Musculoskeletal Medicine / Nonsurgical Orthopedics
Osteopathic Manipulative Medicine (OMM)
OMM is incorporated into the training and practice of osteopathic physicians. It’s also sometimes referred to as Osteopathic Manipulative Treatment, or OMT. Osteopathic physicians use their hands to diagnose illness and injury and to encourage your body’s natural tendency toward good health. By combining all other available medical options with OMM, DOs offer their patients the most comprehensive care available in medicine today.
OMM vs Other Types of Manual Care
It’s a little-known fact that osteopathy both pre-dates and inspired modern chiropractic and physical therapy. Most people are familiar with the thrusting approach commonly applied by conventional chiropractors. This technique, called high-velocity, low-amplitude manipulation (HVLA), is just one of many approaches to the manual treatment of musculoskeletal pain. Most DOs treat less frequently and use fewer total treatments. Their patients often prefer the gentler, less abrupt approach. But the best osteopaths are experienced in the use of many different approaches and know which of them lends itself best to any given individual’s problem.
Commercial Health Insurers may pay for OMM even if physical therapy and chiropractic care are excluded from the policy. If you are curious about your coverage, ask your carrier about procedure code 98928.
Prolotherapy is a recognized injection procedure that stimulates the body’s natural healing processes to restore structural integrity to body tissues weakened by age, traumatic or over-use injuries, and chronic inflammation. Unlike steroid injections (which are worth trying once but have been increasingly implicated in cartilage loss when used repeatedly), prolotherapy can stabilize joints by stimulating to deposition of collagen at the site of injury.
Prolotherapy is especially useful for musculoskeletal problems that respond temporarily to OMM; these problems are often associated with loose ligaments that fail to maintain corrections made using manual therapy. ‘Arthritic’ knees tend to respond well to prolotherapy, especially when combined with ozone, aka prolozone. There is compelling evidence for the efficacy of prolotherapy in the treatment of tennis elbow and plantar fasciitis.
Commonly Treated Conditions
• Acute and chronic “pain syndromes” including thoracic outlet syndrome and brachial plexus injury/dysfunction
• Fibromyalgia / Chronic Fatigue
• Migraine, tension and sinus headaches
• Post-surgical soft tissue pain
• Idiopathic edema and lymphatic dysfunction following injury
• Carpal Tunnel Syndrome
• Lasting effects of Closed-Head Injuries
• Muscle, tendon or ligament strains
• Structural and soft-tissue effects of motor vehicle accidents, sports injuries or other traumatic events
• Reflex Sympathetic Dystrophy (RSD)/Complex Regional Pain Syndrome
• Entrapment neuropathies
• Chronic or acute neck and back pain
• Sacroiliac and sciatic pain
• Plantar Fasciitis
• TMJ (jaw joint dysfunction)
• Pregnancy-related musculoskeletal pain including back and pelvic pain and sciatica
• Systemic pregnancy-related symptoms that may have a structural component, including nausea, headaches, constipation, exhaustion, anxiety and sleeplessness
• Post-Mastectomy Edema
• Birth Trauma (often involving either a very long or very short labor) which may cause
and/or contribute to difficulty nursing, reflux, colic, fussiness, asymmetry of the cranium, torticollis and shoulder dystocia
• Childhood medical issues which can have structural associations, such as recurrent otitis media, food sensitivities, asthma, allergies, vaccine reactions, poor growth, anxiety, ADHD, behavioral issues and sleeplessness.