Document Detail


A case study of chiropractic management of pregnancy-related heartburn with postulated fetal epigenome implications.
MedLine Citation:
PMID:  22938750     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This case study reports on chiropractic care for pregnancy-related heartburn. The purpose of this article is to relate the benefit of chiropractic treatment for one individual, to contrast chiropractic management with the biomedical standard of care for pregnancy-related heartburn, and to point to potential epigenetic implications of the standard of care.
CLINICAL FEATURES: A 32-year-old woman who was 24 weeks pregnant presented with persistent heartburn that she was treating with ranitidine (Zantac®) and calcium carbonate (Tums®) daily at the initiation of chiropractic care.
INTERVENTION AND OUTCOME: Findings of the initial examination were thoracic intersegmental dysfunction and pain upon palpation of the diaphragm, with hypertonicity noted. Therapy localization was positive for reflexes associated with the esophagus and lower esophageal sphincter, suggesting spasms. Emotional components also were identified in association with the symptoms by the use of a mind-body therapy called NeuroEmotional Technique. The patient was treated by adjusting the thoracic spine, manually releasing the diaphragm spasms, and releasing the esophageal spasm with an activator (a small hand-held instrument that creates a percussive force). The patient was symptom-free and did not use medication after the fifth treatment. She was followed throughout the remainder of her pregnancy and was asymptomatic and required no further treatment.
CONCLUSIONS: A larger study should investigate the effectiveness of chiropractic care for the treatment of pregnancy-related heartburn.
Authors:
Caroline Peterson
Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Explore (New York, N.Y.)     Volume:  8     ISSN:  1878-7541     ISO Abbreviation:  Explore (NY)     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-09-03     Completed Date:  2013-01-08     Revised Date:  2013-08-05    
Medline Journal Info:
Nlm Unique ID:  101233160     Medline TA:  Explore (NY)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  304-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Fertile Ground Family Center, 2031 East Burnside Street, Portland, OR 97214, USA. imcarolinep@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Chiropractic / methods*
Diaphragm
Emotions
Epigenesis, Genetic*
Esophagus
Female
Fetus
Heartburn / complications,  genetics,  psychology,  therapy*
Humans
Manipulation, Chiropractic*
Mind-Body Therapies
Pregnancy
Pregnancy Complications / genetics,  psychology,  therapy*
Standard of Care*
Thoracic Vertebrae

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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