David C. Mason, DO, FACOFP AAO Convocation March 21, 2014

103 Pages·2014·10.57 MB·English

David C. Mason, DO, FACOFP
AAO Convocation March 21, 2014
} By the end of the workshop the attendee will
be able to:
} Recognize new opportunities to apply
osteopathic concepts and treatment
techniques.
} Apply osteopathic manipulative techniques
learned in the session.
} Document findings, treatment, billing and
coding for each case.
This work shop will allow the busy
practitioner to include Osteopathic
Principles and Practices in their office visits.
The presenter will offer case based learning
experiences using the familiar SOAP note
format to integrate OMT into the thought
process, documentation, and coding of the
office encounter. The attendee will leave
with ability to apply the knowledge and
techniques clinically. The session will be
focused by an interactive didactic session.
A rational approach to each office
encounter will be proposed, incorporating
the basic tenets of osteopathic medicine.
Application of functional anatomy,
biomechanics and knowledge of the
autonomic nervous systems physiological
effects will be incorporated.
} Musculoskeletal Complaints
◦
LBP
◦
HA
◦
Neck Pain
◦
Sports Injuries
◦
Many more
} Viscero-Somatic Somatic Dysfunction
} Autonomic Dysfunction
} Wellness and Prevention
} Musculoskeletal Complaints
◦
LBP
◦
HA
◦
Neck Pain
◦
Sports Injuries
◦
Many more
} Viscero-Somatic Somatic Dysfunction
} Autonomic Dysfunction
} Wellness and Prevention
The Human body is a functional unit.
1)
Mind, Body, and Spirit are
interconnected.
Form and Function are inter-
2)
dependant.
The Human body has the innate
3)
ability to heal itself.
Osteopathic Manipulative Treatment
4)
is based upon individualized rational
application of the above tenets.
} Tissue texture changes upon
palpation.
} Asymmetry on inspection.
} Range of motion deficits.
} Tenderness to palpation.
} A 35 year old triathlete is seen in your office
complaining of left sided shoulder pain. The
pain feels deep and achy and is made worse
with her swimming training. Stretching offers
little short term relief. She is certain she has
a rotator cuff tear and will need surgery.
} Mechanism of injury
} Quality
} Radiation
} Timing
} Exacerbation
} Mitigation
} 100/64 HR 64 RR 14 T 98.8
} Cor: Reg at 64 no murmur or ectopy
} Pulm: CTA, no W/R/R
} Orthopedic:Full Can, Empty Can, Neer,
Apply Scratch test demonstrates restricted
internal rotation of left arm
} Biomechanical:Reduced internal rotation of
left shoulder with tenderness in left axilla
worsened with internal rotation, improved
with external rotation (Teres Minor Spasm),
Paravertebral muscle hypertonicity C and T
spine