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.
Written by:
Cooperstein R, Lisi A, Burd A. Are you the author?
Research and Technique, Palmer Chiropractic College, San Jose, CA; Chiropractor, VA Connecticut Healthcare System, West Haven, CT; Palmer College of Chiropractic West, San Jose, CA.
Reference: J Chiropr Med. 2014 Jun;13(2):81-9.
doi: 10.1016/j.jcm.2014.06.003
PubMed Abstract
PMID: 25685115