International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 1 | Perspective | Open Access DOI
Hüseyin Nazlikul*
Prof. Dr. Fatma Gülçin URAL NAZLIKUL, Prof. Dr. Dr. med. Hüseyin NAZLIKUL
1Department of Physical Medicine and Rehabilitation İstanbul Health and Technology University, Istanbul, Turkey
2President of the Association for Scientific Complementary Medicine and Regulation (BTR), Istanbul, Turkey
3Naturel Health Center, Hakki Yeten Cad. No. 23 Kat 3 , Vital Plaza , 34394 Istanbul, Turkey
4President of the Manual Medicine Pain Regulation Association (MTAR), Istanbul, Turkey
5President of the International Federation of Medical Associations of Neural Therapy (IFMANT) – Badstrasse 3a , CH- 3860 Schattenhalb, Switzerland
6President of Turkish Scientific Neural Therapy Society and Regulation Therapy (BNR) Hakki Yeten Cad. Apt 23/ 14 TR- 34394 Istanbul, Turkey
*Correspondence to: Hüseyin Nazlikul
Fulltext PDFDiaphragmatic dysfunctions are a medical issue whose relevance is often underestimated. They manifest in respiratory and systemic symptoms such as dyspnea, sleep disturbances, chronic fatigue, gastroesophageal reflux, and even heart failure. As the primary respiratory muscle, the diaphragm is pivotal in maintaining trunk stability and regulating intra-abdominal pressure, making its dysfunction capable of exerting profound impacts on overall health.
Causes and Pathophysiology of Diaphragmatic Dysfunctions
Diaphragmatic dysfunctions can arise from a variety of factors, including:
Chronic stress
, which increases tension in the diaphragm and surrounding fascia,
Myofascial trigger points
, which impair muscle contraction and mobility,
Scar tissue
, which limits fascial mobility,
Trauma, surgeries, or mechanical stress
, which may irritate or impair the function of the phrenic nerve.
The phrenic nerve, which innervates the diaphragm, plays a crucial role in the functionality of this muscle. Irritation or damage to the phrenic nerve can significantly impair diaphragmatic movement, leading not only to breathing difficulties but also to dysregulation of the autonomic nervous system and organ functions.
Treatment Approaches
The combination of neural therapy and manual medicine has proven to be particularly effective in treating diaphragmatic dysfunctions. Injections targeting myofascial trigger points and segmental therapy can support diaphragmatic function. Manual diagnostics play a critical role in identifying segmental dysfunctions and fascial adhesions.
Diaphragmatic dysfunction; Neural therapy; Manual medicine; Phrenic nerve; Myofascial release
Ural Nazlikul, F.G., Nazlikul, H. Diaphragmatic Dysfunctions and Their Treatment: Neural Therapy and Manual Medicine as Effective Approaches. Int Clinc Med Case Rep Jour. 2025;4(1):1-8.