Manipulation is the therapeutic
application of a force.
And a force can come from
a lot of different ways.
I can provide the force as a provider.
The force can come from gravity.
It can come from physiologic
actions within a patient—
like the heartbeat, like respirations
or the fluctuation of cerebrospinal fluid.
Every osteopathic medical student
is taught 7 different ways
to do manipulation,
to free up motion in the body.
And we’re going to talk about each
of those 7 types of manipulation,
what they are, and how they differ
so you can identify what’s being done
or how you might treat a patient
with a particular issue.
The 7 different types can be broken
down into many different ways.
I like thinking of them as
3 tissue treatments
which will be myofascial, lymphatic,
and soft tissue
and those are where we treat the
tissue to get a response.
There is a release by positioning
where if you hold the body in
a particular position,
the body will start to heal itself.
The neural mechanisms will
take over and reorient
how the body is thinking
about what’s going on.
There are 2 more muscle based
that are more dramatic in what you see
and that’s high velocity, low
and muscle energy.
And the 7th type is cranial osteopathic
where the craniosacral rhythm
and the motion of the cranium
is manipulated to help free up motion
and make a person feel better.
So let’s start reviewing each of the 7 types.
The first type of manipulation we’re going
to talk about is called lymphatic pump.
The lymphatic pump is when you deal
with the lymph system in the body.
The body has lymph everywhere.
It kind of bathes the tissues,
bathes the body
but sometimes it starts to pool
or get caught in diaphragms
where it doesn’t go through easily.
And we try to manipulate it
by easing up motion, helping motion,
and helping a person’s lymph system
return and get redistributed.
I’m going to start by showing you
a thoracic/lymphatic pump
and that’s basically where you find
a position in the chest
where you may have a coagulation of lymph
and you just generally push on it
and help the lymph flow.
And it’s usually a rhythmic helping
of the lymph in the body flow.
Then you check the diaphragm.
There are 7 diaphragms in the body.
I’m going to check the thoracic diaphragm
and the pelvic diaphragm now
just to make sure there’s freedom of
motion and freedom of flow.
And if there is freedom of flow,
you just massage the lymph to return.
So we can come and make sure that
you get flow of the lymph
through the tissues
then end up in the periphery.
That’s the lymphatic pump.