Osteopathic Manipulation for Genital Pain - A Case Report

Date
2019-03-05
Authors
Smith, Vincent
Liu, Howe
Mason, David
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Abstract Background: For U.S. Osteopathic Manual Medicine (OMT) physicians, there is an over emphasis on medication, rather than the usage of manual diagnosis and therapy. We report a rare case of idiopathic penile pain that, after conventional means failed, was resolved by OMT treatment. Case Information: A 54-year-old male presented with acute genital pain that was accompanied by dysuria. The patient reported his pain to be a 9 out of 10. His symptoms would come intermittently, lasting about 10 minutes before slowly receding away. The patient was initially treated with acupuncture and pain medicine, yet his symptoms persisted. The patient was then referred to a physician who had previously studied OMT, who utilized his knowledge of anatomy and the palpation technique to differentially diagnose the source and cause of the symptoms. With the use of Ligamentous Articular Strain Technique (LAS) and the High Velocity-Low Amplitude (HVLA) technique, the patient reported relief after 1st session of treatment on the 1st day, .and a full recovery after two extra treatments in next two consecutive days. Conclusions: This was our first time treating this kind of medical problem with the OMT. It was treated following a comprehensive history-taking and physical exam. The differential diagnoses of this case suggest that an anatomical analysis, detailed physical exam, and specific palpation should be combined with exploratory therapy. This type of treatment approach should be used by practicing OMT physicians in order to improve patient care.

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