Ribs Still techniques

Still technique for treating rib somatic dysfunctions generally relates to the positional finding, anterior or posterior, of the involved rib. A simple relationship between an anterior rib and an inhalation dysfunction and a posterior rib and an exhalation dysfunction is drawn, which also contributes to the initial placement into the freedom of motion followed by engagement of the barriers. Some modification can also be included for pump or bucket handle components as well. 

He was seen 1 week later and reported that beginning the day after the first treatment, he had had no further symptoms in his right arm and had cancelled the surgery. He was treated at lhat visit for some remaining hypertonlclly of the muscle with soft tissue techniques. Although the first rib had better motion, it still was resistant to springing and so was treated a second time. 

From the earliest days of osteopathy, direct manipulation of the viscera has been included in the armamentarium of the osteopathic physician. In his last book. Osteopathy, Research and Practice, Andrew T. Still, the founder of osteopathy, discussed the treatment of many disease entities and emphasized the treatment of "lesions" of the vertebrae and ribs as well as describing techniques applied directly to the viscera. His stated goal was always to improve the circulation of arterial and venous blood and lymphatic flow to and from the viscera, as well as assuring proper neural function. His preference in visceral treatment was to have the patient in a knee-chest position, from which he would lift the viscera being treated upward toward the diaphragm. He described using this type of technique in the treatment of dysentery and appendicitis. He used a technique for dyspepsia in which he placed the patient on his right side while he lifted the stomach toward to left. 

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