Osteopathic manipulative treatment (OMT); 1-2 body regions involved
CPT4 code
Name of the Procedure:
Osteopathic Manipulative Treatment (OMT)
Summary
Osteopathic Manipulative Treatment (OMT) is a hands-on method used by osteopathic physicians (DOs) to diagnose, treat, and prevent illness or injury by moving a patient’s muscles and joints using techniques including stretching, gentle pressure, and resistance.
Purpose
OMT aims to alleviate pain, increase mobility, and support the body's natural ability to heal. It is commonly used to treat muscle pain, back pain, and headaches, and it supports recovery from sports injuries or surgeries.
Indications
- Chronic pain conditions such as lower back pain or neck pain
- Acute musculoskeletal injuries or strains
- Headaches, including tension headaches and migraines
- Repetitive stress injuries
- Post-surgical recovery
- Respiratory ailments like asthma or sinusitis
Preparation
- Typically, no special preparation is needed.
- Wear comfortable clothing that allows easy movement.
- Inform your physician of any current medications or ongoing treatments.
- A physical examination may be done beforehand to assess the affected areas.
Procedure Description
- The patient lies on an examination table.
- The osteopathic physician uses their hands to examine the affected areas.
- Techniques such as stretching, applying gentle pressure, and resistance are used.
- The physician may use thrust techniques aimed at realigning the spine or other joints.
- The patient may be asked to move in specific ways to aid the treatment.
Tools, equipment, or technology used: Primarily, the physician's hands are the primary tools for OMT.
Anesthesia or sedation details: Generally, anesthesia or sedation is not required for OMT.
Duration
The procedure typically takes 15 to 30 minutes, depending on the complexity and number of body regions being treated.
Setting
OMT is usually performed in an outpatient clinic or the office of an osteopathic physician.
Personnel
- Osteopathic physician (DO)
- Occasionally, medical assistants or other healthcare providers may assist.
Risks and Complications
Common risks:
- Temporary soreness or discomfort
- Mild fatigue
Rare risks:
- Adverse reactions such as increased pain
- Injury to muscles or joints
Management of complications:
- Communication with the healthcare provider for pain management and adjustments in technique
Benefits
- Immediate relief of pain and discomfort
- Increased range of motion
- Enhanced healing and recovery for musculoskeletal issues
- Improved overall function and quality of life
Recovery
- Most patients can resume normal activities immediately after OMT.
- Mild soreness can be managed with over-the-counter pain relievers and should subside within a day or two.
- Follow-up appointments may be scheduled to monitor progress and make any necessary adjustments.
Alternatives
- Physical therapy: Offers structured exercise programs but may lack the hands-on techniques used in OMT.
- Chiropractic care: Focuses on spinal adjustments but may not address the full range of musculoskeletal issues that OMT can.
- Medication: Pain relief through pharmaceuticals, which might carry side effects.
Patient Experience
During the procedure, patients may feel gentle pressure and stretching but should not experience significant pain. Post-treatment, some mild soreness might occur but typically resolves quickly. Comfort measures include applying ice or heat to the treated area and resting as needed.