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April 2026 Vol. 126, No. 4

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NMM/OMT

Osteopathic manipulative medicine lymphatic drainage techniques for venous insufficiency and peripheral arterial disease: a review

Iya Agha, MS, DO; Lyudmyla Susla, BS; Elizabeth Ryder, DO; Gursimran Nanki Udhwani, DO; and Sheldon C. Yao, DO
Chronic venous insufficiency (CVI) and peripheral arterial disease (PAD) are associated with significant morbidity, often manifesting as edema, pain, and nonhealing ulcers. The objective of this study is to systematically evaluate the evidence regarding the effectiveness of osteopathic manipulative medicine lymphatic drainage techniques on wound healing, symptoms, and quality of life in patients with CVI and PAD.
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A diffuse presentation of urticarial bullous pemphigoid

Ahmed Farid, BS; Mark Saad, BS; Daniel Albatarseh, BS; Natalie Prena, BS; and Robert Dazé, DO, FAAD
NMM/OMT

Evaluating median nerve stiffness in patients with mild to moderate-severe idiopathic carpal tunnel syndrome receiving OMT and conservative therapy: a pilot study

Roland Gazaille, DO; Cole Knox, MD, PhD; Michelle Pershing, PhD; K. Doug Pugar, DO; H. Brent Bamberger, DO; James Schoen, DO; Nicklaus Hess, DO; Chelsea Nickolson, DO; Taylor Vickery, DO; Don Flowers, DO; Antipas Marati, DO; Kortney LaCombe, DO; and Sharal Mall, DO
Osteopathic manipulative treatment (OMT) has been recognized as a conservative management option for patients with carpal tunnel syndrome (CTS), although limited research exists to validate its ability to effect posttreatment changes in the median nerve or the surrounding soft tissues. The objectives of this study are to evaluate and quantify changes in the elasticity of the median nerve, transverse carpal ligament, and intracarpal tunnel soft tissues in patients treated for CTS with traditional conservative therapy (e.g., steroid injection and splinting), OMT, or OMT plus conservative therapy.

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