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SHOULDER OMT ADVANCED / CONFERENCE TECHNIQUES

Adrian A. Villarreal, DO

PGY-IV

FM/NMM Integrated

LCH; South Miami, FL

Disclosures

No commercial, financial, or legal disclosures.

4 osteopathic principles:

The osteopathic philosophy embraces the idea of the unity of structure and function through four main principles.

The body is a unit, and the person represents a combination of body, mind and spirit.

The body is capable of self-regulation, self-healing and health maintenance.

Structure and function are reciprocally interrelated.

Rational treatment is based on an understanding of these principles: body unity, self-regulation, and the interrelationship of structure and function.

When we’ve diagnosed a somatic dysfunction!

When do we use OMT as a therapeutic intervention?

Point being…

An intervention when there is a diagnosis, and OMT is one of the rational treatment options. Not to be employed just to prove you can perform this maneuver; You must have a rational reason for selecting OMT as a treatment modality, and these specific techniques can be an appropriate component of that intervention

These therapeutic maneuvers are just that:

Conference Techniques

OMED 2015 COMMON PROBLEMS OF THE SHOULDER, EXAMINATION AND OMT; Richard Margaitis DO; Assistant Professor Family Medicine/NMM/SM Florida Hospital; October 19th 2015

History and Physical Exam are Key

•Is this problem Acute or Chronic (> 3 mos)?

•Was there a History of Trauma/MOI or did it come on slowly?

•Has this problem occurred before?

•What activities exacerbate the symptoms?

•Does the pain radiate from any other area?

•Does this prevent you from doing certain things?

•Are the symptoms getting worse?

•What alleviates the symptoms?

•On a pain scale 0-10, how severe is your pain now and what is it at it’s worst?

•Have you seen anyone else for this problem before?

•Have you tried anything to self treat or done anything at the advice of another physician?

Physical exam

Bicipital Tendinitis

•Usually involves Long Head biceps tendon •L.H. of Biceps tendon passes through the Bicipital Groove of the anterior Humerus {Anterior Shoulder Pain} L.H. attaches to supraglenoidtubercle on humeral head S.H. attaches to coracoid process of scapula •Frequently seen w/ Rotator Cuff pathology •Yergason’sTest –elbow flexed to 90o & wrist pronated, pt will attempt to externally rotate arm and supinate against resistance •Speed’s Test –Arm Flexed up to 90o and continued Flexion against physician resistance. * (+) if pain in bicipital tendon or tendon slips out of bicipital groove (held in place by transverse humeral ligament)

Questions?

References

http://www.btobo.com/treatments/osteopathy-treatment.html

COMMON PROBLEMS OF THE SHOULDER, EXAMINATION AND OMT; Richard Margaitis DO; Assistant Professor Family Medicine/NMM/SM Florida Hospital; October 19th2015 (OMED 2015)

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http://www.btobo.com/treatments/osteopathy-treatment.htmlhttp://www.btobo.com/treatments/osteopathy-treatment.htmlhttp://www.btobo.com/treatments/osteopathy-treatment.htmlhttp://www.btobo.com/treatments/osteopathy-treatment.htmlhttps://evansosteopathhastings.wordpress.com/