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Osteopathic manipulative treatment (OMT); 7-8 body regions involved

CPT4 code

Name of the Procedure:

Osteopathic Manipulative Treatment (OMT); 7-8 Body Regions Involved

Summary

Osteopathic Manipulative Treatment (OMT) involves hands-on techniques by a trained osteopathic physician to diagnose, treat, and prevent illness or injury. In this specific procedure, the physician manipulates 7-8 body regions to improve mobility, reduce pain, and support the body’s natural healing processes.

Purpose

OMT addresses musculoskeletal issues and related health problems. The main goals are to enhance the body's function, alleviate pain, improve circulation, and promote general health and well-being.

Indications

  • Chronic pain (e.g., back pain, neck pain)
  • Headaches and migraines
  • Joint stiffness or reduced mobility
  • Sports injuries
  • Post-surgical recovery
  • Respiratory issues (e.g., asthma)

Preparation

  • Wear loose, comfortable clothing.
  • No fasting or specific medication adjustments are generally required.
  • An initial physical examination and patient history is taken to tailor the treatment to individual needs.

Procedure Description

  1. The patient lies on a treatment table.
  2. The osteopathic physician uses their hands to feel the body's condition and identify areas of restriction or tension.
  3. Techniques such as stretching, gentle pressure, and resistance may be used on 7-8 regions of the body, including the spine, arms, legs, and head.
  4. The physician adjusts the intensity and type of manipulation based on patient response and therapeutic goals.

Tools/Equipment: Primarily the physician's hands; no additional equipment required. Anesthesia: Not typically used. The procedure is generally performed without sedation.

Duration

The entire session typically lasts between 30 to 60 minutes.

Setting

OMT is usually performed in an outpatient clinic setting or a physician's office.

Personnel

  • Osteopathic Physician (DO) – responsible for the entire procedure.
  • Occasionally, a nurse or medical assistant may be present for support.

Risks and Complications

  • Mild soreness or discomfort in manipulated areas
  • Rarely, temporary dizziness or headache
  • Severe complications are extremely rare but may include injury to muscles, nerves, or bones.

Benefits

  • Immediate relief from pain and discomfort for many patients
  • Enhanced mobility and function
  • Improved overall health and well-being
  • Benefits often realized within a few sessions but vary by individual condition.

Recovery

  • Little to no downtime; patients can usually return to normal activities immediately.
  • Patients may be advised to stay hydrated and avoid strenuous activity for a short period post-treatment.
  • Follow-up appointments may be scheduled to monitor progress and provide additional treatments.

Alternatives

  • Physical therapy: Focus on exercises and training to improve function.
  • Chiropractic care: Spinal adjustments to alleviate pain and improve function.
  • Medication management: Use of pain relievers or anti-inflammatory drugs.
  • Each alternative has its own benefits and risks, and may or may not be as holistic as OMT.

Patient Experience

  • During the procedure, patients may feel gentle pressure or stretching sensations.
  • Generally, the treatment is comfortable and non-invasive; some mild discomfort is normal.
  • After the procedure, patients often feel relief and relaxation, though some may experience mild soreness akin to that felt after a workout.
  • Pain management is typically not needed, but over-the-counter pain relievers may be recommended if soreness occurs.

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