems, spine, viscera, and thoracic and pelvic diaphragms in order to restore homeostatic balance, normalize autonomic activity in the intestine, promote lymphatic flow, and address somatic dysfunction. Lymphatic and venous congestion are treated by the lymphatic pump techniques and stimulation of Chapman׳s reflex points. A simple treatment plan designed to lessen chronic pain and inflammation in IBS is presented based on current evidence-based literature. Since food itself, food allergies, and intolerance could contribute to symptom onset or even cause IBS, this article also provides dietary modifications to consider for patients.
authors.affiliation: Rehabilitation Unit, National Health Service of Umbria, Perugia, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Collebrusco
authors.affiliation: Department of Clinical and Experimental Medicine, University of Perugia, "S. Maria della Misericordia" Hospital, Loc. S. Andrea delle Fratte, Perugia 06156, Italy. Electronic address: rita.lombardini@unipg.it.
authors.forename: Rita
authors.initials: R
authors.lastname: Lombardini
mesh_terms: D001341:Autonomic Nervous System; D001921:Brain; D005247:Feeding Behavior; D005512:Food Hypersensitivity; D041981:Gastrointestinal Tract / Q000382:microbiology; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000178:diet therapy / Q000382:microbiology / Q000628:therapy*; D008208:Lymphatic System; D026301:Manipulation, Osteopathic; D064307:Microbiota
keywords: Irritable Bowel Syndrome; Nutrition; Osteopathy