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Renal OMM

least splanchnic nerve T12
lumbar splanchnic nerve L1,2
T12-L2 inferior mesenteric ganglion--> left colon, lower half of ureters, bladder, genitalia
T10,11 lesser splanchnic nerve--> superior mesenteric ganglion--> small inestines, right colon, adrenals, gonads, kidney, upper half of ureters
reffered pain of stones usually anterior abdominal, mayb refer to labium or ipsilateral testicle
innervation of prostate cowpers gland and corpus cavernosa sympathetic--> T12-L2, parasympathetic--> S2-4
chapmans reflex for prostate anterior located in myofascial tissues along the posterior margin of the iliotibial band
chapmans reflex for epidydymis anterior located in mysofascial tissues along superior margin of pubis ramus about 2 cm lateral to symphysis
external urinary sphincter tone S2-4
T12-L2 bladder
T10-L1 kidney
symptoms of a UTI fever, chills, nausea, fatigue, urinary frequency or pain/burning
pain from UTI's bladder--> suprapubic Kidney--> lower thoracic or flank pain
duplication of ureters may present with nonresolving UTI's
obstructin bands or vessles may present with nonresolving UTI's
ectopic kidney recurrent lower lumbar somatic dysfunction
polycystic kidneys lumbar pain
chapmans reflex for bladder anterior--> umbilical area posterior--> intertransverse space between L1-2 and T12-L1
chapmans reflex kidney anterior 1 inch lateral and superior to umbilicus ipsilaterally
chapmans reflex adrenals anterior 1 inch lateral and 2 inches superior to umbilicus ipsilaterally
increased sympathetic tone to renal relaxation of the internal urinary sphincter, increased peristalsis of ureters and incresed bladder wall tone
parasympathetic of distal ureters and bladder pelvic splanchnic-->S2-4
parasympathetic of kidney and proximal ureter vagus nerve
increased sympathetics to T10-L1 ureterospasm, decreased peristalsis of ureters(decreases urine flow), arteriole constriction to kidney(decreses GFR), urinary retention contributing to HTN
increased sympathetics to T12-L2 relaxes bladder wall
renal lymphatic flow flows into preaortic nodes, assisted by thoracic and pelvic diaphrams
Created by: swohlers