Use of spinal manipulative therapy in the treatment of duodenal ulcer: a pilot study. Pikalov AA, Vyatcheslav VK. Presented at the June, 1993 meeting of the Consortium for Chiropractic Research, Monterrey, CA.

Sixteen adult men and women 16-47 years old with endoscopically confirmed diagnosis of ulcer disease were in the experimental group that received chiropractic care. Forty were in the control group that received traditional medical treatment. They were studied using endoscopy and clinical examination. The chiropractic group had pain relief and healing of the ulcer after 1-9 (average 3.8) days while the control (medical) group took ten days longer. Most frequently involved segments were T9-T12.

Gonstead claimed duodenal ulcer T4-T10. Homewood’s review of the literature signified T6-T9.

The above paper also appeared in Use of spinal manipulative therapy in the treatment of duodenal ulcer: a pilot study. Pikalov AA, Kharin VV Journal of Manipulative and Physiological Therapeutics 1994 17(5): 310-313.

The side-effects of the chiropractic adjustment. Arno Burnier, D.C. Chiropractic Pediatrics Vol. 1 No. 4 May 1995.

This is a case history of J.C. male, 1 year old.

Medical diagnosis (gastroenterologist): post-viral enteritis, c.difficile enteritis, colitis secondary to antibiotic usage, allergic colitis, gastroesophageal reflux with esophagitis, gastric and/or duodenal ulcer disease, duodenitis secondary to congenital or autoimmune phenomenon, club feet requiring surgery.

Medication: Amoxicillin™, Zantac™ , Reglan™, Tylenol™, and Ambesol™.

Chiropractic results: Off all medication after first visit. Immediate improvement within 24 hours. Complete resolution within 3 weeks of care. Six months later the child is in radiant health, has had no need for medical care and has been free of medication and over-the-counter drugs. Club feet straightened out without surgery within 1 1/2 months of care.

Presenting Subluxation Findings: Occiput/C1 with an Atlas ASRP, Sacrum base posterior.

Original Adjustments: Left occiput ridge meningeal contact for 30 seconds, double notch sacral meningeal contact for 1 minute; structural manual adjustment of Atlas ASRP, left Temporoparietal suture adjustment.

Systemic effects of spinal lesions. Dhami MSI, DeBoer KF In Principles and Practice of Chiropractic, 2nd edition, Appleton and Lange, East Norwalk, CT 1992.

The authors list “organic disorders reported to be related to spinal lesions or affected by chiropractic manipulation.” These include: abdominal discomfort, asthma, Barre-Lieou syndrome, cardiac arrythmia, colic, constipation, dysmenorrhea, high blood pressure, low-blood sugar and hyperinsulinism, migraine, pulmonary diseases, ulcers, vertebral autonomic dysfunction.

An osteopathic approach to disease of the upper gastrointestinal tract. Harakal, J.H., Burns, and C.L. Osteopath Ann 1978; 6:51-54.

Manipulative treatment for diseases of stomach and duodenum, Kranz, M.A.: Symposium on stomach and duodenum Journal Of The American Osteopathic Association 29:158-60, Dec, 1929.

The treatment of acute gastritis, or an acute inflammation of the mucous membrane of the stomach and also the duodenum, besides the eliminative, dietary, and measures that will assure rest, should include a thorough investigation of the spinal area from the fifth to the seventh thoracic segments…manipulation should be the outstanding form of treatment, but all other agencies that have value should not be omitted.

Segmental spinal osteophytosis in visceral disease. Burchett GD J of the American Osteopathic Association 1968; 67(6): 675.
The author examined sixty-one hospital patients and found that in 88% of patients with gallbladder disease there was lipping from T7-T10; spinal osteophytes (T9-T11) were found in 82% of those with stomach disease.

Many sufferers of pancreatic disease had segments T5-T7 involved.

Burchett also found that 31% of patients with duodenal disease had osteophytes at T9-L2.

A double blind clinical study of osteopathic findings in hospital patients. Kelso. A.F. Progress Report. Journal Of The American Osteopathic Association 70:570-592, Feb 1971.

Acute effects of spinal manipulation on gastrointestinal myoelectric activity in conscious rabbits. DeBoer KF, Schutz M, and McKnight ME. Manuelle Medicine, 1988; 3:85-94.

An acute stimulus thought to mimic a chiropractic subluxation (surgically implanted spinal appliances) was created at T6 and at various points above and below. Within 2 ½ minutes, there was a dramatic decrease of smooth muscle contraction in the stomach and duodenum. Masarsky CS and Weber M Eds of Neurological Fitness (Vol. 2 No. 4 July 1993) in commenting on this study: “These changes could make the upper gastrointestinal tract vulnerable to disease and dysfunction.”

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