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Osteopathic manipulative treatment (OMT); 9-10 body regions involved

CPT4 code

Name of the Procedure:

Osteopathic Manipulative Treatment (OMT); 9-10 Body Regions Involved

Summary

Osteopathic Manipulative Treatment (OMT) is a hands-on medical procedure where physicians use their hands to diagnose, treat, and prevent illness or injury. OMT involves using techniques such as stretching, gentle pressure, and resistance to treat various conditions affecting the body's systems.

Purpose

OMT addresses musculoskeletal issues, pain, and limited range of motion to improve function and alleviate discomfort. The goals are to enhance mobility, relieve pain, support the body’s natural healing processes, and improve overall health and well-being.

Indications

  • Chronic or acute musculoskeletal pain
  • Limited range of motion in joints
  • Functional scoliosis
  • Headaches, including migraines
  • Respiratory problems like asthma and sinusitis
  • Gastrointestinal issues such as constipation

Preparation

  • No special preparations like fasting are required.
  • Patients should wear loose, comfortable clothing.
  • The physician may conduct a physical exam and review medical history prior to the procedure.

Procedure Description

  1. Initial Assessment: The physician evaluates the patient's posture, spine, and balance.
  2. Diagnosis: The physician identifies areas of restriction or dysfunction by palpation.
  3. Treatment Techniques: The physician employs a variety of manual techniques, including:
    • Stretching: Lengthening of tight muscles or fascia.
    • Gentle Pressure: Applying targeted pressure to relieve tension.
    • Articulation: Facilitated joint movement within normal range.
    • Muscle Energy: Patient uses muscles from a controlled position against a counterforce.
  4. Re-assessment: The patient's condition is re-evaluated after treatment to assess effectiveness.

Tools used are primarily the physician's hands. No anesthesia or sedation is typically required.

Duration

Each session generally lasts about 30 to 60 minutes.

Setting

The procedure is commonly performed in an outpatient clinic or physician's office equipped for physical examination and treatment.

Personnel

  • Osteopathic Physician (DO)

Risks and Complications

  • Mild soreness or discomfort in the treated areas
  • Rarely, there may be muscle strains or joint injuries
  • Adverse reactions are uncommon but promptly managed by the physician

Benefits

  • Improved mobility and range of motion
  • Relief from pain and muscle tension
  • Enhanced circulation and patient well-being
  • Benefits often realized shortly after the procedure, with cumulative effects over multiple sessions

Recovery

  • Patients can typically resume normal activities immediately.
  • Mild soreness may occur but usually subsides within 24-48 hours.
  • Follow-up appointments might be scheduled to monitor progress and adjust treatment.

Alternatives

  • Physical Therapy: Exercises and modalities to improve function and decrease pain.
  • Medication: Pain relievers and anti-inflammatory drugs.
  • Chiropractic Care: Focused on spinal manipulation and alignment.
  • Pros of OMT: Non-invasive, holistic approach, addresses wide range of symptoms.
  • Cons: Requires multiple sessions, may not be covered by all insurance.

Patient Experience

  • Patients might feel pressure or stretching during the treatment, but it is generally well-tolerated.
  • Mild discomfort or soreness post-treatment is normal and temporary.
  • Physicians often employ measures like patient education and gentle techniques to ensure comfort and minimize pain.

Feel free to reach out with any further questions or to schedule a consultation with our osteopathic specialist!

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