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Cooperstein R, Lisi A, Burd A. Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder. J Chiropr Med. 2014;13(2):81-9doi: 10.1016/j.jcm.2014.06.003.
Cooperstein, R., Lisi, A., & Burd, A. (2014). Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder. Journal of chiropractic medicine, 13(2), 81-9. https://doi.org/10.1016/j.jcm.2014.06.003
Cooperstein, Robert, et al. "Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder." Journal of chiropractic medicine vol. 13,2 (2014): 81-9. doi: https://doi.org/10.1016/j.jcm.2014.06.003
Cooperstein R, Lisi A, Burd A. Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder. J Chiropr Med. 2014 Jun;13(2):81-9. doi: 10.1016/j.jcm.2014.06.003. PMID: 25685115; PMCID: PMC4322015.
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J Chiropr Med. 2014 Jun;13(2):81-9. doi: 10.1016/j.jcm.2014.06.003.

Chiropractic management of pubic symphysis shear dysfunction in a patient with overactive bladder.

Journal of chiropractic medicine

Robert Cooperstein, Anthony Lisi, Andrew Burd

Affiliations

  1. Professor, Director of Research and Technique, Palmer Chiropractic College, San Jose, CA.
  2. Staff Chiropractor, VA Connecticut Healthcare System, West Haven, CT.
  3. Research Assistant, Palmer College of Chiropractic West, San Jose, CA.

PMID: 25685115 PMCID: PMC4322015 DOI: 10.1016/j.jcm.2014.06.003

Abstract

OBJECTIVE: The purpose of this case report is to describe chiropractic management of a patient with overactive bladder (OAB) and to describe an hypothetical anatomical basis for a somato-vesical reflex and possible clinical link between pelvic and symphysis pubis dysfunction to OAB.

CLINICAL FEATURES: A 24-year-old nulliparous female with idiopathic OAB, with a primary complaint of nocturia presented for chiropractic care. Her sleep was limited to 2 consecutive hours due to bladder urgency. Pubic symphysis shear dysfunction was observed on physical examination.

INTERVENTION AND OUTCOMES: The primary treatment modality used was chiropractic side-posture drop-table manipulation designed to reduce pubic shear dysfunction. After 8 treatments in 1 month, the pubic shear gradually reduced while nocturia diminished and consecutive sleep hours increased from 2 to 7. At 1-year follow-up, the nocturia remained resolved.

CONCLUSION: The patient reported in this case responded favorably to chiropractic care, which resulted in reduced nocturia and increased sleep continuity.

Keywords: Manipulation, chiropractic; Manipulation, osteopathic; Pubic symphysis; Pubic symphysis diastasis; Symphysis pubis dysfunction; Urinary bladder, overactive

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