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Osteopathic Medicine in Chronic Pain

  • Chapter
Integrative Pain Medicine

Part of the book series: Contemporary Pain Medicine ((CPM))

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Summary

Osteopathic medicine traditionally emphasizes the unison of all body systems including the musculoskeletal system. This recognition includes a reciprocal relationship between structure and organic function. The musculoskeletal system, including the bones, muscles, soft tissues, nerves, and spinal column can exhibit primary disorders, usually secondary to injury and degenerative changes, but it can also reflect many internal illnesses and may influence the process of disease through the circulatory, lymphatic, nervous, or other body systems.

In this review, the authors make no attempt to include all aspects of the Osteopathic philosophy and how it may influence medical care. However, in the treatment of chronic pain, as well as other fields of medicine, osteopathic approaches have long included the assessment of nociceptive and proprioceptive mechanisms in diagnosis and treatment. In this review, key anatomic, physiologic and homeostatic mechanisms, their scientific basis, and the influence they have on pain under pathological conditions are highlighted. A review of Osteopathic treatment techniques and examples of how they may enhance treatment strategies will follow.

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References

  1. Dorland. Dorland’s Medical Dictionary, 30th edition.

    Google Scholar 

  2. Denslow JS. Soft tissues in areas of osteopathic lesion. 1947. J Am Osteopath Assoc 2001;101(7):P406–409.

    PubMed  CAS  Google Scholar 

  3. Willard F. 2003. Nociception, the neuroendocrine immune system, and osteopathic medicine. In: Foundation for Osteopathic Medicine, 2nd edition. Ward RC, Executive Ed. Philadelphia, PA: Lippincott, Williams & Wilkins, pp 137–156.

    Google Scholar 

  4. Van Buskirk RL. Nociceptive reflexes and the somatic dysfunction: amodel. JAOA 1990;90:792–794.

    PubMed  Google Scholar 

  5. Kuchera ML, DiGiovanna EL, Greenman PE. Efficacy and complications. In: Foundations for Osteopathic Medicine. Ward RC, Ed. Baltimore, MD: Williams & Wilkins. 2002: 1143–1152.

    Google Scholar 

  6. Dvorak J, Orelli FV. How dangerous is manipulation to the cervical spine? Case report and results of a survey. Man Med 1985;2:1–4.

    Google Scholar 

  7. Patijin J. Complications of manual medicine: a review of the literature. Man Med 1991;6:89–92

    Google Scholar 

  8. Koss RW. Quality assurance monitoring of osteopathic manipulative treatment. JAOA. 1990;90((5):427–434.

    PubMed  CAS  Google Scholar 

  9. Kleynhans AM. 1980. Complications of and contraindications to spinal manipulative therapy. In: Modern Developments in the Principles and Practice of Chiropractic. Haldeman S, Ed. New York, NY: Appleton-Century-Crofts, pp 359–384.

    Google Scholar 

  10. Oliphant, D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manipulative Physiol Ther 2004;27:197–210.

    Article  PubMed  Google Scholar 

  11. Vick DA, McKay C, Zengerle CR. The safety of manipulative treatment: review of the literature from 1925 to 1993. JAOA 1996;96:113–115.

    PubMed  CAS  Google Scholar 

  12. Basmajian JV. 1983. Grant’s Method of Anatomy, 8th editon. Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  13. Anonymous. 1993. Contraindications and complications. In Guidelines for Chiropractic Quality Assurance and Practice Parameters—Proceedings of the Mercy Center Consensus Conference. Haldeman S, Chapman-Smith D, Petersen DM, Eds. Gaithersburg, MD: Aspen, pp 159–77.

    Google Scholar 

  14. Curtis P, Bove G. Family physicians, chiropractors, and back pain. J Fam Pract 1992;35:551–555.

    PubMed  CAS  Google Scholar 

  15. Shekelle PG, Adams AH, Chassin MR, et al. 1991. The appropriateness of spinal manipulation for low back pain-indications and ratings by a multidisciplinary expert panel. Santa Monica, Calif: Rand.

