Is acid reflux disease a musculoskeletal problem? Let’s look at a recent patient that came into my office for a headache. She stated that she had the headache constantly for six weeks. She also suffers with pain in her low back, and stated that she has frequent urinary tract infections. She had been to her medical doctor for the pain in her low back, and he had diagnosed her with osteoporosis, and given her a prescription for Celebrex. This patient also had a history of acid reflux.
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Her family physician has been treating her acid reflux for a few years now with Nexium. Recently he ordered an endocsope of her esophagus, which showed a hiatal hernia and a condition known as Beret’s Esophagus. This is a condition, which occurs due to prolonged irritation of the esophageal lining, which actually represents the beginning of cellular change, and is a pre-cancerous condition. This patient is postmenopausal, and is taking hormone replacement therapy. Now let’s look at what is going on with this patient a bit closer. She is taking Nexium for the acid reflux, and has been for a number of years. This will effectively lower the acidity of her stomach. Lowering the acidity of the stomach diminishes her ability to absorb calcium, which is needed for healthy bone mass. A lower acidity also promotes the growth of bacteria in the urinary tract.
Taking the Nexium does not address the hiatal hernia, which is a protrusion of the stomach through the hiatal valve. This valve is normally closed, and only opens to the pressure of food swallowed, to allow it to enter the stomach. One must ask the question, “Why is this valve stuck open?” This patient was prescribed Celebrex for the pain in her back, which is well known to cause gastrointestinal disorders. When this patient came to me, she was a nervous wreck. She couldn’t sleep, she was in constant pain and she was always crying. She thought that she was going to die.
We found that she had several structural problems with her spine. She had lost the normal curvature of her cervical spine, and was developing bone spurs on her cervical vertebrae (bones in her neck). Her spine in her low back, curved to the left. She had miss-alignments (subluxations) in several areas, C2, C3, C4, C5, effecting the nerve supply to the diaphragm. This is the large muscle that we use to breathe, and through which the esophagus passes to get to the stomach. She was also misaligned at T4 effecting the nerve supply to the heart, lungs, and gallbladder, and also at T12 and L1 effecting the nerve supply to the bladder and kidneys. She stopped taking all of her medication. We had her start taking some digestive enzymes as well as some other nutritional supplements to help build healthy bone mass.




