OMM and GI

GI Sympathetics
 Preganglionic Fibers  T5 – L2 (Thoracolumbar Spine)  Sympathetic Ganglia
 Celiac Ganglia is located right under the Xyphoid Process
o Nerve Roots  T5 – T9
o Innervation  Upper GI Tract (Esophagus, Stomach, Liver)
 Superior Mesenteric Ganglia is located between Xyphoid and Umbilicus
o Nerve Roots  T10 – T11
o Innervation  Small Intestine – Right Side of Large Intestine
 Inferior Mesenteric Ganglia is located above the Umbilicus
o Nerve Roots  T12 – L2
o Innervation  Left Side of Large Intestine

Sympathetic Input to the GI

 Sympathetic Input to the GI System causes

o Decreased Mucosal Secretions
 o Increased Sphincter Tone
o Decrease Peristalsis
 Sympathetic Symptoms
o Constipation, Bloating, Flatulence

GI Parasympathetics
 Vagus Nerve (CN X)
o Innervation  Everything up to the Transverse Colon
 Pelvic Splanchnic
o Nerve Roots  S2 – S4
o Innervation  Descending Colon Onwards

Parasympathetic Input to the GI

 Parasympathetic Input to the GI System causes
o Increased Mucosal Secretions
o Decreased Sphincter Tone
o Increased Peristalsis
 Parasympathetic Symptoms
o Nausea, Vomiting, Diarrhea

Reflexes
 Viscerosomatic Reflex  Prolonged Organ Stimulation causes referred pain and tissue
texture to different Muscle Groups
  Somatovisceral Reflex  Somatic Pain causes Organ to Activate via Sympathetic or
Parasympathetic Fibers

Treating Viscerosomatic Reflexes

 The Rotatores Muscle in the Spine (T5 – L2) gets Hypertonic due to Excessive
Stimulation
 The Rotatores Muscle cause Type 2 Dysfunctions as follows
o Always Extended, Sidebent and Rotated Towards
 The Rotatores Muscle can be treated with FPR
o Passive and Indirect Technique
o Flatten the Curve  Place in Ease  Compressive Force
 Before you do FPR, Treat the Organ First
o Gastritis Patient, treat Gastritis then perform FPR

GI Lymphatics
 The GI Drains into the Thoracic Duct
o Cisterna Chyli (I remember using Kylie) at L1 – L2  Thoracic Duct  Thoracic
Inlet
 Blockage of Lymphatic Drainage will cause backup of Material

OMM and GI
 Treat Autonomics  Treat Lymphatics  FPR
 Autonomic Techniques
 o Sympathetic (T5 – L2)
 MFR of the Ganglia (Celiac, Super Mesenteric, Inferior Mesenteric)
 Rib Raising
o Parasympathetics
 Vagus (Up to Transverse)  Cervical and OA Release/Spread
 Pelvic Splanchnic (Descending Onwards)  Sacral Rocking/MFR
 Lymphatic Techniques (Work Proximal  Distal)
o Thoracic Inlet
o Doming
o Pump
o Mesenteric Lift
 FPR

Chapman Points
 Esophagus  Ribs 2 – 3
 Stomach  Ribs 6 – 7 (Right)
 Liver/Gallbladder  Ribs 6 – 7 (Left)
 Small Intestine  Ribs 8 – 10
 Ascending Colon  Right Thigh
 Descending Colon  Left Thigh