Osteopathic Manipulative Treatment effectiveness?

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med99

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I was just reading through an employee handbook for the local osteopathic hospital and ran across this statement:

OMT is often used to treat muscle pain. But it can also help patients with a number of other health problems, among them
Asthma
Sinus disorders
Carpal tunnel syndrome
Migraines
Menstrual Pain
Neonatal conditions
back pain

My personal opinion on this subject is that DO schools have a rich history but have over the years simply become 3rd tier medical schools.

As per claims above. I have tried to look for the Evidence based Medicine (EBM) for each of the above claims and have found unimpressive results. Does anybody have any EBM supporting the use of OMT?

Asthma-One of the few controlled trials using chiropractic techniques showed no benefit.
http://www.utdol.com/application/abstract.asp?TR=asthma/11611&viewAbs=81&title=81

Back pain- Meta-analysis shows no evidence that spinal manipulatin is superior to other standard treatments for low back pain. Spinal manipulation was superior to sham therapy and to therapies that have been judged to be ineffective or harmful, but had no advantage when compared with general practitioner care, analgesics, physical therapy, exercises, or back school. Results were similar for acute and chronic low back pain. (vid uptodate)

I am open to being convinced that OM is legit however I feel the burnden of proof is currently on the DO community.

Med99
 
First of let me put this disclaimer out there. I am in an allopathic (MD) school...IIRC there was a huge thing about this last yr and the only thing someone showed once again IIRC is that for back pain or something of the sort OMT was JUST as effective as aspirin. The problem with this is that aspirin is dirt cheap and your time as an MD or DO is not. I agree that there is little to NO EBM supporting the DO use of OMT.
 
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