Osteopathy Video

OSTEOPATHIC APPROACH TO PATIENT CARE AND WELLNESS SMART LIFE FORUM NOVEMBER 16, 2006 HARRY D FRIEDMAN DO

OSTEOPATHIC MEDICINE AS ART, INTEGRATING
NATURAL & TECHNOLOGICAL APPROACHES
SCIENTIFIC & INTUITIVE THINKING
STRUCTURAL & FUNCTIONAL THERAPY
PATIENT & DISEASE FOCUSED CARE

DEFINITION OF OSTEOPATHIC MEDICINE
“ A complete system of medical care with a philosophy that combines the needs of the patient with the current practice of medicine, surgery and obstetrics; that emphasizes the interrelationship between structure and function; and that has an appreciation for the body’s ability to heal itself.”
-A.O.A. House of Delegates

OSTEOPATHIC PRINCIPLES
THE BODY FUNCTIONS AS A UNIFIED WHOLE WITH AN INHERENT VITALITY THAT IS
SELF-HEALING AND SELF-REGULATING.
STRUCTURE & FUNCTION BEING INTERRELATED,
ALTERATION OF THE BODY’S STRUCTURAL FRAMEWORK AND CONNECTIVE TISSUE SYSTEM CAN LEAD TO ILLNESS AND DISEASE, THE
CORRECTION OF WHICH IS PART OF RATIONAL OSTEOPATHIC HEALTHCARE

PASSEBECQ (1992)
“ TO MAINTAIN A HEALTHY BODY, HOMEOSTASIS MUST BE KEPT CONSTANT…A HEALTHY ORGANIC TERRAIN IS THE BASIS OF HEALTH AND CONVERSLEY DISEASES DEVELOP IN A DEPLETED OR CONGESTED TERRAIN. UPSTREAM OF MOST DISEASES IS AN UNBALANCED TERRAIN.”

BEING COMPRISED MOSTLY OF FLUID, LIVING TERRAIN IS NOT STATIC, BUT CONSTANTLY MOVING, LIKE THE EBB AND FLOW OF THE OCEAN. WHERE THERE IS A LACK OF MOTION, THERE LIES AN UNBALANCED TERRAIN AND THE BEGINNING OF DISEASE.

INTERRELATIONSHIP AND INTERDEPENDENCE OF STRUCTURE-FUNCTION
“ DISEASE IS THE RESULT OF ANATOMICAL ABNORMALITIES FOLLOWED BY PHYSIOLOGIC DISCORD”
“ THE RULE OF THE ARTERY IS SUPREME”
-A.T. STILL MD

OPTIMAL MULTISYSTEM FUNCTION REQUIRES
UNIMPEDED DELIVERY OF BLOOD AND DISPOSAL OF WASTE PRODUCTS
CENTRAL AND AUTONOMIC NERVOUS SYSTEM BALANCE
MOTOR SYSTEM COORDINATION
UNITY OF THE WHOLE THAT ENHANCES THE FUNCTION OF EACH PART

THE WHOLE IS GREATER THAN THE SUM OF ITS PARTS
OSTEOPATHIC MANIPULATIVE APPROACHES CAN ALTERNATELY EVALUATE THE FUNCTION OF THE WHOLE OR ITS COMPONENT PARTS AND PROVIDE TREATMENT THAT ENHANCES EACH

OSTEOPATHIC MANIPULATIVE TREATMENT (OMT)
THE THERAPEUTIC APPLICATION OF MANUALLY GUIDED FORCES BY AN OSTEOPATHIC PHYSICIAN TO IMPROVE PHYSIOLOGIC FUNCTION AND/OR SUPPORT HOMEOSTASIS THAT HAS BECOME ALTERED BY SOMATIC DYSFUNCTION

SOMATIC DYSFUNCTION
“ IMPAIRED OR ALTERED FUNCTION OF RELATED COMPONENTS OF THE SOMATIC (BODY FRAMEWORK) SYSTEM: SKELETAL, ARTHROIDIAL AND MYOFASCIAL STRUCTURES AND RELATED VASCULAR, LYMPHATIC AND NEURAL ELEMENTS.”
- ICD-9 DIAGNOSTIC CODEBOOK (739.0 -.9)

THE HUNT FOR SOMATIC DYSFUNCTION THINK A.R.T.
A FOR ASYMMETRY
OBSERVE OR PALPATE “UNEVENNESS”
R FOR RESTRICTION OF MOTION
PALPATE FOR EARLY “ENDFEEL”
T FOR TISSUE QUALITY ALTERATIONS
PALPATE TEXTURE , TEMP, MOISTURE, TENDERNESS

BERNIE SEIGAL, PEACE, LOVE AND HEALING 1989 (#1NY TIMES BEST SELLER)
“ THE OSTEOPATHIC STUDENTS HAVE BEEN TAUGHT ABOUT TOUCHING AND MANIPULATING THE BODY, AND WHEN THEY’RE IN MY OFFICE AND A PATIENT WHO HAS SOME PAIN COMES IN, THEY KNOW HOW TO USE MANIPULATION AND MASSAGE TO HELP RELIEVE THAT PAIN. THE MEDICAL STUDENT IS MORE PRONE TO PRESCRIBE A PILL. WE NEED TO TEACH MEDICAL STUDENTS HOW TO TOUCH PEOPLE.”

