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Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder
Robert Cooperstein1, Anthony Lisi2, Andrew Burd3
1Professor, Director of Research and Technique, Palmer Chiropractic College, San Jose, CA.
Objective:
The purpose of this case report is to describe chiropractic management of a patient with overactive bladder (OAB) and to describe an hypothetical anatomical basis for a somato-vesical reflex and possible clinical link between pelvic and symphysis pubis dysfunction to OAB.
Clinical Features:
A 24-year-old nulliparous female with idiopathic OAB, with a primary complaint of nocturia presented for chiropractic care. Her sleep was limited to 2 consecutive hours due to bladder urgency. Pubic symphysis shear dysfunction was observed on physical examination.
Intervention And Outcomes:
The primary treatment modality used was chiropractic side-posture drop-table manipulation designed to reduce pubic shear dysfunction. After 8 treatments in 1 month, the pubic shear gradually reduced while nocturia diminished and consecutive sleep hours increased from 2 to 7. At 1-year follow-up, the nocturia remained resolved.
Conclusion:
The patient reported in this case responded favorably to chiropractic care, which resulted in reduced nocturia and increased sleep continuity.
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