An Osteopathic Approach to Diagnosis and Treatment / Edition 3

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Osteopathic medical students and faculty benefit from a uniquely practical text that organizes osteopathic concepts and step-by-step techniques into a single comprehensive volume. This new edition includes new, all-important updates on somatic and visceral problems, writing the osteopathic manipulative prescription, and case histories to reflect changes in the national licensing examination. The book’s integrated method for diagnosis and treatment embraces basic osteopathic history and philosophy, osteopathic palpation and manipulation, and specific manipulative treatments and concepts. Abundant photographs demonstrate step-by-step techniques. Meticulous illustrations depict underlying anatomy.

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This update of a seminal text of osteopathic medicine begins with a concise historical background section and an explanation of the goals of osteopathic manipulative medicine before moving into specifics of each major area. The book was first published in 1991, and then in 1997. This edition adds case histories.
Purpose: It is intended to meet the needs of both teachers and students of osteopathic manipulative medicine and it quite adequately achieves that end. Considering that osteopathic manipulative medicine is generally poorly understood by practitioners of traditional medicine, this book goes far in explaining the goals and techniques used by osteopathic physicians. The decision to describe case histories adds significantly to the basics.
Audience: This is a very useful book for attending physicians and students, be they osteopathic medical students or allopathic physicians and students interested in manipulative medicine. The authors, particularly Dr. Schiowitz, are significant contributors to the specialty and are active practitioners.
Features: The major strengths of the book are the definitions of unique medical terms used by practitioners of osteopathic manipulative medicine and how the diagnosis and treatments are documented. This understanding is crucial to osteopathic medicine and the authors present this information very well. Each chapter describes the anatomy and physiology as it applies specifically to manipulative medicine, differentiating this from other standard anatomy and physiology books. Chapters outline specific manipulation techniques with descriptions that are relatively easy to follow. However, the one problem with the book is that the pictures appear a bit outdated and do not convey the different motions required of each technique. The illustrations are very good and are well known in the osteopathic community, but the corresponding text does not explain the illustrations well. The references are representative of the current literature and could be helpful in defining future research.
Assessment: This book is extremely useful for experienced practitioners who wish to review the skills of manipulative medicine and for students who are learning the nomenclature and documentation of the practice. By far, it is the most comprehensive book on osteopathic manipulative medicine available.
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Product Details

  • ISBN-13: 9780781742931
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 11/3/2004
  • Edition description: Third
  • Edition number: 3
  • Pages: 641
  • Product dimensions: 7.30 (w) x 10.34 (h) x 1.51 (d)

Table of Contents


  2. Introduction
    Eileen L. DiGiovanna
  3. History of Osteopathy
    Eileen L. DiGiovanna
  4. Philosophy and Concepts of Osteopathic Medicine
    Dennis J. Dowling and David J. Martinke
  5. Somatic Dysfunction
    Eileen L. DiGiovanna
  6. General Anatomic Considerations
    Stanley Schiowitz, Eileen L. DiGiovanna, and Nancy Brous
  7. General Physiologic Considerations
    Dennis J. Dowling and Paula D. Scariati
  8. Structural Examination & Documentation
  9. Palpation
    Eileen L. DiGiovanna
  10. The Role of Exercise in Osteopathic Management
    Stanley Schiowitz and Albert R. DeRubertis


  11. History of Manual Medicine
    Eileen L. DiGiovanna
  12. Goals, Classifications & Models of Osteopathic Manipulation
    Eileen L. DiGiovanna
  13. Myofascial (Soft Tissue) Techniques
    Toni Spinaris and Eileen L. DiGiovanna
  14. Muscle Energy
    Dennis J. Dowling
  15. Counterstrain
    Eileen L. DiGiovanna
  16. Facilitated Positional Release
    Stanley Schiowitz
  17. Still Techniques
    Dennis J. Dowling
  18. Articulatory and Thrusting Techniques
    Eileen L. DiGiovanna
  19. Myofascial Release Concepts
    Dennis J. Dowling and Paula Scariati
  20. Balanced Ligamentous Tension (Ligamentous Articular Strain)
  21. Functional Techniques
    Stanley Schiowitz
  22. Osteopathy in the Cranial Field
    Hugh Ettlinger and Bonnie Gintis
  23. Chapman’s Reflex Points
    John D. Capobianco
  24. Inhibition And Progressive Inhibition Of Neuromusculoskeletal Structures (PINS) Techniques
    Dennis J. Dowling


  25. Cervical Anatomic Considerations
    Stanley Schiowitz and Jonathon Fenton
  26. Evaluation of the Cervical Spine
    Eileen L. DiGiovanna
  27. Myofascial Techniques
    Toni Spinaris and Eileen L. DiGiovanna
  28. Muscle Energy Techniques
    Nancy Brous
  29. Counterstrain Techniques
    Eileen L. DiGiovanna and Lillian Somner
  30. Facilitated Positional Release
    Stanley Schiowitz
  31. Still Techniques
    Dennis J. Dowling
  32. PINS Techniques
    Dennis J. Dowling
  33. Thrusting Techniques
    Eileen L. DiGiovanna and Barry Erner
  34. Exercise Therapy
    Stanley Schiowitz and Albert R. DeRubertis
  35. Practical Applications & Case Histories
    Eileen L. DiGiovanna


  36. Thoracic Spine Anatomic Considerations
    Jonathan F. Fenton and Donald E. Phykitt
  37. Evaluation of the Thoracic Spine
    Eileen L. DiGiovanna and Donald E. Phykitt
  38. Thoracic Myofascial Techniques
    Eileen L. DiGiovanna and Toni Spinaris
  39. Muscle Energy
    Sandra D. Yale, Nancy Brous, and Dennis J. Dowling
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