Abstract
Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that affects a growing number of people in the world and is one of the most common gastric complaints that prompts an individual to consult a doctor. Heartburn and regurgitation are the most predominant esophageal symptoms of GERD, but patients with the disease may also have extra esophageal symptoms, such as epigastric pain, bronchospasm, and chronic cough. All of these symptoms may compromise health-related quality of life with modification of eating habits and sleep pattern that have a great impact on the normal daily. Furthermore, GERD is a multifactorial disease that can be complicated and difficult to treat. Mechanical, chemical, physiopathologic, and functional factors that predispose patients to the disease are still under investigation. A simple treatment plan for manual therapists is presented based on current evidence-based literature; it is designed to reduce symptoms of GERD through somatovisceral approach and the nutrition.
Highlights
Gastroesophageal reflux disease (GERD) is a chronic disease usually caused by the reflux of acidic gastric and duodenal contents into the distal esophagus
GERD results from failure of the barrier mechanism of the lower esophageal sphincter (LES), allowing the distal esophagus to be exposed to gastric juice [1]
We provide an overview of its management using Osteopathic Manipulative Treatment (OMT), dietary modification and nutritional supplementation, according to the current evidence-based literature
Summary
Gastroesophageal reflux disease (GERD) is a chronic disease usually caused by the reflux of acidic gastric and duodenal contents into the distal esophagus. GERD is a common digestive disease with the direct medical costs estimated around $9.3 billion annually [1] It has a great medical-social importance, with a high and growing prevalence. He identified the musculoskeletal system as a key to health, hypothesizing that every illness was the result of an anatomical disorder associated with physiological discord, termed “Somatic Dysfunction” (SD). Impulse, muscle contraction, fascial loading, or passive range of motion They engage the restrictive barrier and use an activating force to achieve the tissue response and correct the SD. They use fascial massage, fascial and soft tissue loading or unloading, hydraulic pressures, respiration phases and cranial or postural adjustments [11] [12]
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