Osteoapathy Approach to Patient Care

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Dr. Friedman is an Osteopathic Specialist who employs a multi-disciplinary approach to pain management and optimal health. He incorporates traditional Osteopathic manipulative methods to help diagnose and treat health problems of all types; musculoskeletal, neurological, vascular, digestive, cardio-pulmonary, genitourinary, and infectious.

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OSTEOPATHIC APPROACH TO PATIENT CARE AND WELLNESSHARRY D FRIEDMAN DO painreliefhealthandwellness.com : 

OSTEOPATHIC APPROACH TO PATIENT CARE AND WELLNESSHARRY D FRIEDMAN DO painreliefhealthandwellness.com

OSTEOPATHIC MEDICINE AS ART, INTEGRATING : 

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

DEFINITION OF OSTEOPATHIC MEDICINE : 

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 : 

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) : 

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. : 

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 : 

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 : 

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 : 

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) : 

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 : 

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 DYSFUNCTIONTHINK A.R.T. : 

THE HUNT FOR SOMATIC DYSFUNCTIONTHINK 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) : 

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) : 

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 : 

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 : 

TRACTION AND THRUST

AT : 

AT

ANDREW TAYLOR STILL, MD : 

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 : 

DO SCHOOLS

HOW DOES MANIPULATION WORK? : 

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

REFERRED PAIN : 

REFERRED PAIN

NOCICEPTORS : 

NOCICEPTORS

HOW DOES MANIPULATION WORK? : 

HOW DOES MANIPULATION WORK? PATHOPHYSIOLOGIC MODELS NEURAL FACILITATION ALTERED REFLEXES CAUSING HYPERACTIVE OR INHIBITED RESPONSES TO STIMULI OR STRESS

SPINAL REFLEXES : 

SPINAL REFLEXES

NEURAL FACILITATION : 

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

HOW DOES MANIPULATION WORK? : 

HOW DOES MANIPULATION WORK? PATHOPHYSIOLOGIC MODELS 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 : 

MUSCLE SPINDLE

GOALS OF OSTEOPATHIC TREATMENT : 

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

Slide 29: 

MOTION RESPIRATION METABOLISM BEHAVIOR CIRCULATION NEURAL INTEGRATION

CORRECTIVE FORCES CAN BE DIRECT OR INDIRECT : 

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 : 

DOES IT WORK

REVIEW OF LIT : 

REVIEW OF LIT

NEJM ART : 

NEJM ART

RESULTS : 

RESULTS

WC COST ANALYSIS : 

WC COST ANALYSIS

EBM DATA : 

EBM DATA

PRE-POST MFR : 

PRE-POST MFR

FRYMANN : 

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. : 

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.

Slide 40: 

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

LINKS : 

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