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Improved Digestion, Elimination, Bowel, Bladder & ProstateThe Mechanically Induced Pelvic Pain and Organic Dysfunction Syndrome: An Often Overlooked Cause of Bladder, Bowel, Gynecological, and Sexual Dysfunction. Browning JF. Journal of the Neuromusculosketetal System.1996; 4:52-667 Author's Abstract: The mechanically induced Pelvic Pain and Organic Dysfunction (PPOD) syndrome has recently been described in the literature. While the etiology of this disorder is thought to be a mechanical lesion of the lumbar spine with secondary impairment of lower sacral nerve root function, its clinical presentation is highlighted by various combinations of bladder, bowel, gynecologic and sexual dysfunction. As most PPOD patients present to the chiropractic clinician as a result of complaints relative to a mechanical disorder of the low back, the symptomatic representation of lower sacral nerve root impairment can easily be overlooked. As a result, patient management and therapeutic outcome may be compromised. (Abstract abridged). 29 year old woman with bilateral and low back pain. Previous chiropractic care gave partial relief but and exacerbation was accompanied by inguinal pain, urinary stress incontinence, loss of genital sensitivity, loss of libido and vaginal discharge. A gynecological exam failed to reveal any pathology. Dr. Browning found evidence of lower sacral nerve root involvement, secondary to a L5/S1 disc herniation. Under chiropractic care the patient initially experienced symptoms (pain and paraesthesia of the genitalia) but within one week bladder dysfunction had resolved, and the other were less severe. After 4 weeks her PPOD symptoms had resolved. Indigestion and heartburn: a descriptive study of prevalence in persons seeking care from chiropractors. Bryner P and Staerker, PG. Journal of Manipulative and Physiological Therapeutics 1996; 19;317-23. Irritable Bowel Syndrome and Spinal Manipulation: A Case Report. Wagner T, Owen J, Malone E, Mann K. Chiropractic Technique, 1995;7: 139-140. Assessing the Efficacy of Chiropractic Care in Pediatric Cases of Pyloric Stenosis. Proceedings of the National Conference on Chiropractic and Pediatrics (International Chiropractors Association: Arlington, VA). Fallon JP, Lok BJ. 1994:72-79. Effects of upper cervical correction on chronic constipation. Eriksen K. Chiropractic Research Journal, 1994; 3:19-22.
Chiropractic distractive decompression in the treatment of pelvic pain and organic dysfunction in patients with evidence of lower scacral nerve root compression. Browning JE. JMPT, 1988, 11(5):426-432
Chiropractic adjustment in the management of visceral conditions: a critical appraisal. Jamison JR, McEwen AP, Thomas SJ. JMPT, 1992;15:171-180. The recognition of mechanically induced pelvic pain and organic dysfunction in the low back pain patient. Browning JE. JMPT, 1991,12(5). Case study: the effect of chiropractic care on an infant with problems of constipation. Marko, S. Chiropractic Pediatrics Vol. 1 No. 3 Dec. 1994.
The side-effects of the chiropractic adjustment. Arno Burnier, D.C. Chiropractic Pediatrics Vol. 1 No. 4 May 1995. Chiropractic adjustment in the management of visceral conditions: a critical appraisal.
Chiropractic treatment of a 7-month old with chronic constipation: as case report. Hewitt EG, Chiropractic Technique, August 1993; 5(3): 101-103. |