Bio mechanical considerations for GERD?
Treat abdomen, thoracic and cervical spine.
Respiratory circulatory considerations for GERD?
Treat Zink patterns.
Lymphatic pumps
Rib raising
Neuro considerations for GERD?
Chapmans, collateral ganglia, upper Gi T5-9 for sympathetics, OA, AA for parasympathetics of vagus. Paraspinal inhibition, rib raising. ME for vagus.
Metabolic considerations for GERD case?
Treating SD and lymphatic techniques will help deliver o2 and nutrients and take away waste products.
PPI
Avoid NSAIDS and alcohol
Behavioral considerations for GERD?
Diet journal of what is making it worse
Talk about smoking and alcohol quitting if needed