**10. Conclusions**

Esophagitis is a debilitating condition that is made worse by the effects of refluxed stomach acids. Reflux is caused by a Hiatus hernia, a weakening in the diaphragm muscles where the oesophagus passes through to join to the stomach (**Figure 8**). These weakened muscles can be compensated for by surgical intervention, or the amount and strength of the stomach acids produced can by reduced by medication. The most commonly prescribed drugs are Proton Pump Inhibitors, these carry proven unwanted side-effects.

Neuromuscular exercise is a safe, natural and simple treatment that can be carried out by the patient his or herself, and the underlying cause of the reflux is proven to be treated in 97% [16–18] of cases.

#### **Acknowledgements**

The authors would like to thank Terry Morris for his assistance in authoring this chapter, for creating the summary of abstracts from which the three studies above are copied, and performing the data analysis on the '2020 Vision' customer survey referred to above. The studies reproduced above were supported by grants from The Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden, and The Council for Regional Research in Uppsala and Örebro region, Sweden.
