Lol. That’s not from the article. That’s a quote by the MSU administration to dismiss the allegations of rape. SMH seems like a lot of you chip on the shoulder students don’t see what’s going on here. They need to be in prison too, not just stepping down.
A lot of you are undermining the implications of this. This sets OMM back 50 years. Have any of you ever heard of beneficence? OMM is a ****ty excuse for medicine.
And I agree with you, that if the MSU admins were complicit they should absolutely be punished. I also agree that statements like the one you circled have the potential to do a ton of damage, which is all the more reason BS OMM needs to be vetted and the more legitimate and potentially helpful techniques need to have some actual solid research done. I'm not surprised it hasn't been done though, given the lack of research funding and research in general available to DO schools compared to MD schools.
Thats the thing, we find something that doesnt work, we stop using it. Our societies issue guidance. We acknowledge doubt of efficacy. And eventually the practice does changes just like PSA. Do DO's do that with OMM? Is there any critical review of your own literature? or does it get taught and practiced like it is completely efficacious. They make cult members out of you.
Think of it like the PSA, first there was disbelief, then backlash, then acknolwedgement and then acceptance. We are atleast capable of apraising something and then saying . Nope, not doing it. Eventually it does trickle into practice. I dont think OMM recieves the same treatment from most DOs.
Then why did the ACOG reject the recommendations of the USPSTF after their (well-backed) findings that manual pelvic exams should not be used as a screening tool in asymptomatic patients? They're still recommending it's use as a screening tool, and even went so far as to say there's inadequate evidence either way, so we're going to recommend OB's keep doing it. How about that kayexelate is still used in many hospital EDs when patients come in with hyperkalemia suspected to be acute despite it's known to be slow-acting and that the evidence that it even lowers total body K is dubious at best? Why is it still recommended that tPA be used as treatment for ischemic stroke within 4.5 hours of onset despite now having solid evidence that the number of people required to be treated to save 1 life is higher than the incidence of a patient who is treated developing permanent neurological damage or even dying? How about the lap band procedure or even gastric bypass for weight loss vs. sleeve gastrectomies? Let's not even get started on management of back pain and surgical interventions. So no, as physicians (both MD and DO) we don't always stop doing things that don't work even after solid evidence has come out.
I agree with you that there's an issue with the empirical research on OMM, but the same can be said about many treatments that are used regularly by MDs and DOs (like the lack of studies showing that using pressors for HTN actually improve long term mortality rates, as was mentioned by Psai in another thread recently). I'm not trying to defend OMM as a whole, or even most treatment modalities (though it's probably coming across that way). I'm just saying not to completely discredit every treatment modality because you hear that some are total crap or there aren't studies done yet. You also clearly haven't had an actual OMM lecture, our prof would tell us straight up beforehand which techniques he felt had legitimate efficacy and which ones we just needed to know for boards. Most DOs and DO students do have brains that we use, don't lump the very small minority who believe in crap like cranial or Chapman's points in with the vast majority of DOs who will never use OMM again after they graduate and think most of OMM shouldn't be used in almost any treatment plan.
Could you link the most evidence based of your techniques?
Imo the most legitimate techniques that I'd like to see an actual body of research on is myofascial/soft tissue release, HVLA (specifically for acute issues), and muscle energy (also known as post-isometric stretching in the PT/OT world, where there is more research on it). I'd also like to see some legitimate studies for mesenteric release for the treatment of inpatient constipation (technique is literally "releasing" the ascending, descending, and sigmoid colon to help mobilize fecal matter). Idk if the last one would show much, but I've heard enough instances of it being very successful that it's peaked my curiosity. I also personally believe that effleurage and petrissage is a legitimate treatment modality for upper and lower extremity edema, but better outcomes can be achieved with devices like SCDs and imo it's more of a historical technique than anything at this point.
Physical therapy is much more useful than OMM. And you know, has evidence behind it. Please don’t insult physical therapists by trying to minimize what they do to OMM.
Everyone knows there’s only one reason for OMM. To keep administrative jobs at DO schools. It’s a complete joke.
There are several physical therapy techniques that are literally exactly the same as OMM techniques. MR = soft tissue release. ME = post-isometric stretching. This post makes me question if you've ever actually studied any PT or been involved with that field outside of seeing patients getting walked around the wards.
I agree there's a huge administrative aspect to it, and personally wouldn't mind if COCA went away and DO medical education just merged with MD education with OMM as an elective or even just taught in certain fields of residency which focus more on the MSK system.
Actually most DOs are OMM apologists. The fact is there’s no evidence behind it, for some fields it is completely inappropriate (psychiatry), and in this example it was used as an excuse for rape.
Lol, maybe in Cali, but 99% of the DOs I've talked to either laugh when I ask what they think of OMM or groan and say they wish there was more research but they'd never use it themselves. Imo most of it is irrelevant for most fields, but there are a few techniques that are very relevant to certain fields (PM&R, sports med, clinical ortho, some random cases for FM and peds, etc). Seriously, who are you hanging out with where the majority are OMM apologists? Agree that it's utility is at best limited though and that certain techniques have no business even existing.
I think you are making an artificial and false distinction between MD and DO physicians. Why is OMM unique to DOs? What is preventing MD schools from making OMM an elective? Why can't sports medicine MD docs use OMM if OMM is so effective?
I've been treated by MDs who used OMM in college. There are CME courses on OMM available for MD attendings and residents, Harvard even offered one and there are MD schools that have them for students.
Atleast we can admit when we are wrong and change guidelines. Did they stop teaching chapman points? Was the phrenology class booked? How about that derm omm?
To the bolded: *sometimes*. So do almost all DOs though, unfortunately there's a small number (mostly from the old guard) who hang on to it and continue to advocate for all modalities in the education model. Unfortunately chapman's points are still taught (for some reason), phrenology isn't OMM and has no relation, and I've never even heard of OMM techniques to treat derm conditions unless someone is implying treating edema can prevent some derm issues (which I'm guessing is not what was being presumed). Again, most of us don't believe in most of OMM and want actual research for the few modalities we feel would be useful. Your perspective on the field seems to be skewed by a lot of what is posted on SDN, which is not congruent with reality when it comes to the OMM discussion imo.