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Tuesday, December 29, 2015

Hiatal Hernia Syndrome

Visceral manipulation: Dr. Failor taught us his technique in 1977, and many doctors still use it.1 It is effective, but can be a bit forceful. I trained in structural integration in 1996, and over the last five years I have developed a gentler method. I contact the epigastric area just inferior to the costosternal angle. I use a "claw" hand contact and support the contact hand with my other hand (Figure 5). I traction toward the left anterior superior iliac spine (ASIS) and wait for the soft tissue to begin a counterclockwise rotation. I just allow my fingers to follow the movement while continuing to apply the traction. In most cases, the rotation will shift to clockwise as I continue the traction. When the rotation is finished (usually 2 to 4 minutes at the longest), I add three additional clockwise thrusts of my hands. Dr. Failor called this "ballooning the stomach" and thought that it was important in order for the manipulation to hold.

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