Molton News Article - July 2010
Over the years I
have certainly seen many patients who list IBS as one of their complaints. Similar to your own case there is often
no pathology found by conventional means.
Investigations to rule out conditions such as Ulcerative Colitis, Crohn's
Disease or Hiatus Hernia first is important. Beyond this Chiropractic care may have a role to play.
tract is essentially a long tube surrounded by smooth muscle. The muscle wall
aids the movement of food through the bowels in a process called peristalsis.
The smooth muscle of the digestive system receives its nerve supply from the
spine between Thoracic 2 (T2) to Lumbar 2 (L2). Exiting from the spine between the shoulder blades at T4 to
T6 is the autonomic nerves that control the stomach and small intestines. These nerves join to form the Celiac
Plexus. This neural
structure is located just underneath the breastbone at the area commonly known
as the Solar Plexus. It's
important to say that the exact mechanism of IBS is still poorly understood,
but, from a Chiropractic perspective, irritation of the nerve root at T4, T5 or
T6 can stimulate the Celiac Plexus giving a painful sensation that feels as if
it's in the stomach. Whether it's
the nerve irritating the stomach or the other way round is unclear, but my
experience is that chiropractic adjustments, where indicated, often greatly
reduces the symptoms and can even resolve the problem.
the effects of manual therapy on IBS have been conducted, but far more is
required. In a small study by
Osteopaths in The Netherlands they found 68 percent of patients noted definite overall improvement, with significant
improvements in overall bowel function.
My clinical observations are similar and I would expect two out of three
patients with IBS to respond well.
South Street Chiropractic