Abstract: Literature is reviewed which portrays the neurophysiological basis and clinical recognition for the spinal manipulative rationale of a subluxation-related vertebrogenic form of dyspepsia. It discusses the relationship of the cervical spine and the vagus parasympathetic innervation, and the dorsal spine with its sympathetic and spinal nerve influence. Practitioners of chiropractic, medicine, osteopathy, acupuncture, and physiotherapy have all published on this topic. Two key spinal regions appear to be involved - the cervical spine’s influence on the parasympathetic vagus, and the sympathetic innervation through the splanchnic innervation of the mid-dorsal spinal nerves. No evidence could be located which contradicted the neurophysiology of this biomechanical model of care for the condition. With physiological evidence of positive outcomes, a vertebrogenic biomechanical focussed model of care is justified as one of the options for functional dyspepsia (FD).
Author keywords: Vertebrogenic - Functional dyspepsia - Dyspepsia; Subluxation; GERD; Indigestion gastrointestinal.
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