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Pericardial Adhesion and Chronic Non-Specific Neck Pain following Thoracentesis: An Osteopathic Approach

Bruno Bordoni1, Allan Escher2

  • 1Department of Cardiology, Foundation Don Carlo Gnocchi Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Institute of Hospitalization and Care, S Maria Nascente, Via Capecelatro 66, 20100 Milan, Italy.

Clinics and Practice
|November 21, 2023
PubMed

Insights

Cardiovascular diseases (CVDs) are a leading cause of death. This study shows an osteopathic technique on the pericardial area resolved non-specific neck pain (NNP) in a patient five years after coronary artery bypass graft (CABG) surgery.

Area of Science:

  • Osteopathic Manipulative Medicine
  • Cardiovascular Surgery
  • Pain Management

Background:

  • Cardiovascular diseases (CVDs) are the primary cause of global mortality.
  • Non-fatal cardiovascular events lead to increasing morbidity and disability.
  • Chronic pain, including non-specific neck pain (NNP), can persist years after coronary artery bypass graft (CABG) surgery.

Observation:

  • A patient presented with non-specific neck pain (NNP) five years post-coronary artery bypass graft (CABG).
  • The NNP was unresponsive to conventional treatments.
  • An osteopathic manipulative technique targeting the pericardial area was employed.

Findings:

  • The osteopathic technique applied to the pericardial area resulted in the complete resolution of the patient's non-specific neck pain (NNP).
  • This represents the first documented case of NNP resolution using manual osteopathic treatment of the pericardial area following CABG.

Implications:

  • This case suggests a potential link between the pericardium and chronic neck pain after cardiac surgery.
  • Osteopathic manipulative treatment may offer a novel therapeutic option for managing persistent post-CABG pain.
  • Further research is warranted to explore the efficacy and mechanisms of osteopathic interventions for post-cardiac surgery pain syndromes.

Keywords:
diaphragmfascianon-specific neck painosteopathic manipulationosteopathy

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