Osteopathic manipulative treatment (OMT); 3-4 body regions involved
CPT4 code
Name of the Procedure:
Osteopathic Manipulative Treatment (OMT); Also known as Osteopathic Manipulative Therapy
Summary
Osteopathic Manipulative Treatment (OMT) is a hands-on approach used by osteopathic physicians to diagnose, treat, and prevent illness or injury. The physician uses their hands to move the patient’s muscles and joints using techniques that include stretching, gentle pressure, and resistance.
Purpose
OMT is used to treat a wide range of medical conditions. The primary goals are to relieve pain, improve physical functioning, and promote overall health and well-being.
Indications
OMT is indicated for:
- Musculoskeletal pain (e.g., back pain, neck pain, joint pain)
- Tension headaches
- Sports injuries
- Postural problems
- Chronic conditions like asthma, sinus disorders, and digestive issues
OMT is appropriate for patients looking for a non-invasive treatment option and those who can safely undergo physical manipulative techniques.
Preparation
- No specific fasting or pre-procedure preparation is typically required.
- Patients should inform their physician of any existing medical conditions or medications they are taking.
- A complete medical history and physical examination are conducted beforehand.
Procedure Description
- Initial Assessment: The physician assesses the patient's medical history and performs a physical examination, focusing on the affected body regions.
- Diagnosis: The doctor uses their hands to palpate the patient’s body to diagnose issues related to muscle, bone, and tissue alignment.
Treatment Techniques: The physician applies various manipulative techniques, including:
- Soft tissue techniques to relax muscles.
- Myofascial release to reduce tissue tension.
- High velocity, low amplitude (HVLA) thrusts to reposition joints.
- Muscle energy techniques to improve motion.
- Counterstrain methods to reduce muscle spasms.
Tools used include the physician’s hands. No anesthesia or sedation is generally required.
Duration
The procedure typically takes 15-30 minutes, depending on the number of body regions involved.
Setting
OMT is usually performed in an outpatient clinic or the physician’s office.
Personnel
- Osteopathic physician (DO)
- Medical assistant (optional)
Risks and Complications
- Mild soreness or discomfort after the treatment, similar to what might be felt after a workout.
- Rarely, patients may experience more significant discomfort or exacerbation of symptoms, which should be reported to the physician.
- Serious complications are extremely rare but can include injury to muscles, bones, or nerves.
Benefits
- Relief from pain and discomfort.
- Improved mobility and function.
- Enhanced overall well-being. Benefits can often be felt immediately, though several sessions may be needed for optimal results.
Recovery
- Patients can usually resume normal activities immediately after the procedure.
- Post-treatment soreness may last for a day or two.
- Follow-up appointments may be scheduled to monitor progress and adjust the treatment plan.
Alternatives
- Physical therapy: Exercises and treatments to improve movement and pain management.
- Chiropractic care: Focuses on spinal adjustments and musculoskeletal alignment.
- Medication: Pain relievers and anti-inflammatory drugs.
- Surgery: Reserved for more severe conditions where conservative treatments are ineffective.
Each alternative has its own set of advantages and disadvantages, and the choice depends on the individual patient’s condition and preferences.
Patient Experience
During the procedure, patients might feel varying degrees of pressure, stretching, or movement. Some techniques may produce a mild audible pop or click. Afterward, patients typically feel relief, although minor soreness might be present. The physician ensures comfort throughout the process by explaining each step and adjusting techniques as needed.