Still techniques somatic dysfunction

This chapter describes the techniques of the Still technique for treating somatic dysfunctions of the cervical spine—atypical (OA AA) and typical (C2-C7). The patient may be treated either in the seated position or in the supine position. Compression is used for both positions but traction may be used when the patient is supine. Occasionally, the portion of the treatment involving movement towards the barriers may result in an articulatory "pop."... 

FIG. 30-6 Still technique typical cervical somatic dysfunction (C5 S. R,), seated. 

Once the acute inflammation has subsided, some tissue tension will still remain. Range of motion will improve but may still be limited. The patient may now be treated with appropriate osteopathic manipulative techniques to the injured area or wherever somatic dysfunction is found. Muscle energy, counterstrain, lymphatic drainage techniques, cranial, and facilitated positional release techniques may be used judiciously. Thrusting techniques should not be used until the soft tissues are no longer boggy and warm. If necessary, they may be used to correct stubborn somatic dysfunctions with firm barriers to motion. 

This chapter describes Still techniques for treating somatic dysfunctions of the thoracic spine. Type I (regional) and type 11 (segmental, single) somatic dysfunctions occur within the thoracic region and are treated by positioning into the directions of ease of the diagnostic components. 

This chapter describes Still techniques for treating somatic dysfunctions of the sacrum and pelvis. There are several systems of diagnosis, but the techniques described in this chapter are related to the systems that are used in this textbook. There are also seated techniques described, albeit less effective than the supine ones described. Because of the complexity, interested students should refer to Dr. Van Buskirk s more thorough book and chapters for other techniques and diagnoses. 

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. 

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