Chapman Points: Diagram, Chart, OMM/OMT Table, Anterior & Posterior Points, Lung & Uterus Points

Content:

• What is Chapman Points?
• Diagram
• Chart
• OMM/OMT Table
• Anterior & Posterior Points
• Lung & Uterus Points

What is Chapman Points?

Chapman points are small, palpable, tender nodules found in specific locations on the body that are used in osteopathic medicine to reflect visceral dysfunction. These points represent viscerosomatic reflexes and are commonly evaluated during osteopathic manipulative medicine (OMM) and osteopathic manipulative treatment (OMT). They are not trigger points or acupuncture points, but distinct diagnostic landmarks associated with internal organs.

Chapman points are thought to be caused by congestion or dysfunction in the lymphatic system related to an underlying organ issue. When palpated, they feel like firm “BB-sized” nodules in the deep fascia or muscle. Identifying and treating these points can help improve lymphatic drainage and may support recovery when used alongside standard medical care.

Diagram

Diagrams usually show the torso from the front and back, with clear labeling of organ-related points such as lungs, heart, stomach, liver, kidneys, intestines, and reproductive organs. Because the points are consistently located, visual references are essential learning tools for mastering OMM assessment and hands-on treatment.

Chart

A Chapman points chart organizes reflex points into an easy-to-read table format, listing the organ system alongside its anterior and posterior anatomical landmarks. Charts are especially helpful in clinical settings, allowing for quick reference during patient examinations.

Below is a simplified HTML-friendly chart commonly used for Blogger or study notes. It focuses on clarity and practical use rather than exhaustive detail, making it ideal for learners and clinicians alike.

Organ	Anterior Chapman Point	Posterior Chapman Point
Lungs	3rd–4th intercostal space, parasternal	Between T3–T4 transverse processes
Heart	2nd intercostal space, left parasternal	Between T1–T4 transverse processes
Stomach	Left 5th–6th intercostal space	Between T5–T9 transverse processes
Kidneys	1 inch superior and lateral to umbilicus	Between T10–T11 transverse processes
Uterus	Superior pubic ramus	Between L5 transverse processes

OMM/OMT Table

In OMM/OMT practice, Chapman points are integrated into a broader osteopathic assessment that includes spinal motion, tissue texture changes, and autonomic balance. OMT techniques applied to these points typically involve gentle rotary pressure for 15–30 seconds until tissue softening is felt.

The goal of treating Chapman points is to normalize lymphatic flow and reduce reflexive somatic dysfunction. While not a standalone diagnostic tool, they provide valuable supportive information, especially in patients with vague or early visceral complaints where imaging or labs may still be normal.

Anterior & Posterior Points

Anterior Chapman points are usually more tender and are considered more useful for diagnosis. They are located on the anterior thorax, abdomen, pelvis, and extremities depending on the organ involved. Pain or firmness at these points may suggest acute or active visceral dysfunction.

Posterior Chapman points are found near the transverse processes of the spine and are commonly treated during OMT sessions. These points are often less tender but more fibrotic. Treating posterior points can help relieve chronic conditions and support autonomic regulation.

Lung & Uterus Points

Lung Chapman points are located anteriorly in the 3rd and 4th intercostal spaces near the sternum and posteriorly between the T3 and T4 transverse processes. Tenderness in these areas may be associated with respiratory infections, asthma, or chronic lung disease.

Uterus Chapman points are found anteriorly on the superior pubic ramus and posteriorly near the L5 transverse processes. These points are commonly assessed in patients with menstrual irregularities, pelvic pain, or reproductive health concerns. As with all Chapman points, findings should be interpreted in clinical context.