Somatic Dysfunction in Osteopathic Family Medicine
Format: PDF / Kindle (mobi) / ePub
Prepare for effective practice with the patient-oriented approach of Somatic Dysfunction in Osteopathic Family Medicine, Second Edition. This practical book covers diagnostic work-up, the clinical rationale for osteopathic manual techniques (OMT) for specific diseases and conditions, manipulative techniques for a variety of patient types (psychiatric, pediatric, obstetric, geriatric, and more), and procedures for common conditions encountered in family practice.
- Access expert, up-to-date information with the proven resource endorsed by the American College of Osteopathic Family Physicians (ACOFP) and listed as a primary reference for test question writing by the National Board of Osteopathic Medical Examiners.
- Broaden your understanding with expert coverage of the philosophy and principles of osteopathic patient care—including patient empowerment, diagnosing somatic dysfunction, the manipulative prescription, viscerosomatic and somatovisceral reflexes, and psychoneuroimmunology.
- Take your learning beyond the book with videos available online.
- Prepare to work with a wide range of specific patient populations—psychiatric, pediatric, and obstetric patients as well as athletes, surgical patients, and patients at the end of life.
- Master procedures for treating conditions commonly encountered in family practice—otitis media, temporomandibular joint pain and dysfunction, upper respiratory infection, lower respiratory tract infection, hypertension, congestive heart failure, gastrointestinal problems, thyroid disease, Parkinson disease, Larson syndrome (functional vasomotor hemiparesthesia syndrome), fibromyalgia/chronic fatigue syndrome, chronic pain and headache, back pain from short leg syndrome and postural imbalance, back pain from postural decompensation in the sagittal plane, and scoliosis.
- Access practical information on office set-up, progress notes and coding, and the standardized medical record.
m ai n c o nstant. The f o o d the patient d o e s e a t i s f r eque n t l y poorly a s s imi la ted. Poor den ta l healt h , h yposecre t i on o f the gastr i c m u c o s a , and senescen t decrea se in the p r o d u c t i on of e n ter i c e n z y m e s a l l interfere wit h t h e a bsorptio n of n u trien ts . As a p e r s o n gro ws o l d er, financ i a l resources o ft e n diminish, and less money is a va i l a ble for food. Therefore, the phys icia n must c o ns i d er pa tients' d ietary
s o u ght out a nd t r e a te d to reduce stress upon t h e unstable osteoa rthritic a re a . The patient with o s teoporosis can benef i t from manipulation, but this must be a p propria te ly gent l e. Procedure s a pplying force downward u p on the thoracic cage of the pro n e or s u p i n e pa tient put p o te n tia l l y tra uma tic force upon the costochond ral, costove rte b r a l, and mid shaft areas of the ribs a n d s hou l d be used o n l y with t h e gre a te s t c a u tio n . Stress
Regional and Segmental Examination of the Cervical Spine Examination of the Occiput (CO on (1) Examination of the Atlas (C1 on (2) Segmental Examination of the Cervical Spine (C2 on C3 to C7 on T1) Evaluation of the Upper Thoracic Region (T1 T4) : Using the Head and Cervical Region as a Lever Evaluation of the Upper Thoracic Region (T1-T4): Using the Thumbs to Assess Motion Evaluation of the Lower Thoracic Region (T5-T12): Using the Shoulders as a Lever Regional and Segmental Examination of the
occa sionally a patient newly assigned to the installation would ask when first checking in to the medical facility, "Do you have any DOs on the staff?" I thought I knew why, so I never-nor did any of the other staff members-ask why the patient requested an osteopathic physician. One day in my clinic, I had an allopathic medical student shadowing me for the afternoon. The patient, who had more than 20 years of mil itary service and whom I had seen on several previous visits, struck up a short
somatic dysfunction after the primary visceral pathology has been treated. Chapter 9 • The Female Patient 107 Primary spi nal somatic dysfu n c t i on results in facilitation that can affect seg menta l ly related organs through increased sympathetic or parasympathetic activity. Functional visceral symptoms that are the result of somatovisceral refl exes may be alleviated by treatin g the un derlying somatic dysfunction an d wh en appropri ate, postural imba l ance that predisposes the ind