How Many Docs Do You Think Actually Use The Manipulation Tech In Their Practices?

[Ifellinapothole]

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[crys20]

not a whole, whole lot i don't think. but even if just end up using it on your family or a select few patients, why not learn it and learn it well ya know

 

[KHep]

Not enough. An OB/GYN that I shadowed fell out of practice because they didn't use it during his residency. Now he is afraid of using it incorrectly. I can't wait to learn it.

 

[stomper627]

Depends on the specialty and the Dr.
While on FP rotations, I saw a few use it quite a bit, and others never. On both of my Sports Medicine electives, it was used with almost every patient. Obviously, I never saw it used in Path or Rads, but did see it used in the ED (Ive used it there myself) for musculoskeletal complaints. On an OMT rotation (obviously used with everypatient) but we were CS for quite a lot of medicine patients....

 

[Nate]

367.2

 

[OSUdoc08]

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The ones that did postgraduate training in OMM.

 

[EricH]

My mother-in-law has been a DO for 17 years and never uses OMM. She says in family practive you can't bill for it. However, to frame it, she dosen't like OMM much either...except when its used on her 🙂

 

[OSUdoc08]

My mother-in-law has been a DO for 17 years and never uses OMM. She says in family practive you can't bill for it. However, to frame it, she dosen't like OMM much either...except when its used on her 🙂

Uh, yeah you can.

 

[EricH]

Uh, yeah you can.

Thats just what she said...maybe its a NV thing (where she lives), maybe a profitability thing, not sure.

I plan to utilize it as much as possible when I am practicing.

 

[Fin-Nor]

My mother-in-law has been a DO for 17 years and never uses OMM. She says in family practive you can't bill for it. However, to frame it, she dosen't like OMM much either...except when its used on her 🙂

maybe she doesnt like it because... *gasp* shes not good at it? gotta love those who goof off during opp and complain about not being good at it.

 

[MechE]

The FP doc who wrote my letter of recommendation uses it in his clinic all the time. Other than him I don't know any D.O.'s who use it.

 

[OSUdoc08]

The FP doc who wrote my letter of recommendation uses it in his clinic all the time. Other than him I don't know any D.O.'s who use it.

All of our OMM professors do.

 

[Dr Sum Day]

My mother-in-law has been a DO for 17 years and never uses OMM. She says in family practive you can't bill for it. However, to frame it, she dosen't like OMM much either...except when its used on her 🙂

The D.O. that manipulated my back billed for "Muscle energy and Osteo Manipulation". Does it differ with each state?

 

[MasterShakeDO]

A study by the AOA showed that 6% of D.O.'s use OMM as a regular part of their treatments.

 

[OSUdoc08]

A study by the AOA showed that 6% of D.O.'s use OMM as a regular part of their treatments.

It's not all about treatment.

A large part of learning OMM is developing diagnostic skills to detect disease/disorder/dysfunction, as well as the palpatory skills to locate landmarks quickly/easily/efficiently.

This experience is just not there in allopathic school.

Something as simple as a spinal tap is much more efficient if you've spent hours feeling sacrums and lumbar vertebrae.

 

[LVDoc]

I don't remember the specific survey, whether it was used for treatment, diagnosis, or both, but I clearly remember reading that approximately only 5% of DO's use OMM in practice. This is roughly ~2500 physicians/50,000 DO's. Not a big number, not at all. I think stomper hit the nail on the head that much of it is probably specialty dependant.

 

[stomper627]

It's not all about treatment.

A large part of learning OMM is developing diagnostic skills to detect disease/disorder/dysfunction, as well as the palpatory skills to locate landmarks quickly/easily/efficiently.

This experience is just not there in allopathic school.

Something as simple as a spinal tap is much more efficient if you've spent hours feeling sacrums and lumbar vertebrae.

This is BS....
Seriously.... wait until MSIII or MSIV before you start spouting this crap.
Palpatory skills....so a PT should be best overall. I take it.....or better yet, a massuesse ?
Knowing anatomy (whether it be DO or MD) will help more than any skill of feeling....

 

[OSUdoc08]

I don't remember the specific survey, whether it was used for treatment, diagnosis, or both, but I clearly remember reading that approximately only 5% of DO's use OMM in practice. This is roughly ~2500 physicians/50,000 DO's. Not a big number, not at all. I think stomper hit the nail on the head that much of it is probably specialty dependant.

OMM is only a treatment.

 

[OSUdoc08]

This is BS....
Seriously.... wait until MSIII or MSIV before you start spouting this crap.
Palpatory skills....so a PT should be best overall. I take it.....or better yet, a massuesse ?
Knowing anatomy (whether it be DO or MD) will help more than any skill of feeling....

I've done clinicals, and seen the difference in palpatory skills between an MD and a DO in the emergency department setting.

 

[Arch Guillotti]

Something as simple as a spinal tap is much more efficient if you've spent hours feeling sacrums and lumbar vertebrae.

This is about the dumbest thing I have ever read on these boards - a real blowhard. I am terrible at OMM and can't even remember the last time I felt a sacrum. Despite this I am pretty good at spinal taps, and so are most of the MD's I work with.

 

[DrMom]

I've been asked (by preceptors) to do OMM on an interesting variety of rotations:

Family practice (of course)
Cardiology (made a huge difference for the post-CABG pt...I was amazed)
OB/GYN (used OMM multiple times)


It has been mentioned to me a couple of times that OMM is not within the standard of care in EM.

 

[OSUdoc08]

I've been asked (by preceptors) to do OMM on an interesting variety of rotations:

Family practice (of course)
Cardiology (made a huge difference for the post-CABG pt...I was amazed)
OB/GYN (used OMM multiple times)


It has been mentioned to me a couple of times that OMM is not within the standard of care in EM.

Although true, I saw an interesting study done in a couple of Texas military emergency departments using OMM vs. analgesics for neck pain----it was the cover of a recent JAOA.

 

[raptor5]

Thats just what she said...maybe its a NV thing (where she lives), maybe a profitability thing, not sure.

I plan to utilize it as much as possible when I am practicing.

A particular insurance company may not reimburse for it directly but a few extra minutes and evalutaion of the lymphatics, autonimic, and musculoskeletal system with a patient will quickly change a CPT code from a 99213 to a 99215 and yield higher reimbursement.

 

[raptor5]

OSUdoc08 are you done for the year (see the MSII). Here at PCOM we have another month yet.

 

[DrMom]

OSUdoc08 are you done for the year (see the MSII).

He's done. 👍

For some reason, even though the MS4s are also done, the school doesn't consider my class to be MS4s until July 1. I'm doing the last required MS3 rotation right now & doing a required MS4 rotation next month, so I'm gonna claim MS4 June 1 regardless of what the school says. 😛

 

[GregsAnatomy]

A family practitioner I shadowed said he makes an extra $90,000 a year by using OMM in his practice!