Osteopathic approach with a patient undergoing cardiac transplantation: The five diaphragms

Bruno Bordoni, Bruno Morabito, Marta Simonelli, Luigi Nicoletti, Riccardo Rinaldi, Filippo Tobbi, Philippe Caiazzo

Research output: Contribution to journalArticlepeer-review


The case report presents a patient with a possible neuropathic sternal pain associated with a recent heart transplant procedure. The patient could not breathe deeply and move the upper limbs, with a trunk torsion, feeling a sharp pain under and around the left breastbone. A fascial osteopathic approach in the treatment of the pelvic floor, the respiratory diaphragm, the thoracic outlet, the tongue and the tentorium cerebelli allowed the patient to access to a cardiovascular rehabilitation program. In osteopathic medicine, these anatomical parts of the body are called the five diaphragms. To our best knowledge, this is the first case report that uses osteopathic treatment in a patient with sternal pain associated with an undergoing cardiac transplantation. The clinical importance of the case report is added to other osteopathic research with patients undergoing cardiac surgery (coronary artery bypass graft) and with multiple benefits, without side effects. One of the main goals of osteopathic treatment is to provide the patient with well-being, from many clinical points of view, allowing the person to be discharged from the hospital more quickly and/or with less pain.

Original languageEnglish
Pages (from-to)303-308
Number of pages6
JournalInternational Medical Case Reports Journal
Publication statusPublished - Jan 1 2019


  • Cardiac transplantation
  • Case report
  • Diaphragm
  • Fascia
  • Heart
  • Osteopathic
  • Pain

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Osteopathic approach with a patient undergoing cardiac transplantation: The five diaphragms'. Together they form a unique fingerprint.

Cite this