OMM in PM&R

[EMTK]

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I turn to those currently practicing PM&R (both DO and MD) and ask, "how often do you use, or see being used, OMM techniques in the rehab setting?

As a current OMS-II I am thinking about applying for my school's OMM fellowship and am curious to see how often it is used in both the in/outpatient settings; do you feel it's worth the time and compensation, and do you see results (i.e. an expedited recovery period)?

I have not seen this discussed elsewhere, and if I've missed it, I apologize and would appreciate your direction to the thread.

 

[PMR 4 MSK]

I've heard of it being used, but never personally seen it. Some of my patients see DOs as PCPs, and they do some OMM. In general, I believe my pts like it more than chiropractic manipulation. But I see a biased population that is less likely than the general population to see a chiropractor, or put a lot of faith in their treatment.

 

[MSKalltheway]

I've actually seen my osteopathic classmates use it quite a bit whenever appropriate, our attendings have been very supportive of it also.

You probably wouldnt see it used in an inpatient setting so much. It generally seems to provide at least temporary benefit (havent seen enough patients on follow up yet to really have experience in the long term).

 

[sammybear]

I did a pre-doctoral OMM fellowship and am currently a PGY4 rehab resident at a well regarded program. My program has very few DOs on faculty (only 1 at this point), but I have a lot of flexibility to use it whenever appropriate (as long as I discuss with my attending). I mainly use it in the outpatient setting. My treatments are brief and concise, as there are often time constraints. The patients seem to love it, but as time is often an issue, I tend to refer a select group of patients (who I feel would benefit from repeated OMT sessions) to outside providers. I do not have a good understanding of how much reimbursement OMT provides. I plan on using OMT in my practice, though I am not sure of the extent I plan on performing this. I feel that high quality OMT is best provided by those who perform it regularly, so for now I envision myself performing limited and focused OMT as part of my regular evaluation and will try to form relationships with high quality OMT providers in the area. That being said, my OMM fellowship was very helpful for preparation for PM&R residency, as it gave me a nice breadth of MSK knowledge.

 

[melancholy]

I did a pre-doctoral OMM fellowship and am currently a PGY4 rehab resident at a well regarded program. My program has very few DOs on faculty (only 1 at this point), but I have a lot of flexibility to use it whenever appropriate (as long as I discuss with my attending). I mainly use it in the outpatient setting. My treatments are brief and concise, as there are often time constraints. The patients seem to love it, but as time is often an issue, I tend to refer a select group of patients (who I feel would benefit from repeated OMT sessions) to outside providers. I do not have a good understanding of how much reimbursement OMT provides. I plan on using OMT in my practice, though I am not sure of the extent I plan on performing this. I feel that high quality OMT is best provided by those who perform it regularly, so for now I envision myself performing limited and focused OMT as part of my regular evaluation and will try to form relationships with high quality OMT providers in the area. That being said, my OMM fellowship was very helpful for preparation for PM&R residency, as it gave me a nice breadth of MSK knowledge.

I agree wholeheartedly that my experience in a predoctoral fellowship was extremely helpful for providing a good foundation for some parts of my PM&R and later pain training. If an OMM dept is able to integrate current and upcoming literature into their training, I think graduating fellows will be even more prepared to utilize their skills in residency and beyond.

 

[Jitter Bug]

I had a few residency classmates who did the OMM year and still did OMM in their PM&R continuity clinics, usually with special arrangements with faculty to block time and have those sessions staffed with faculty who were also actively using OMM in their own clinics. (otherwise how would your attending know if you were doing it right?)

In my city, It seems a smattering of docs trained in OMM kept it up and still use it, mostly PCP's, pain docs and a few sports medicine docs. I can't comment on the reimbursement.

 

[DOctorJay]

I had a few residency classmates who did the OMM year and still did OMM in their PM&R continuity clinics, usually with special arrangements with faculty to block time and have those sessions staffed with faculty who were also actively using OMM in their own clinics. (otherwise how would your attending know if you were doing it right?)

In my city, It seems a smattering of docs trained in OMM kept it up and still use it, mostly PCP's, pain docs and a few sports medicine docs. I can't comment on the reimbursement.

http://thecavengs.com/files/OMT Billing Coding S07.ppt Billing & Coding

 

[EMTK]

Thank you all for your information. As an 2nd year with interest in PMR, OMT seems like a perfect fit, but I've also noticed some big differences from school world and can be expected in the real world.