NMM/OMTCase Report

Osteopathic Manipulative Treatment in the Management of Biliary Dyskinesia

Katherine Heineman, DO
Notes and Affiliations
Notes and Affiliations

Received: July 2, 2013

Accepted: August 20, 2013

Published: February 1, 2014

  • Katherine Heineman, DO, 

    From the Department of Osteopathic Manipulative Medicine at the Des Moines University College of Osteopathic Medicine in Iowa

J Osteopath Med; 114(2): 129-133

Biliary dyskinesia is a functional gastrointestinal disorder of the gallbladder and sphincter of Oddi. Diagnosis is made on the basis of symptoms of biliary colic in the absence of cholelithiasis and gallbladder inflammation. Palpatory findings of tissue texture changes at midthoracic levels (T6-T9) may correspond to visceral dysfunction related to the biliary system. Osteopathic manipulative treatment (OMT) of the T6-T9 segments can remove the feedback related to the somatic component, thereby affecting nociceptive facilitation at the spinal level and allowing the body to restore autonomic balance. Few reports in the current literature provide examples of treatment for patients with biliary dyskinesia using OMT. The author describes the case of a 51-year-old woman who presented with symptoms consistent with biliary dyskinesia. Her biliary colic completely resolved after OMT. Osteopathic evaluation and OMT should be considered a safe and effective option for conservative management of biliary dyskinesia.

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