MaloCCOM said:
wow thats great... I need to start up an OMM journal too!
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I have posted several of my stories on SDN in other threads. I love myofascial. I think MFR is about 60% of what i do for treatment (if you include neurofascial and visceral techniques with myofascial). I also use a lot of BLT/LAS stuff, muscle energy and counterstrain). HVLA and cranial make up about 5% each.
In the end- if you know what to treat and why, the method you use isn't very important. As i said at a lunch lecture at KCOM- diagnosic ability is probably 90% of what makes an osteopath successful. sometimes the diagnosis is easy enough anyone can get it- someone sprained their ankle, or their foot went off the curb and their pelvis has been hurting since... lol. Unfortunately most of my patients arent that simple.
I mean full body diagnosis- including a detailed history, drawing on an in-depth knowledge of anatomy (or easy access to all the books), and incorporation of all of the medical knowledge from school into your diagnostic algorithm. Many headaches are caused by leg length differences, something in the pelvis or upper cross syndrome (or even trapezius spasm)- if you only crack the neck and massage a little the pain will be back the next day.
Chronic sinusitis? If you know that often chronic sinusitis is often caused by GERD, you would know to ask an sinusitus patient about reflux symptoms, and then if they have a positive history, you know to check their ~T4-8 region for sympathetic input that might be inhibiting their lower esophogeal sphincter... Then you need to determine what is causing the chronic spinal changes (viscerosomatic, or somatovisceral?)... maybe it is a hiatal hernia- get out your visceral techniques. maybe functional scholiosis? chronic myofascial/somatoemotional lesions in the chest wall? etc.
At most schools they spend 90% of their time in OMM class teaching treatments. Those who focus more on treatment in their practice typically dont have permanent improvement in their patients.
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