An Osteopathic Approach to Diagnosis and Treatment

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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

From The Critics
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: 9780397510016
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 1/1/1991
  • Pages: 511

Table of Contents

1 Introduction
2 History of osteopathy
3 The philosophy of osteopathic medicine
4 Somatic dysfunction
5 General anatomic considerations
6 General physiologic considerations
7 Structural examination and documentation
8 Palpation
9 The role of exercise in osteopathic management
10 History of manual medicine
11 Goals, classifications and models of osteopathic manipulation
12 Myofascial (soft tissue) techniques
13 Muscle energy
14 Counterstrain
15 Facilitated positional release
16 Still technique
17 Articulatory and thrusting techniques
18 Myofascial release concepts
19 Ligamentous articular strain technique and balanced ligamentous tension technique
20 Functional techniques
21 Osteopathy in the cranial field
22 Chapman's reflex points
23 Inhibition and progressive inhibition of neuromusculoskeletal structures (PINS) techniques
24 Cervical anatomic considerations
25 Evaluation of the cervical spine
26 Myofascial techniques
27 Muscle energy techniques
28 Counterstrain techniques
29 Facilitated positional release
30 Still techniques
31 PINS techniques for the cervical spine
32 Thrusting techniques
33 Exercise therapy
34 Practical applications and case histories
35 Thoracic spine anatomic considerations
36 Evaluation of the thoracic spine
37 Thoracic myofascial techniques
38 Muscle energy of the thoracic spine
39 Thoracic counterstrain techniques
40 Facilitated positional release
41 Still techniques
42 PINS techniques for the thoracic spine
43 Thoracic spine thrusting techniques
44 Exercise therapy
45 Thoracic spine practical applications and case histories
46 Lumbar anatomic considerations
47 Evaluation of the lumbar spine
48 Myofascial techniques
49 Muscle energy techniques for the lumbar spine
50 Counterstrain techniques
51 Facilitated positional release
52 Still techniques
53 PINS techniques
54 Thrusting techniques for the lumbar spine
55 Exercise therapy
56 Practical applications and case histories
57 Pelvic and sacral anatomic considerations
58 Gait and postural considerations
59 Evaluation of the pelvis
60 Evaluation of the sacrum
61 Muscle energy
62 Counterstrain techniques for the sacrum and pelvis
63 Facilitated positional release techniques for the sacrum and pelvis
64 Still techniques
65 PINS techniques
66 Thrusting techniques
67 Exercise
68 Practical applications and case histories of the sacrum and pelvis
69 Anatomic considerations of the thoracic cage
70 Evaluation of the thoracic cage
71 Muscle energy techniques for the ribs
72 Counterstrain techniques for the ribs
73 Facilitated positional release
74 Rib still techniques
75 PINS techniques
76 Articulatory and thrusting techniques for the ribs
77 Exercises for the thoracic cage
78 Practical applications and case histories of the thoracic cage
79 Shoulder anatomical considerations
80 Evaluation of the shoulder
81 Elbow anatomic considerations
82 Evaluation of the elbow
83 Wrist the hand anatomic considerations
84 Evaluation of the wrist and hand
85 Muscle energy treatment of the upper extremities
86 Counterstrain of the upper extremities
87 Facilitated positional release of the upper extremities
88 Articulatory and thrusting techniques for the upper extremities
89 Exercise therapy for the upper extremity
90 Practical applications and case histories of the upper extremities
91 Anatomical considerations of the hip
92 Evaluation of the hip
93 Knee anatomical considerations
94 Evaluation of the knee
95 Foot and ankle anatomic considerations
96 Evaluation of foot and ankle dysfunctions
97 Muscle energy of the lower extremity
98 Counterstrain treatment for lower extremities
99 Facilitated positional release of the lower extremities
100 Articulatory and thrusting techniques for the lower extremities
101 Exercise therapy of the lower extremity
102 Practical applications and case histories of the lower extremities
103 Cranial anatomical considerations
104 Cranial motions and dysfunctions
105 Diagnosis and treatment
106 Practical applications of cranial osteopathy
107 Lymphatics
108 Circulatory system
109 Autonomic nervous system
110 Visceral manipulation
111 HEENT applications
112 Pulmonary applications
113 Cardiac applications
114 Gastrointestinal applications
115 Renal and urologic applications
116 Gynecologic and obstetric applications
117 Neurologic considerations
118 The manipulative prescription
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