A patient's history

Here is an example of a seemingly healthy person and how osteopathy treats issues not normally noticed:

Presentation

• A young woman, 24 years of age, marathon champion, comes in for consultation for several symptoms. 
• She suffers from R frontal and occipital headaches that are more and more frequent.  She also presents pain in her L shoulder and L wrist.
• At night she has cardiac palpitations, mostly since a car accident.  She also shows pain at the coccyx (tailbone) and R iliac fossa two days prior to the onset of menstruation.  In the last 3 weeks she has no appetite and has vomited 3 times.
• She is not able to train regularly anymore.  She had been getting R achilles tendon pain and cramps in her feet.
• She is unsuccessful in getting pregnant in the last 2 years.  She presently feels great anxiety and is irritable.
• 2 months ago a dentist placed a crown on the R superior maxilla (upper jaw), and it has been bothering her ever since.
• She has not consulted a doctor for at least a year.

Findings subsequent to the initial consultation and questioning

• This person has had 3 major accidents.  The first, in 1989, was a bicycle accident resulting in a hospitalization for a L leg fracture.
• The second, 3 years ago, involved a whiplash injury following a car accident where she was a passenger taken by surprise.
  
• The third, 5 months ago, took place during a parachute landing where her heels struck ground violently and she has been suffering from vertigo ever since.
• She had an abortion at age 21.  She and her companion passed infertility tests to find out that neither he nor she presented any medical anomalies.

During the osteopathic assessment it is found:

1. C1 presented bilateral anterior, but more so on the R, giving the impression that the occiput is more posterior on the R.
2. Embedded occipital-mastoid suture on the R
3. Spheno-basilar symphysis is in R sidebending rotation, with a component of R lateral strain.
4. Strong compaction between R zygoma and maxilla (same side as the crown).
5. C3 rotation R + sidebend R
6. C2 rotation L + sidebend L 
7. C6 rotation L + sidebend L
8. Superior R  first rib
9. L clavicle is in posterior rotation
10. Pericardium is translated to the L and the heart appears vertical
11. The liver is in R side bending and slightly in ptosis, just like the kidney on the same side that is median and slightly in ptosis as well.
12. The uterine broad ligament is pulled to the R and the L ovary is palpable and quite medial
13. The uterus appears to be in retroversion with a clockwise torsion, and the external palpation indication reveals an important problem to the isthmus.
14. During palpation, we find a very painful area around T10/ T11.  The spinous process is painful in every direction.
15. L2/ L3 is anterior in R rotation.
16. Sacrum embedded inferiorly on the R giving the impression of a R iliac upslip.
17. Interosseous membrane of the L leg is very tight
18. R foot shows a posterior calcaneus and a talo-navicular compaction.
19. She has good PRM, i.e. cranio-sacral motion.

Subsequent questioning (3 maximum questions) finds:

Because the patient has not seen a doctor after the major parachute accident,   X-Ray examination is indicated.  The X-Ray taken of C0-C1-C2 shows an incomplete fracture of the posterior arch of C1 without displacement.  The L tibia shows several stress fractures.  The radiologist did those X-Rays in regards to her symptoms, but also because she had not consulted her physician since the heel strike during the parachute landing.

First treatment:

• Normalize OM embedded suture, sacrum embedded inferiorly; then the C0-C1 pseudorotation using strain/counterstrain (OA normalization contraindicated); C2 MET if not already normalized; Tx of clavicle in post. rotation to assist C6 normalization.  Tx R superior first rib if still needed.  Decompact zygoma and maxilla, recheck SBS lesion of SBR right.  Normalize 2nd degree lesion T10/11, reassess kidney and liver, normalize if needed.  Treatment of uterine ligaments and fundus, recheck L2/L3.  Decompact talo-navicular junction, assess talus and treat posterior calcaneus if needed.  Normalize heart with traumatic heart polyvalent.  Observation that the L intraosseous membrane is tight, BLAND contraindications to tx of L tibia fracture. 
  

Followup

2 months later, the patient is much better and wishes if possible to receive a treatment to help her have a child.

What is left is:

1. an isthmus that is posterior and in L translation
2. a R peri-cervical adhesion
3. a clock-wise rotation tendency of the uterus
4. a L pre-uterine ovary

Second treatment: