Digestive Tract Issues

Constipation

ONMM physicians can help treat constipation by evaluating how the abdomen, pelvis, spine, and diaphragm are functioning together. Restrictions in the abdominal fascia, pelvic floor dysfunction, reduced diaphragm motion, and limited mobility in the lumbar spine or sacrum can all contribute to slowed intestinal motility. Through OMT, an ONMM doctor may gently work on the abdomen to ease fascial tension, improve pelvic alignment, enhance lymphatic and blood flow, and support better movement of the intestines. Improving the mechanics of the digestive tract can help reduce bloating, discomfort, and the sense of incomplete evacuation.



In addition to hands-on care, ONMM physicians provide guidance on hydration, fiber intake, physical activity, bowel habits, and daily movement patterns that support healthy digestion. They may also help patients identify contributing factors such as stress, medications, or posture. By addressing both the structural and lifestyle contributors to constipation, their approach promotes more regular bowel function and supports long-term digestive health while complementing standard medical treatments when needed.

GERD

Osteopathic neuromusculoskeletal medicine (ONMM) physicians can support patients with GERD by evaluating how the body’s structure influences digestion and the function of the esophagus and diaphragm. Tension or restricted motion in the diaphragm, rib cage, thoracic spine, or abdominal muscles can interfere with the esophageal sphincter’s ability to function properly, contributing to reflux symptoms. Through osteopathic manipulative treatment (OMT), ONMM doctors use gentle techniques to improve mobility of the diaphragm, relax tight tissues around the stomach and lower esophagus, and optimize the motion of the spine and ribs. These changes can help reduce pressure on the stomach, improve vagal nerve function, and support more effective swallowing and digestion—potentially reducing the frequency and severity of reflux episodes.



In addition to hands-on treatment, ONMM physicians consider lifestyle and mechanical factors that commonly worsen GERD, such as posture, meal timing, stress, sleep positioning, and musculoskeletal imbalances that increase abdominal pressure. They may provide individualized guidance on breathing mechanics, core support, and habits that help reduce strain on the esophageal sphincter. When needed, they also coordinate care with primary care and gastroenterology to ensure patients receive appropriate medical evaluation and treatment. By combining structural support with whole-person management, ONMM physicians help patients address both the symptoms of GERD and some of the bodily factors that may be contributing to it.