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VOLUME 11 , ISSUE 2-3 ( May-December, 2018 ) > List of Articles

CASE REPORT

Efficacy of Osteopathic Manipulative Treatment in the Patient of Chronic Rhinosinusitis: A Case Report

Nitish Baisakhiya

Keywords : Manipulation, Manual therapy, Osteopathy, Rhinosinusitis, Sinusitis

Citation Information : Baisakhiya N. Efficacy of Osteopathic Manipulative Treatment in the Patient of Chronic Rhinosinusitis: A Case Report. Clin Rhinol An Int J 2018; 11 (2-3):58-60.

DOI: 10.5005/jp-journals-10013-1346

License: CC BY-NC 4.0

Published Online: 24-09-2020

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Chronic rhinosinusitis (CRS) is a most common chronic debilitating disease that has great economical impact and can affect different age-groups. It significantly affects the physical and mental domains of the patient, leading to the deterioration in the quality of life. Purpose: Since medical treatment is not yet standardized for CRS because of scarcity of knowledge about its etiology, and postsurgery relapses are common, the purpose of the present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) in a CRS patient to prevent the relapse. Case description: The author reported a 45-year-old female who presented with the complaints of facial pressure and pain, blocked nose, reduced sense of smell, pain around the eye, heaviness, ache in the head and neck on the right side with occasional postnasal drip and cough, unequal pressure in both the ears for the last couple of years, and always felt drain of energy. The patient had undergone pharmacological treatment for the same in the past, but her sinusitis persisted despite treatment. The X-ray (Water\'s view) of the paranasal sinus reveals opacification in the area of right maxillary sinus. The patient was treated with OMT technique twice a week for 4 weeks followed by the home exercise program. Results: The application of OMT revealed a significant change in the symptoms of the patient as self-reported and also improvement in the 22-item sinonasal questionnaire. Conclusion: Osteopathic manipulative treatment could be used as a conservative treatment strategy in patients with chronic sinusitis. However, its effectiveness can only be explored in randomized clinical trials in order to generalize the results to a larger population.


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