What is OMM?

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SoonToBeDoc

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Hi,
can you guys explain what OMM is? I am currently shadowing a doctor and he was talking about OMM...and i was like "uh huh" 😀 I have no clue what it is. I didn't want to look stupid in front of him so I just went along with whatever he said. Thanks...your help is GREATLY appreciated! 😳

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SoonToBeDoc said:
Hi,
can you guys explain what OMM is? I am currently shadowing a doctor and he was talking about OMM...and i was like "uh huh" 😀 I have no clue what it is. I didn't want to look stupid in front of him so I just went along with whatever he said. Thanks...your help is GREATLY appreciated! 😳
Well, I'm not sure it mattered if you asked. I mean you are a premed so he wouldn't have minded.

OMM stands for Osteopathic Manipulative Medicine. From my limited knowledge of it, it's basically different types of manipulation that DOs learn in school which are similar to what a chiropractor does.
 
Adapt said:
Well, I'm not sure it mattered if you asked. I mean you are a premed so he wouldn't have minded.

OMM stands for Osteopathic Manipulative Medicine. From my limited knowledge of it, it's basically different types of manipulation that DOs learn in school which are similar to what a chiropractor does.

Let me try.

OMM (Osteopathic Manipulative Medicine) or OMT (Osteopathic Manipulative Therapy) is hands on medicine. You often hear the word "manipulation" used. Basically it is a form of treatment where the practitioner uses techniques to help realign the bodies structural components (muscle, bones, fascia) in order to allow the body to better cope with disease or trauma, or even to promote health and prevent disease. There are a number of different techniques that are used than range from very gentle techniques that release the fascia overlying musculature to the more "active" thrusting techniques which often give the patient and practitioner that satisfying "pop" sound when something moves back into place.

OMM was developed, and it still being developed, by practitioners who want an additional modality in treating their patients. OMM has a role in many common medical problems, rarely being the only adjuntive therapy to CURE, but undoubtedly being helpful in shortening duration of illness, relieving pain and allowing the bodies own mechanisms to better defend itself or repair itself.

A list of diseases or complaints that OMM is commonly used for:

Low back pain
Otitis Media (ear infection)
Sinusitis
Pneumonia (productive cough)
Tinnitus
A myriad of Musculoskeletal complaints (both traumatic and nontraumatic)
Carpal tunnel syndrome
Sprained ankle
Paralytic ileus/constipation
Hyperhydrosis
Erectile dysfunction and premature ejaculation
Postpartum complications both with mother and baby
Dysmenorrhea
Headaches of various different origins
Lymphatic congestion commonly seen in CHF patients or post-mastectomy patients
COPD
Somatic complaints of visceral origin


Not only is OMM used as a treatment modality, but the osteopathic exam that DO students learn can be useful in formulating a differential diagnosis. Often your palpatory findings can help rule in or rule out certain conditions or point you in a direction so that you can better focus your exam. Of course, you would still follow the standard protocol for things (pt having MI, you get same labs as any other physician would) but one additional confirmatory test in your osteopathic assessment can only help. I know of several people, both DO students and physicians, who have used their osteopathic exam to guide them in the rest of the physical assessment and help them decide which tests to order. It can often be a money saving issue...instead of covering your bases and ordering every test to rule out certain conditions, you can focus yourself based on your palpatory findings and hopefully reach the conclusion faster and more cost effective.

Any other questions, please PM me.
 
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JPHazelton said:
Erectile dysfunction and premature ejaculation


And you thought having your back cracked was painful. :laugh: :laugh:
 
Prozach said:
And you thought having your back cracked was painful. :laugh: :laugh:


LOL.

JP, what exactly is done for ED or PE, or for that matter otitis media?

Just curious, this seems to be somewhat fringe....Any EBM studies to show effectivness?

thanks
 
We do PMT!! (Prostatatic Manipulative Therapy) Sorry, I work in a urology office right now so my humor is skewed 😛

OMM is a pretty neat concept. Some of it works extremely well, some of it doesn't work at all. It is largely dependant upon the skill of the physician and the treatment being performed. 👍

Ok back to work *feels whip crack on his back* 😛

-Richie
 
Adapt said:
Well, I'm not sure it mattered if you asked. I mean you are a premed so he wouldn't have minded.

OMM stands for Osteopathic Manipulative Medicine. From my limited knowledge of it, it's basically different types of manipulation that DOs learn in school which are similar to what a chiropractor does.

Since there is so much misunderstanding about OMM out there, might be best if you don't know the answer to that question, to go ahead and wait for someone who does to reply. Like JP.

Just a thought for the future. You will know it firsthand soon enough.
 
FighterDoc,

Some of OMM's concepts, IMHO, are fringe. I am sold on its effectiveness for musculoskeletal issues and seems to have some ligit. research to back it. The tough thing for me to accept is some more of the finge issues touted by OMM tx. The biggest issue in evidence for OMT is in research design. Reviewing articles in OM journals, you might have a similar opinion if you have any research (lab-based or clinical) background. Tough to set up a double blind when a provider knows that the 'sham' tx is just that and not a taught OMM technique. Also, the means of evaluating are almost solely subjective. Very often multiple variables are left out of the study as well (no group for 'touch therapy', etc.) leading to soft conclusions at best. I'm merely a 1st yr. and the I'm sure that the fellows (I think one posted in this thread previously) will be able to provide much better evidence than what I've been able to discover.
I have to qualify the above, I come from researched-based training so I'm probably more skeptical than the average joe.
Speaking first-hand (and I absolutely HATE anecdotal's, way too subjective), OMM works great on 'study neck' and lecture hall seat induced lower back pain.
 
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