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Mar 25, 2022

What happens when your stomach pushes up into the mediastinum and compresses your lungs—and maybe even your heart? This common condition starts as a simple sliding of the esophagus but can progress to be life-threatening.




Books of Discovery:   


Advanced Trainings:


Host Bio:        


Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist’s Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP’s partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner’s books are available at And more information about her is available at                  


Recent Articles by Ruth:       


“Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35,

“Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33,


“Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32,    




Pocket Pathology:


Dunn, C.P. et al. (2020) ‘Which hiatal hernia’s need to be fixed? Large, small or none?’, Annals of Laparoscopic and Endoscopic Surgery, 5(0). doi:10.21037/ales.2020.04.02.


Eguaras, N. et al. (2019) ‘Effects of Osteopathic Visceral Treatment in Patients with Gastroesophageal Reflux: A Randomized Controlled Trial’, Journal of Clinical Medicine, 8(10), p. 1738. doi:10.3390/jcm8101738.


Hiatal Hernia (no date) Cleveland Clinic. Available at: (Accessed: 3 March 2022).

McCall, D.M. (2016) ‘Hiatal Hernia | Dr. Michael McCall | Source Health Center | Beaverton, OR’, Source Health Center, 26 January. Available at: (Accessed: 7 March 2022).


Smith, R.E. and Shahjehan, R.D. (2022) Hiatal Hernia, StatPearls [Internet]. StatPearls Publishing. Available at: (Accessed: 3 March 2022).


YouTube Videos: (Erik Dalton) (the water cure!) (self-massage)



About Advanced Trainings

Since 1985, over 8,000 professionals have trained in the Advanced Myofascial Techniques series. Drawing from a wide range of disciplines, the focus is on unusual, interesting, and fresh approaches that will increase effectiveness, expand technique repertoire, and inspire creativity and innovation. Designed for manual and movement therapy practitioners, practitioners of all levels will gain valuable tools and perspectives they can immediately put to clinical use. Join us for our upcoming 2023 Thailand retreat! 




Hold the Dates for our 2023 Thailand Retreat! Feb 20-Mar 2, 2023