ArticleCureus2026
Pericardium-Focused Osteopathic Treatment in Chronic Cervicothoracic Pain Following Median Sternotomy for Cardiac Surgery.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Chronic cervicothoracic pain may develop following median sternotomy, with an underlying pathophysiology that remains incompletely elucidated. Pericardial fascial restriction and mediastinal adhesions have been proposed as potential contributors to the onset and persistence of symptoms. We report the case of a 72-year-old man with a history of triple coronary artery bypass grafting who presented with chronic cervicothoracic pain and restricted cervical rotation. An osteopathic manipulative treatment (OMT) protocol focused exclusively on the pericardium was applied, comprising four sustained-tension techniques delivered across three sessions. Pre- and post-intervention assessments were conducted at each session, in addition to a final evaluation 15 days after the last session (day 35) and a further telephone follow-up 32 days later (day 67), without objective reassessment at this final contact. Objective improvements were observed in cervical rotation measured using digital inclinometry (right/left: 34°/38° to 54°/55°) and in pressure pain threshold assessed by algometry over C7 (1.2-2.8 kg/cm
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