ANDREW WEIL MD. SPONTANEOUS HEALING 1995 (#1 NYTIMES BEST SELLER)
“ I FREQUENTLY REFER PATIENTS TO DO’S FOR OMT AND OFTEN ENCOURAGE MEDICAL STUDENTS TO LEARN THE TECHNIQUE, BECAUSE I HAVE FOUND IT TO BE SAFE AND HIGHLY EFFECTIVE.)

HISTORY OF MANUAL MEDICINE
2700 BC CHINESE
400 BC HIPPOCRATES
100 BC GALEN, “THE PRINCE OF PHYSICIANS”
19TH CENTURY BONESETTERS
19TH CENTURY STILL, PALMER
20TH CENTURY MENNELL, CYRIAX
20TH CENTURY SUTHERLAND, BARRAL

TRACTION AND THRUST

ANDREW TAYLOR STILL, MD
1854 LICENSED AS MD, SERVED IN CIVIL WAR
1864 3 FAMILY MEMBERS DIE OF MENINGITIS, RENOUNCES MEDICINE, TAKES UP STUDY OF STRUCTURE-FUNCTION/UNITY OF THE BODY
1874 PRINCIPLES OF OSTEOPATHY UNVEILED
1892 AMERICAN SCHOOL OF OSTEOPATHY OPENS

DO SCHOOLS

HOW DOES MANIPULATION WORK?
PATHOPHYSIOLOGIC MODELS
FACET DYSFUNCTION
NOCICEPTION (PAIN)
MECHANORECEPTION (PRESSURE)
PROPRIOCEPTION (POSITION)

REFERRED PAIN

NOCICEPTORS

NEURAL FACILITATION
ALTERED REFLEXES CAUSING HYPERACTIVE OR INHIBITED RESPONSES TO STIMULI OR STRESS

SPINAL REFLEXES

NEURAL FACILITATION
VISCERAL (ORGAN) STRESS AND DISEASE ARE REFLECTED IN THE TISSUES SURROUNDING THE SPINAL LEVELS WHICH INNERVATE IT
ESOPHAGUS T 2-3
STOMACH T 5-6
HEART T 2-6
GALLBLADER T8-9
KIDNEY T9-11

MOTOR SYSTEM DYSFUNCTION
MUSCLE TENSION AND LENGTH ALTERED BY POSTURAL STRESS, INJURY OR ALARM
OVER AND UNDER STIMULATED MUSCLES AND THEIR ASSOCIATED BODY-WIDE COMPENSATIONS CAUSE DISTURBANCES IN POSTURE, MOTION, AND COORDINATION

MUSCLE SPINDLE

GOALS OF OSTEOPATHIC TREATMENT
RESTORE MIDLINE FUNCTION AND MOBILITY OF ALL TISSUES
IMPROVE POSTURE AND BODY MOVEMENT
MOBILIZE FLUIDS TO AND FROM ALL TISSUES
BALANCE CNS/ANS REFLEXES (CALM DOWN HYPERACTIVE NERVES)
ENHANCE HEALING AND HOMEOSTASIS

M OTION
RESPIRATI O N
ME T ABOLISM
BEHAV I OR
CIRCULATI O N
NEURAL I N TEGRATION

CORRECTIVE FORCES CAN BE DIRECT OR INDIRECT
DIERCT TECHNIQUES ENGAGE AND OVERCOME TISSUE RESTRICTION
INDIRECT TECHNIQUES DIS-ENGAGE AND RELEASE TISSUE RESTRICTION WITH AFFERENT REDUCTION
BOTH STIMULATE THE PATIENT’S INHERENT RESTORATIVE CAPACITY BY ACTIVATING DYNAMIC MIDLINE FUNCTION

DOES IT WORK

REVIEW OF LIT

NEJM ART

RESULTS

WC COST ANALYSIS

EBM DATA

PRE-POST MFR

FRYMANN

THE BODY IS ESSENTIALLY A FLUID CONTAINER, ITS STRUCTURE DETERMINES THE PROPER PLACEMENT AND COORDINATED FUNCTION OF EVERY TISSUE. WHEN STRUCTURE AND FUNCTION ARE IMPAIRED, HOMEOSTASIS FALTERS.

OSTEOPATHIC MANIPULATIVE MEDICINE ENHANCES THE BODY’S STRUCTURE AND FUNCTION, IMPROVING FLUID MOBILITY AND HOMEOSTASIS, IMPARTING HEALTH TO EVERY TISSUE

LINKS
WWW.DRAGONFLYVILLAGE.COM/OSTEOPATHY
WWW.SFIMMS.COM
WWW.ACADEMYOFOSTEOPATHY.ORG
WWW.OSTEOHOME.COM
WWW.OSTEOPATHIC.ORG
WWW.DO-ONLINE.ORG
WWW.AACOM.ORG

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Osteopathy Video

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Osteopathy Video — Presentation Transcript