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Manual Therapy in Respiratory System Diseases

We were visited by a patient whose main problem was shoulder pain with a sporadic radiation to the hand. While describing the pain, the patient pointed out the feeling of heaviness in the shoulders as if he “ had an armor on”, simultaneously he complained about constant pain sensations between shoulder blades. The description alone suggested that the cause of the problem lies in the respiratory system rather than shoulders or hands. When asked about respiratory problems, the patient admitted that he has been being treated for asthma, and simultaneously couldn’t stop hawking for months. There was no doubt that we were dealing with respiratory system dysfunctions.

Hoarseness, frequent clearing of the throat, coughing, shortness of breath, need for swallowing, the feeling of having something stuck in the throat, or even chronic throat irritation not necessarily are of bacterial, viral, or chemical origin. It can be the respiratory system giving us a sign that there are some blockages and that it’s trying to deal with them by trying to even out the incorrect contractions by contracting back.

After working on the soft tissues, sternum fascia, sternocleidomastoid joints, costochondral joints, costotransverse joints, and after the manipulation of the sternum the symptoms felt in the shoulders disappeared, and respiratory function has been restored. The patient told us that he has reduced the intake of asthma medication by half.

We discovered that ribs and sternum were blocked in the exhalation position which caused respiratory problems incorrectly diagnosed as asthma. Because the cause of the problems wasn’t treated properly the tensions spread further, consequently resulting in the symptoms in hands.

This situation shows how important it is to base the diagnosis on the level of human biomechanics. Unfortunately, a question of how many asthmatic conditions are a result of disturbed biomechanics and do not need pharmacotherapy arises.