Osteopathic Manipulation of Liver Dr. Satyen Bhattacharyya Associate Professor: BIMLS, Bardhaman Chief Physio: Fit O Fine Director: Well O Fit Healthcare PVT. LTD. www.fitofine.in Clinical Significance Motility in osteopathy we are going to palpate rhythms and overlapping rhythms. Our application is designed for reasonable pathology that will encounter clinically Mobility we can get restriction if there is trauma, pathology or any other surgery. We have to give treatment according to palpatory restriction which is deviation from normal pathology Liver in Expir The liver moves 500 microns or less into expir (towards midline) and inspire (away from midline). The movement of liver motility is triaxial in nature Liver Motility Palpation Relax your hand and spread your fingers to cover the greater surface area. Palpate the movement of the liver Liver Motility Palpation Relax your hand and spread your fingers to cover the greater surface area. Palpate the movement of the liver Motility & Induction Liver Mobility Palpation Place your hand approx. 3 cm below rib cage, right mid clavicular line Achieve maximum depth before start liver lift Liver Mobility Right Lobe Slowly lift directly superior & release slowly Repeat 3 – 4 times & as required Observe the quality of lift & release Liver Mobility Left Lobe Slowly lift directly superior & release slowly Repeat 3 – 4 times & as required Observe the quality of lift & release Lateral Recumbent Technique In this position place the patient's right shoulder forward& the right leg & hip forward so as to bring the patient’s abdomen further forward Direction of Lift Initiate hand position directly mid sagittal. Slowly lift the liver superior and laterally towards a point lateral to the shoulder and release slowly. Repeat 3 – 4 times as needed Observe the quality of lift and the release Supine Technique Slowly lift the liver directly superior and release slowly. Repeat 3 – 4 times as needed Liver is suspensory apparatus Feel the quality and lift and the release Indication Thank You

1. Osteopathic
Manipulation of
Liver
Dr. Satyen Bhattacharyya
Associate Professor: BIMLS, Bardhaman
Chief Physio: Fit O Fine
Director: Well O Fit Healthcare PVT. LTD.
www.fitofine.in

3. Clinical Significance
• Motility
in osteopathy we are going to palpate rhythms and overlapping
rhythms. Our application is designed for reasonable pathology
that will encounter clinically
• Mobility
we can get restriction if there is trauma, pathology or any other
surgery. We have to give treatment according to palpatory
restriction which is deviation from normal pathology

4. Liver in Expir
• The liver moves 500 microns or less into
expir (towards midline) and inspire
(away from midline).
• The movement of liver motility is triaxial
in nature

5. Liver Motility
Palpation
• Relax your hand and spread
your fingers to cover the
greater surface area. Palpate
the movement of the liver

6. Liver Motility
Palpation
• Relax your hand and spread
your fingers to cover the
greater surface area. Palpate
the movement of the liver

7. Motility & Induction
Feel it
01
Correct it
02
Don’t over do it
03

8. Liver Mobility
Palpation
• Place your hand approx.
3 cm below rib cage,
right mid clavicular line
• Achieve maximum
depth before start liver
lift

9. Liver Mobility
Right Lobe
• Slowly lift directly
superior & release
slowly
• Repeat 3 – 4 times & as
required
• Observe the quality of
lift & release

10. Liver Mobility
Left Lobe
• Slowly lift directly
superior & release
slowly
• Repeat 3 – 4 times & as
required
• Observe the quality of
lift & release

11. Lateral
Recumbent
Technique
• In this position place
the patient's right
shoulder forward& the
right leg & hip forward
so as to bring the
patient’s abdomen
further forward

12. Direction of
Lift
• Initiate hand position
directly mid sagittal.
Slowly lift the liver
superior and laterally
towards a point lateral
to the shoulder and
release slowly.
• Repeat 3 – 4 times as
needed
• Observe the quality of
lift and the release

13. Supine Technique
• Slowly lift the liver directly
superior and release slowly.
• Repeat 3 – 4 times as needed
• Liver is suspensory apparatus
• Feel the quality and lift and the
release

14. Indication
Liver cirrhosis
Fatty Liver
Indigestion
Increased level of bilirubin

15. Thank You