Our scope of care includes all ages and all severity of illness—from infants and pediatrics to adults and geriatric patients; including those with mild, moderate and severe levels of illness; even patients in critical care settings. We address patients with a wide range of medical and surgical illnesses as well as specific neuromusculoskeletal problems.
The osteopathic manipulative medicine approach can be particularly helpful in treating patients with pneumonia and other respiratory infections, post-operative ileus (best results are obtained when OMM treatment is started soon after surgery), acute coronary problems that have stabilized or those that had status-post chest surgery.
A simple model used in the osteopathic approach is to look at patients and their problems from the perspective of neurological, fluid and biomechanical points of view.
The neurologic perspective in the care of hospitalized patients includes addressing imbalances in the autonomic nervous system, as well as any specific somatic nerve involvement. Many acutely ill patients have an increased sympathetic tone and can benefit from hands-on osteopathic treatment to reduce this facilitated state, such as patients post-op abdominal surgery, who are at high risk of developing ileus. Other patients might need to have their parasympathetic tone addressed.
While the fluid perspective can include arterial and venous components, the lymphatics are an area of great importance in hospitalized patients, especially when inflammation or edema is involved. Removing restrictions to flow and using alternating pressure techniques can be helpful to improve lymphatic flow and drainage in patients – whether visceral, such as pulmonary congestion with pneumonia, or extremity-related, such as with wounds of the lower extremity.
A biomechanical approach can be used in many ways including improving rib motion to improve thoracic respiratory mechanics and improving motion of extremities, pelvis and spine.
OMM diagnosis and treatment has been shown to help in treatment of patients with a variety of problems. Studies have shown benefit in patients with pneumonia as well as asthma, even localized problems such as children with otitis media. OMM has been shown to be effective in preventing post-operative ileus and atelectasis as well as improving the hemodynamic status of patients immediately following cardiothoracic surgery.
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