Investigating the Research and Potential of Applying Osteopathic Manipulative treatments and Principles for Atopic Dermatitis

Methods: This topical literature review of 5 articles from Google Scholar and PubMed explores the current research on the application of osteopathic principles and treatments for managing AD. Articles that did not explicitly mention osteopathic treatments or OMT were excluded.

Results: The review includes three studies, two of which showed positive outcomes for AD symptoms with OMT, while one found no significant clinical improvement. Despite the promising theoretical benefits of OMT discussed in additional two studies such as improving lymphatic flow, reducing stress, and enhancing immune function there is a notable lack of sufficient primary research.

Conclusion: Given that OMT poses minimal side effects and can be more affordable compared to the constant use of conventional treatments, it should be considered by Doctors of Osteopathic Medicine (DOs) for dermatological issues. Although the amount of research is limited, the findings are promising. Future research should aim to test the effectiveness of OMT using experimental methods to better evaluate cause and effect.

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Article Contents 

22 min

Introduction Literature Review Methods: Topical Review Results Discussion Limitations Future Directions Conclusion References

Introduction

Eczema, commonly known as atopic dermatitis (AD), affects approximately 101.27 million adults and 102.78 million children globally, and can have a significant impact on the lifestyle of those who experience it.6 Traditional allopathic treatments such as corticosteroids come with risk if instructions pertaining to usage are not followed diligently. There is a risk for steroid addiction and Topical steroid withdrawal.7 Other treatments such as injectable dupilumab (Dupixent) can be quite costly and unattainable for the majority of the population.8 Osteopathic treatments can offer an alternative that is more cost effective and safe.9 Such treatments do not require medication and are done with manual manipulative techniques such as craniosacral therapy, myofascial release and lymphatic drainage.10 The purpose of this review is to investigate the research and potential of applying osteopathic manipulative treatments (OMT) and principles for atopic dermatitis (AD).

Literature Review

Eczema, commonly referred to as AD, is a chronic and relapsing inflammatory disease that causes dry, itchy skin prone to infection.11 It often begins in infancy and typically resolves before adolescence, though some individuals experience symptoms into their teenage years and adulthood, with many developing the condition for the first time as adults.12 Known as the "itch that rashes," AD causes a rash when scratched or rubbed, leading to thickened skin and an impaired barrier susceptible to irritants and allergens.11 This condition has profound and multifaceted impacts, deeply affecting children, teenagers, adults, and financial stability.13 Several factors can contribute to the development of AD, including an individual's lifestyle, diet, genetics, an overactive immune system, and environmental influences.14,15 Despite its long history, dating back to 69-140 CE, there is still no known cure.16

Impact of AD on Children

Childhood chronic diseases like epilepsy and cerebral palsy can be as comparable as the effect that AD has on children.17 Data on 4,082 children with the condition was identified in a review by Olsen et al , concluding that on average, AD has a moderate effect on health-related Quality of Life (QOL ).18

Impact of AD on Teens and Adolescents Order Now