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Bijkerk, C.J., de Wit, N.J., Muris, J.W.M., Whorwell, P.J., Knottnerus, J.A. and Hoes, A.W. (2009) Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial. British Medical Journal, 339, b3154. doi:10.1136/bmj.b3154

has been cited by the following article:

• TITLE: Osteopathic manipulative treatment and nutrition: An alternative approach to the irritable bowel syndrome

  AUTHORS: Luca Collebrusco, Rita Lombardini

  KEYWORDS: Irritable Bowel Syndrome; Chronic Visceral Pain; Osteopathic Manipulative Treatment; Nutrition

  JOURNAL NAME: Health, Vol.5 No.6B, June 27, 2013

  ABSTRACT: A simple treatment plan for manual therapists is presented based on current evidence-based literature, it is designed to lessen chronic pain and inflammation in the Irritable Bowel Syndrome (IBS). A chronic continuous or intermittent gastrointestinal tract dysfunction, IBS appears due to dysregulation of brain-gut-microbe communication. An overview of its management using Osteopathic Manipulative Treatment (OMT) is described. In IBS OMT focuses on the nervous and circulatory systems, spine, viscera, thoracic and pelvic diaphragms in order to restore homeostatic balance, normalize autonomic activity in the intestine, promote lymphatic flow and address somatic dysfunction. Lymphatic and venous congestion is treated by the Lymphatic Pump Techniques and stimulation of Chapman’s Reflex Points. The food itself, food allergies and intolerance could contribute to symptom onset or even cause IBS. Furthermore the “microbiota” greatly impacts on the bi-directional brain-gut axis communication. This paper also provides appropriate dietary modifications for patients with IBS.