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Viscerosomatic relations in physiotherapy
KUKLOVÁ, Monika
The Assignment's aim is to clarify the definition of referred pain and the issues of viscerosomatic and somatovisceral relations. Relations between internal organs and the musculoskeletal system have been known for a long time, but in practice it is often overlooked even though in some cases there is a proven track of viscerosomatic equations and concrete reflection changes helping to set the right diagnosis and therapy. Also, it may be an internal problem that seems as a musculoskeletal issue, in that case a patient is sent for the rehabilitation that does not result the desired relief and pain remains. Therefore, it is needed to examine the internal organs and send the patient for further checks in order to find out the right diagnosis on time and overcome a significant damage to patient's health (for instance a late diagnosis of tumour disease). On the other hand, the patient may think their problem is internal, but after the thorough examination there is no evidence of such pathology. It results that the patient is perceived as a hypochondriac and/or their problems are psychosomatic. In that case based on the differential diagnosis, it is critical to consider the relations between the musculoskeletal and internal systems. If the root problem is caused in the musculoskeletal system, the right physiotherapy can result a desired relief of the patient and also help the internal problems. The thesis in a theoretical part elaborates on the definition of these relations and the referred pain. Furthermore, it aims to clarify the issue of visceral patterns and describe the most frequent diagnoses within viscerosomatic and somatovisceral relations and the possibilities of their treatment. Two case reports are presented in the practical part. The first case study elaborates on a patient with gastroesophageal reflux and the second case study is about a patient with dysmenorrhea.
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