    Google Scholar 

  16. Fitzgerald M, Stiles E. 1984. Osteopathic hospitals’ solution to DRG’s may be OMT. The DO. November, pp 97–101.

    Google Scholar 

  17. Klock BG. The impact of osteopathic manipulative medicine on inpatient outcomes. AAO J 2002; 33–38.

    Google Scholar 

  18. Cantieri MS. Inpatient osteopathic manipulative treatment: impact on length of stay. Available at http://www.ohhpf.org/research96.html.

    Google Scholar 

  19. Kuchera ML, Kuchera WA. 1994. Osteopathic Considerations in Systemic Dysfunction. Second edition.

    Google Scholar 

  20. Kenneth G. 2003. Osteopathic Manipulative Medicine Guidelines for the Hospitalized Patient. Third edition.

    Google Scholar 

  21. Haldeman KO, Soto-Hall R. The diagnosis and treatment of sacroiliac conditions by the injection of procaine (Novocain). J Bone Joint Surg Am 1938;20-A:675–685

    Google Scholar 

  22. Bloomberg S, et al. Manual therapy with steroid injections: a new approach to treatment of low back pain. Spine 1994;19:569–577.

    Article  Google Scholar 

  23. Ben-David B, Raboy M. Manipulation under joint anesthesia combined with epidural steroid injection. L Manipulative Physiol Ther 1994;17:605–609.

    CAS  Google Scholar 

  24. Geraci M, Alleva J. 1996. Prather H. Manipulation Under Anesthesia. Physical Medicine and Rehabilitation Clinics of North America. Philadelphia: WB Saunders, pp 897–913.

    Google Scholar 

  25. Nelson L, Aspegren D, Bova C. The use of epidural steroid injection and manipulation on patient with chronic low back pain. J Manipulative Phyiol Ther 1997;20:263–266.

    CAS  Google Scholar 

  26. Aspegren D, Wright R, Hemler D. Manipulation under epidural anesthesia with corticosteroid injection: two case reports. J. Manipulative Physiol Ther 1997:20:263–266.

    PubMed  Google Scholar 

  27. Michaelson MR. Manipulation under joint anesthesia/analgesia: a proposed interdisciplinary treatment approach for recalcitrant spinal axis pain of synovial joint origin. J Manipulative Physiol Ther 2000:23;2:127–129.

    Article  Google Scholar 

  28. Murphy LS, et al. Spinal palpation: the challenges of information retrieval using available databases. J Manipulative Phsiol Ther 2003;26:374–382.

    Article  Google Scholar 

  29. Waddell G, Feder GM, McIntosh A, et al. 1996. Low Back Pain Evidence Review. London: Royal College of General Practitioners.

    Google Scholar 

  30. Giles LF, Muller R. A randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 2003;28((14):1490–1503.

    Article  PubMed  Google Scholar 

  31. Koes BW, Assendelft WJJ, van der Heijden MG, et al. Spinal manipulation and mobilization for back and neck pain: a blinded review. Br Med J 1991;303:1298–1303.

    CAS  Google Scholar 

  32. Shekelle PG, Adams AH, Chassin MR, et al. Spinal manipulation for low back pain. Ann Intern Med 1992;117:590–598.

    PubMed  CAS  Google Scholar 

  33. Anderson R, Meeker WC, Wirick BE, et al. A meta-analysis of clinical trials of spinal manipulation. J Manipulative Physiol Ther 1992;15:181–194.

    PubMed  CAS  Google Scholar 

  34. Bronfort G, Goldsmith CH, Nelson CF, et al. Trunk exercise combined with spinal manipulation or NSAID therapy for chronic low back pain: a randomized, observer-blinded clinical trial. J Manipulative Physiol Ther 1996;19:570–582.

    PubMed  CAS  Google Scholar 

  35. McMorland G, Suter E. Chiropractic management of mechanical neck and low back pain: a retrospective, outcome-based analysis. J Manipulative Physiol Ther 2000;23:307–311.

