INTRODUCTION: Multiple sclerosis (MS) has recently been associated with chronic cerebrospinal venous insufficiency (CCSVI), which reduces the outflow of blood from the skull to the thorax (CBF) altering the cellular perfusion. The Percutaneous Transluminal Angioplasty (PTA) is being used for the treatment of CCSVI with the aim to improve the perfusion of the nervous tissue and alleviate the symptoms of patients with Multiple Sclerosis. The results are mixed. We know that the CBF may be reduced due to postural tensions (PT) that increase intra-abdominal pressure (IAP). Some osteopathic techniques are able to normalize the PT and reduce IAP.
PURPOSE: To develop a protocol of osteopathic treatment (OTP) to be applied in patients undergoing vascular surgery for CCSVI by comparing the development of the symptoms of MS in relation to a group of patients not subjected to OTP. In the preliminary phase the aim is to determine the effectiveness of osteopathic techniques in improving the CBF.
MATERIALS AND METHODS: A patient with MS associated with CCSVI will be treated with 5 standardized osteopathic techniques, while being subjected to intervention of PTA, the CBF in the internal jugular veins (IJV) and Azygos (AV) measured by flebography, before and after the application of the 5 techniques.
RESULTS: A patient was treated, showing an improvement in CBF and a better valve functioning in the right IVJ, no change was detected in the flow of the Azygos veins where it was already normal.
CONCLUSIONS: The 5 osteopathic techniques seem to have improved the CBF in the vein where it was slowed down. On the basis of these results an effective protocol will be developed to be applied in the operational phase of the research.