How can hyperemesis be treated with OMM?

• A. Treat dysfunctions from occiput to C2 and T5-T9
• B. Treat dysfunctions from pelvis to sacrum
• C. Use only the lumbar spine
• D. Avoid treating hyperemesis during OMM

Answer: (A)

Hyperemesis gravidarum can be helped by reframing symptoms as a result of autonomic imbalance to the stomach. The stomach’s function is strongly influenced by the vagus nerve, which travels through the upper cervical spine. When there are somatic dysfunctions from the occiput to the C2 level, vagal regulation of gastric motility can be normalized, improving motility and reducing nausea. In addition, the stomach also receives sympathetic input from the thoracic region, particularly around T5–T9, via the greater splanchnic nerves. Addressing somatic dysfunctions in this upper thoracic area helps rebalance sympathetic influence, supporting more normal gastric emptying and comfort. Treatments focused only on the pelvis or lumbar spine don’t directly modulate these key autonomic pathways to the stomach, and avoiding treatment would miss an avenue that can aid symptoms. Techniques targeting the OA/AA regions and the upper thoracic segments are commonly used to influence this autonomic balance and relieve hyperemesis symptoms.