![]() ![]() ![]() The thoracic cavity encloses and protects the body’s vital organs. Osteopathic manipulative treatment of inhaled rib dysfunctions aims to relieve patient discomfort, improve lymphatic flow, and restore physiologic chest wall motion. Indirect treatments move the dysfunctional segments into their position of ease. Direct treatments move the dysfunction into its physiologic barrier. Osteopathic treatments include direct and indirect treatments to restore physiologic motion. When treating inhaled rib dysfunctions, the provider must identify the key rib to release the dysfunctional segment into normal physiologic motion. The physiologic manifestation of an inhaled rib dysfunction presents when ribs are elevated in inspiration and do not move freely into a neutral position on expiration. Inhaled rib dysfunctions occur when a set of two or more ribs are displaced cephalad (toward the patient's head) with associated physiologic motion dysfunction. Decreased rib motion can lead to excess lymphatic fluid in the subcutaneous tissues as well as the worsening of respiratory pathology. Rib dysfunctions can lead to chest wall pain, musculoskeletal pain, thoracic outlet syndrome, and intercostal neuralgia. This article aims to identify, diagnose, and discuss the treatment of inhaled rib dysfunctions with direct and indirect osteopathic treatments. ![]()
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