What is Dr. Fabry's typical approach to OMM in pregnant patients?

What is Dr. Fabry's typical approach to OMM in pregnant patients?

• A. HVLA is the primary technique used
• B. HVLA is avoided entirely
• C. Soft tissue, hips, and sacrum are used
• D. HVLA is rarely used; soft tissue, hips and sacrum are preferred

Answer: (D)

During pregnancy, the pelvis and spine become more sensitive due to hormonal laxity and the realignment needed for a growing fetus. The safest and most effective OMM approach at this time concentrates on gentle, non-thrust techniques that improve pelvic mechanics and relieve muscle tension rather than applying thrusts. High-velocity, low-amplitude maneuvers are rarely used because they can stress lax joints and discomfort in the hips and sacrum, potentially affecting maternal comfort and fetal safety. In practice, soft tissue work, targeted care of the hips, and sacral technique help restore balance in the pelvic girdle, reduce back pain, and support labor. So the usual strategy emphasizes these non-thrust methods and pelvic-focused adjustments, rather than relying on HVLA.

During pregnancy, the pelvis and spine become more sensitive due to hormonal laxity and the realignment needed for a growing fetus. The safest and most effective OMM approach at this time concentrates on gentle, non-thrust techniques that improve pelvic mechanics and relieve muscle tension rather than applying thrusts. High-velocity, low-amplitude maneuvers are rarely used because they can stress lax joints and discomfort in the hips and sacrum, potentially affecting maternal comfort and fetal safety. In practice, soft tissue work, targeted care of the hips, and sacral technique help restore balance in the pelvic girdle, reduce back pain, and support labor. So the usual strategy emphasizes these non-thrust methods and pelvic-focused adjustments, rather than relying on HVLA.