Cooperstein R, Lisi A, Burd A. Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder.
J Chiropr Med 2015;
13:81-9. [PMID:
25685115 DOI:
10.1016/j.jcm.2014.06.003]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2014] [Revised: 05/07/2014] [Accepted: 05/07/2014] [Indexed: 10/25/2022] Open
Abstract
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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