    PubMed  CAS  Google Scholar 

  36. Hurwitz EL, Aker PD, Adams AH, et al. Manipulation and mobilization of the cervical spine: a systematic review of the literature. Spine 1996;21:1746–1759.

    Article  PubMed  CAS  Google Scholar 

  37. Stig L-C, Nilsson O, Leboeuf-Yde C. Recovery pattern of patients treated with chiropractic spinal manipulative therapy for long lasting or recurrent low back pain. J Manipulative Phsyiol Ther 2001;24:288–291.

    Article  CAS  Google Scholar 

  38. Meade TW, Dyer S, Browne W, et al. Low back pain of mechanical origin: randomized comparison of chiropractic and hospital outpatient treatment. Br Med J 1990;300:1431–1437.

    Article  CAS  Google Scholar 

  39. Ernst E, Pittler H. Expert’s opinions on complementary/alternative therapies for low back pain. L Manipulative Physiol Ther 1999;22:87–90.

    Article  CAS  Google Scholar 

  40. Giles LGF, Muller R. Chronic spinal pain syndromes: a randomized clinical trail comparing medication, acupuncture, and spinal manipulation. Spine 28(14):1490–1503.

    Google Scholar 

  41. Andersson GBJ, Lucente T, Davis AM, et al. A comparison of osteopathic spinal manipulation with standard of care for patients with low back pain. N Engl J Med 1999;341:1426–1431.

    Article  PubMed  CAS  Google Scholar 

  42. Williams NH, Wilkinson C, Russell I, et al. Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care. Fam Pract 2003;20:662–669.

    Article  PubMed  Google Scholar 

  43. Bigos SJ, bowyer OR, Braen GR, et al. 1994. Acute low back pain problems in adults. Clin Pract Guideline No. 14. AHCPR Publication No. 95–0642. Rockville, MD: Agency for Health Care Policy & Research.

    Google Scholar 

  44. Gross A. R. et al. Clinical practice guidelines for the use of manipulation or mobilization in the treatment of adults with mechanical neck disorders. Manual Ther 2002;7:193–205.

    Article  CAS  Google Scholar 

  45. Work Loss Data Institute. 2003. Disorders of the Neck and Upper Back. Corpus Christi (TX): Work Loss Data Institute, p 109.

    Google Scholar 

  46. Institute for Clinical Systems Improvement (ICSI). 2002. Adult Low Back Pain. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI), p 61.

    Google Scholar 

  47. Gross AR, Hoving JL, Haines TA, Goldsmith CH, Kay T, Aker P, Bronfort G. 2004. Manipulation and mobilisation for mechanical neck disorders (Cochrane Review). In The Cochrane Library, Issue 2, UK: John Wiley & Sons, Ltd.

    Google Scholar 

  48. Assendelft WJJ, Morton SC, Yu EI, Suttorp, MJ, Shekelle PG. 2004. Spinal manipulative therapy for low back pain (Cochrane review). In The Cochrane Library, Issue 2, UK: John Wiley & Sons Ltd.

    Google Scholar 

  49. Gronemeyer J, Audette J, Drexler J, Hough J. Retrospective outcome analysis of osteopathic manipulation in a treatment failure setting. JAOA 2006;106(*).

    Google Scholar 

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Authors
  1. James H. Gronemeyer
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  2. Alexios G. Carayannopoulos
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Editor information

Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Spaulding, Massachusetts

    Joseph F. Audette MA, MD

  2. Harvard Medical School, Boston, Massachusetts

    Allison Bailey MD

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© 2008 Humana Press

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Gronemeyer, J.H., Carayannopoulos, A.G. (2008). Osteopathic Medicine in Chronic Pain. In: Audette, J.F., Bailey, A. (eds) Integrative Pain Medicine. Contemporary Pain Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-344-8_15

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  • DOI: https://doi.org/10.1007/978-1-59745-344-8_15

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-786-0

  • Online ISBN: 978-1-59745-344-8

  • eBook Packages: MedicineMedicine (R0)

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